cms_DC: 18
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
18 | WASHINGTON CTR FOR AGING SVCS | 95014 | 2601 18TH STREET NE | WASHINGTON | DC | 20018 | 2019-07-30 | 755 | D | 0 | 1 | BMNI11 | Based on record review and staff interviews for two (2) of nine (9) nursing units, the facility staff failed to ensure that the system use for acceptable standard of practice to account for the receipt, usage, disposition, and reconciliation of controlled medications was followed. Findings included . A review of the Shift count Narcotic records on Unit 1 Green was completed on (MONTH) 19, 2019, at approximately 9:00 AM. The review showed that on (MONTH) 5, 2019, the Shift count Narcotic was missing a nurse signature (indicating it was not done) in the space allotted the nurse going off duty to reconcile the Narcotics for the 7:30 AM to 3:30 PM shift. A review of the Shift count Narcotic records on Unit 1 Orange was completed on (MONTH) 19, 2019, at approximately 9:10 AM. On (MONTH) 12, 2019, the Narcotic count sheet, showed the spaces allotted for nurse signature going off duty to reconcile the Narcotics for the 11:00 PM to 7:30 AM shift was left blank indicating Not Done. A review of the Shift Verification of Accuracy of Controlled Drug Record to the Actual Narcotic Count (Reconciliation Controlled Drug Count Verification Form) directed, Shift count sheet for Narcotics balance must be verified by the nurse coming on duty and nurse going off duty at each change of shift The evidence showed that the system's use for acceptable standard of practice to account for the receipt, usage, disposition, and reconciliation of controlled medications was not followed. A face-to-face interview was conducted with Employee #5 on (MONTH) 26, 2019, at approximately 11:10 AM. After a review of the documentation, she acknowledged the findings. | 2020-09-01 |