cms_UT: 22
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 |
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22 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2017-05-03 | 333 | D | 1 | 0 | 74IB11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, it was determined that the facility did not ensure that residents were free of significant medication errors for 1 of 11 sample residents. Specifically, an antibiotic ordered to treat a urinary tract infection was not administered as ordered. Resident identifier: 9. Findings include: Resident 9 was readmitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 5/3/17 at 10:49 AM, an interview was conducted with resident 9. Resident 9 stated that she had a urinary tract infection with [MEDICAL CONDITION] resistant staphylococcus aureaus and had been treated with an antibiotic. Resident 9's medical record was reviewed on 5/3/17. Review of the physician's orders [REDACTED]. The licensed nursing staff documented that resident 9 was to be on contact isolation precautions related to [MEDICAL CONDITION] resistant staphylococcus aureaus. On 4/28/17 an order was received to discontinue the Bactrim DS and start resident 9 on [MEDICATION NAME] 100 mg (milligrams) 1 tablet by mouth twice a day for 5 days. Review of the Nurse's Notes revealed the following nursing entries: a. 4/21/17 from 6:00 AM to 6:00 PM: N (nausea) V (vomiting) noted. new order for [MEDICATION NAME] on contact precautions r/t (related to)[MEDICAL CONDITION] ([MEDICAL CONDITION] resistant staphylococcus aureaus) in urine UTI (urinary tract infection). b. 4/21/17 from 6:00 PM to 6:00 AM: .continues on abx (antibiotic). C/O (complained of) nauseated (sic) (with) abx given [MEDICATION NAME] for nausea (with) effective results. c. 4/22/17 from 6:00 PM to 6:00 AM: .She continues on ABX for UTI, tolerating treatment well, she has reported some nausea that is relieved with PRN (as needed) [MEDICATION NAME], no other adverse effects observed/reported. d. 4/23/17 at 10:30: .Pt. (patient) continues on abx for UTI . e 4/23/17 from 6:00 PM to 6:00 AM: .continues on abx (with) no adverse effects, she is tolerating well . f. 4/24/17 from 6:00 PM to 6:00 AM: .Cont (continues) of (sic) abx for UTI. Reports med gives her upset stomach but is relieved (with) PRN [MEDICATION NAME]. g. 4/25/17 from 6:00 AM to 6:00 PM: .taking ABX to treat uti, tolerating well w (with)/no AE (adverse effects) noted. h. 4/26/17 from 6:00 AM to 6:00 PM: .Antibiotic therapy continues (without) any issues or stated side effects. i. 4/26/17 from 6:00 PM to 6:00 AM: .Continues on abx for uti. Res (resident) reports abx upsets her stomach that is relieved (with) PRN [MEDICATION NAME]. j. 4/27/17 from 6:00 PM to 6:00 AM: .Continues on abx for UTI. Res c/o abx giving her upset (sic) stomach that is relieved (with) PRN [MEDICATION NAME]. k. 4/28/17 from 6:00 PM to 6:00 AM: .Restarted on [MEDICATION NAME] and [MEDICATION NAME] for UTI. Res (Resident) has had no adverse reactions to new Rx (prescription). l. 4/28/17 from 6:00 AM to 6:00 PM: .symptomatic for UTI symptoms burning, frequency, cramping.pt. states she is frustrated she is still sick with uti. m. 4/29/17 from 6:00 M to 6:00 AM: .She continues on ABX for UTI. She is tolerating treatment well. No adverse effects observed/reported. Precautions are in place. n. 4/30/17 at 10:30 AM: .On Abx for UTI. o. 4/30/17 from 6:00 PM to 6:00 AM: .continues on abx for uti (with) no adverse side effects . p. 5/1/17 from 6:00 PM to 6:00 AM: .Cont (continues) on abx for uti tolerating well, no adverse effects noted. q. 5/2/7 from 6:00 PM to 6:00 AM: .she continues on abx (with) no signs or reports of adverse effects, she is tolerating well . Review of the (MONTH) and (MONTH) (YEAR) Medication Administration Records revealed that resident 9 received only 5 doses of [MEDICATION NAME] 100 mg tablets instead of the 10 doses as ordered. On 5/3/17 at 10:45 AM, and interview was conducted with Unit Manager (UM) 1. UM 1 confirmed that resident 9 did not receive the full antibiotic treatment as ordered by the physician. | 2020-09-01 |