cms_ME: 13
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
13 | HIBBARD SKILLED NURSING & REHABILITATION CENTER | 205004 | 1037 WEST MAIN STREET | DOVER FOXCROFT | ME | 4426 | 2018-02-08 | 684 | E | 0 | 1 | RFBP11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to follow Physician orders [REDACTED].#27, #67, #40) currently residing in the facility and 1 of 2 discharged Residents (#80). Findings: 1 On 2/8/18, a review of Resident #27's clinical record was completed. Resident #27 had a Physician lab order to draw a Basic Metabolic Panel (BMP) on 1/2/18. On 2/8/18 at 9:30 a.m., in an interview with the surveyor, the Long Term Care (LTC) Nurse Manager, stated that she was unable to find a lab result for the BMP and could not find evidence that it was drawn. The LTC Manager stated that she would place it in the lab book to be drawn. The surveyor confirmed this finding with the LTC Manager at this time. 2. Resident #67 had a written physician order, dated 2/1/18, to obtain a Urine reflex lab and to stop the [MEDICATION NAME] orders. There is no evidence in the clinical record that the urine lab was collected and that the [MEDICATION NAME] orders were discontinued. On 2/6/18 at 12:18 p.m., during an interview with a surveyor, the Charge Nurse stated that the [MEDICATION NAME] had not be discontinued and the urine test has not been completed, this order was overlooked. The surveyor confirmed this finding with the Charge Nurse at this time. 3. Resident #40's clinical record contained a Physician order, dated 1/3/18, for [MEDICATION NAME] (an antibiotic) with the strength of 200 milligrams (mgs) per 5 milliliters (mls) and the directions to administer 12.5 mls today then 6.25 mls daily for 4 days. Resident #40's Medication Administration Record [REDACTED]. The physician order [REDACTED].#40 did not get the proper dose of medication as ordered by the physician. The surveyor confirmed this finding at this time. 4. On 2/8/18, a review of Resident #80's closed clinical record was completed. Resident #80's clinical record contained a Physician order, dated 11/20/17, for [MEDICATION NAME] 4 milligrams (mg) by mouth (PO) every 6 hours as needed (PRN) for nausea x 2 weeks (12/3/17). Review of Resident #80's Medication Administration Record [REDACTED]#80's clinical record and were unable to find another Physician order [REDACTED]. | 2020-09-01 |