cms_VT: 99
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
99 | ST JOHNSBURY HEALTH & REHAB | 475019 | 1248 HOSPITAL DRIVE | SAINT JOHNSBURY | VT | 5819 | 2018-01-03 | 760 | G | 1 | 0 | 1SPM11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interview and record review, the facility failed to ensure that 1 applicable resident (Resident #1) was free from any significant medication errors. Findings include: Per record review, Resident # 1 was administered the wrong drug on 11/2/17 which caused the resident discomfort and/or jeopardized his/her health and safety. A fax notice from facility nursing staff to the physician dated 11/4/17 stated that flu vaccine was drawn up in error instead of [MEDICATION NAME] solution and administered. (H/she) does have a flu vaccine allergy listed. Review of the Medication Administration Record [REDACTED]. A second fax to the physician on 11/4/17 indicated that Resident # 1 had developed a rash to abdomen and bilateral thighs, bilateral arms and back, hive-like and itching. At 1:10 PM on 1/3/18, the Center Nurse Executive (CEN) confirmed that on 11/2/17, Resident # 1 was administered Influenza vaccine on 11/2/17 instead of [MEDICATION NAME] solution despite having a documented allergy to flu vaccine. | 2020-09-01 |