cms_NM: 51
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
51 | SANDIA RIDGE CENTER | 325032 | 2216 LESTER DRIVE NE | ALBUQUERQUE | NM | 87112 | 2018-03-14 | 684 | E | 0 | 1 | YN7D11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to follow physician orders [REDACTED].#62) of 1 (R #62) residents reviewed for quality of care. If the facility is not following physician orders, then residents could likely not receive the treatment necessary to improve and/or maintain their health. The findings are: [NAME] Record review of R #62's Physician's Telephone Order dated 10/11/17, revealed [MEDICATION NAME] (an anticonvulsant) 200 mg (milligram) one-tab (tablet) PO (by mouth) BID (twice a day) x 4 d (times four days), then increase to TID (three times a day). Dx: (diagnosis): Impulsive behavior. B. Record review of R #62's Medication Administration Records (MARs) for (MONTH) (YEAR), (MONTH) (YEAR), (MONTH) (YEAR), (MONTH) (YEAR), and (MONTH) (YEAR), revealed [MEDICATION NAME] was administered twice a day, at 8:00 am and 4:00 pm. C. On 03/06/18 at 9:22 am, during an interview Registered Nurse (RN) #1 stated, that R #62 gets 200 mg of [MEDICATION NAME] twice a day. RN #1 verified that the order to increase the medication to three times a day was ordered in (MONTH) (2017) and stated that she didn't know why it was not changed in the computer system. D. On 03/06/18 at 9:23 am, during an interview the Director of Nursing (DON) confirmed that R #62's order to increase [MEDICATION NAME] was not changed to three times a day. The DON stated that the order was written by the psychiatrist in (MONTH) of last year and that they should have written two orders, one for routine for four days and the new order to increase to three times a day. The DON stated that the order was not followed for about five months. | 2020-09-01 |