| 98 |
THE PILLARS OF BILOXI |
255093 |
2279 ATKINSON ROAD |
BILOXI |
MS |
39531 |
2019-06-12 |
755 |
D |
1 |
0 |
WHQH11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, policy review and staff and family interviews, the facility failed to obtain medications ordered for Resident #4 on admission. This was for one (1) of four (4) residents reviewed. Findings include: Review of the policy entitled, Ordering and Receiving Medications from Provider, dated 12/27/06, stated: Policy: Medications and related products are received from the provider pharmacy on a timely basis. Review of the Admission Record revealed the facility admitted Resident #4, on 05/15/19, with [DIAGNOSES REDACTED]. Review of the Admission/Five (5) day Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 05/22/19, revealed Resident #4 scored 11 of 15 on the Brief Interview for Mental Status (BIMS), which indicated moderate cognitive impairment. Review of the Medication Review Report for Resident #4, in (MONTH) 2019, revealed the following medications were ordered: 1 An order, dated 05/15/19, for [MEDICATION NAME] Patch weekly 10 MCG/HR (micrograms per hour) 1 (one) patch trans dermally in the morning every 7 (seven) days for pain. 2. An order, dated 05/15/19, for [MEDICATION NAME] 5 MG (Milligrams) by mouth one (1) time a day. 3. An order, dated 05/15/19, for [MEDICATION NAME] Solution Pen-Injector 100 Units/ML (Milliliter), Inject 35 units subcutaneously two (2) times a day. 4. An order, dated 05/15/19, for [MEDICATION NAME] tablet 10-325 MG give 1 (one) tablet by mouth every 8 (eight) hours as needed for pain for 5 (five days). 5. An order, dated 05/15/19, for [MEDICATION NAME] tablet 5 (five) M[NAME] Give 1 (one) tablet by mouth at bedtime. Review of the Pharmacy receipts and Medication Administration Sheets (MARs) for Resident #4 revealed the following: 1. The facility did not order the [MEDICATION NAME] Patches, but received a patch from the Responsible Person/Party (RP), and documented on the MAR it had been applied on 05/16/19. 2. The facility did not order the strength of the [MEDICATION NAME], but obtained the medication from the family, and documented on the MAR he received it 05/16/18. The strength was changed after this dose. 3. The facility did not receive the vial of [MEDICATION NAME] until 05/18/19, and the documentation on the MAR indicated it had been started on 05/17/19. The RP reported the facility had been using the Resident's Pen-Injector from home prior to receiving the vial. This was documented on the MAR beginning 05/15/19. 4. The facility received the [MEDICATION NAME] tablets on 05/17/19, and the first dose was administered on 05/18/19 per the Controlled Drug Record. The resident received Tylenol as needed, which was documented as effective. 5. The facility did not receive the [MEDICATION NAME] until 05/17/19, but the facility documented administration on 05/15/19. This was confirmed by the RP the resident's home medications were provided until the facility received the medication. An interview, on 06/12/19 at 11:10 AM, with the Director of Nursing (DON), revealed the medications were delivered from the out of town pharmacy, and the local back-up pharmacy never delivered any medications for Resident #4. Resident #4 had been admitted by the facility on 05/15/19 at 7:51 PM. An interview, on 06/12/19 at 11:20 AM, with Resident #4's RP, revealed when the resident was admitted , there were no medications ordered at that time, and she brought in the medications he had used at home when he arrived at the facility. She stated the facility used the home medications for several days before the ordered medications arrived. |
2020-09-01 |