cms_UT: 33
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
33 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2016-08-18 | 428 | D | 0 | 1 | AV3G11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined the pharmacist did not identify medication irregularities for 1 of 32 sample residents. Specifically, a resident received an as needed antipsychotic without adequate indication for its use. Resident identifier: 91. Findings include: Resident 91 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 91's medical record was reviewed on 8/17/16. On 6/18/16 an order was received to administer Zyprexa 5 mg (milligrams) as needed daily. Review of the (MONTH) (YEAR) Medication Administration Record [REDACTED]. The agitation was documented as Cont (continuous) Pacing. On two separate occasions, the licensed nurse administered the Zyprexa along with two 5-325 mg Norco tablets and Valium 2 mg. Review of the (MONTH) (YEAR) MARs revealed that the Zyprexa was administered twice for being restless and with agitation. The agitation was documented as Cont Pacing. The Zyprexa was administered with two 5-325 mg Norco tablets and Valium 2 mg on one occasion. On 7/28/16, the contracted pharmacist documented that resident 91 had no medication irregularities. The pharmacist did not identify that resident 91 had not been on antipsychotics in the past and that there was no documentation that indicated that resident 91 had an increase in her behaviors to justify the use of the Zyprexa as needed. On 8/17/16 at 1:00 PM, an interview was conducted with the Director of Nursing (DON). The DON stated that resident 91 went to a Neurologist appointment on 6/18/16 and returned with a new order to administer the Zyprexa as needed. The DON stated that resident 91 had not had an increase in her behaviors. The DON was unable to state why the Zyprexa was administered for continuous pacing. | 2020-09-01 |