cms_WY: 2053
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2053 | DOUGLAS CARE CENTER LLC | 535040 | 1108 BIRCH STREET | DOUGLAS | WY | 82633 | 2014-08-07 | 332 | D | 1 | 1 | 0IJ311 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review, and staff interview, the facility failed to maintain a medication error rate of less than 5 percent (%). Two medication errors were observed out of 33 opportunities for error, which resulted in an error rate of 6.06%. Residents affected by these errors were 2 non-sample residents (#46, #56). The findings were: 1. Observation on 8/6/14 at 9:30 AM showed RN #1 gave resident #56 two tablets of calcium/magnesium/vitamin D 500/250/500 mg. Review of the 7/27/14 physician orders [REDACTED]. The 2 tablets that were administered was twice the amount ordered. 2. Observation on 8/7/14 at 9 AM showed RN #1 gave resident #46 Potassium liquid 15 ml (20 mEq) in apple juice. Review of the physician orders [REDACTED]. The resident was administered twice the amount of the medication as ordered. 3. Interview with the DON on 8/7/14 at 11 AM confirmed these medications were not given as ordered by the physician. | 2017-08-01 |