cms_WV: 7336
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7336 | LAKIN HOSPITAL | 5.1e+125 | 1 BATEMAN CIRCLE | WEST COLUMBIA | WV | 25287 | 2013-10-22 | 333 | D | 0 | 1 | TQVD11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interview, record review, and observation, the facility failed to ensure residents were free from significant medication errors. A resident who had been recently readmitted was given twice the ordered dose of [MEDICATION NAME]. One (1) of four (4) residents observed during the observation of medication administration was affected. There were twenty-five (25) opportunities for error. Resident identifier: #43. Facility census: 87. Findings include: a) Resident #43 During medication administration pass observation with Employee #27, a Licensed Practiced Nurse (LPN), she was observed giving medications to Resident #43. During the process, she stated she was giving the resident [MEDICATION NAME] 200 mg (milligrams) po (by mouth). She then removed [MEDICATION NAME] 200 mg from the medication cart. Upon reconciliation of the observed medication pass with the physicians' orders following the medication administration pass, it was found the order was actually for [MEDICATION NAME] 100 mg po. The Medication Administration Record [REDACTED]. On 10/23/13 at 10:30 a.m., this was discussed with the Director of Nursing who agreed it was a significant medication error. She immediately had a [MEDICATION NAME] level ordered for the resident. The medication cart was checked at 10:45 a.m. on 10/23/13. It contained both 100 mg and 200 mg packages of [MEDICATION NAME] for this resident. The nurse removed the 200 mg dose at that time to prevent future error. | 2017-06-01 |