| 31 |
LEXINGTON MANOR SENIOR CARE, LLC |
255091 |
56 ROCKPORT ROAD |
LEXINGTON |
MS |
39095 |
2017-06-28 |
282 |
D |
0 |
1 |
YQ7Y11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, staff interviews, and the facility policy review, the facility failed to follow the care plan for the problem of [MEDICAL CONDITION] related to unspecified [MEDICAL CONDITION], for one (1) of nine (9) records reviewed for care plans, Unsampled Resident #D, as evidenced by not administering medications as ordered, which included, per policy and recommended guidelines, waiting at least five (5) minutes between eye drops. Findings include: Review of the facility's Comprehensive Care Plans policy, with a revision date of 2/2017, revealed, 9. Qualified staff responsible for carrying out interventions specified in the care plan will be notified of their roles and responsibilities for carrying out the interventions, initially and when changes are made. Review of the Nursing (YEAR) Drug Handbook, page 233, for [MEDICATION NAME] eye drops, revealed, If more than on ophthalmic product is being used, give them at least 5 minutes apart. Page 468 of the Nursing (YEAR) Drug Handbook, for Dorzolamide ([MEDICATION NAME]) eye drops, revealed if more than one ophthalmic drug was being used, give at least 10 minutes apart. Review of the care plan for Unsampled Resident D revealed a problem onset date of 11/29/2016. The care plan stated Unsampled Resident D was legally blind and could only see shadows and outlines of figures, did not wear glasses, and had a history of [REDACTED]. Review of a Specific Medication Administration Procedures policy, dated 5/1/09, revealed Wait at least five (5) minutes before applying additional medications in the eyes. Observation on 6/27/17 at 8:30 AM, during medication pass to Unsampled Resident #D, revealed Licensed Practical Nurse (LPN) #5 instilled [MEDICATION NAME] 0.15%, one (1) drop, in each eye, followed by [MEDICATION NAME] eye drops, one (1) drop in each eye, without waiting between each medication, per policy and care plan of medications as ordered, which includes the correct procedures. Interview with LPN #5 on 6/27/17 at 8:32 AM, revealed she had not waited three (3) to five (5) minutes, per manufacture guidelines (and care plan to give medications as ordered), between each eye drop for Unsampled Resident #D. Interview on 6/27/2017 at 11:10 AM, with Registered Nurse (RN) #1 revealed she was the only care plan/assessment nurse and had missed some things on the care plan. |
2020-09-01 |