cms_WY: 10
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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10 | GRANITE REHABILITATION AND WELLNESS | 535013 | 3128 BOXELDER DRIVE | CHEYENNE | WY | 82001 | 2019-04-11 | 755 | D | 1 | 1 | TYBQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, medical record review, and staff interview, the facility failed to provide medications to meet resident needs for 1 of 37 sample residents (#108). The findings were: 1. Review of the [DATE] admission MDS assessment showed resident #108 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The following concerns were identified: a. Review of a nurse's note dated [DATE] and timed 3:15 AM showed the resident was found unresponsive with a blood glucose level of 58 mg/dl. The physician was notified; one dose of [MEDICATION NAME] was administered, and the resident regained consciousness. b. Review of a nurse's note dated [DATE] and timed 5:45 PM showed the resident was lethargic at 5 PM and had a blood glucose level of 35 mg/dl. [MEDICATION NAME] was administered. c. Review of a nurse's note dated [DATE] and timed 6:10 PM showed the resident was unresponsive with a blood sugar of 44 mg/dl. The physician was called and one dose of [MEDICATION NAME] was administered. After the [MEDICATION NAME] was administered the resident was still unresponsive and his/her blood glucose level was 53 mg/dl. The physician was notified and an additional dose of [MEDICATION NAME] was ordered. However, no [MEDICATION NAME] was available and the resident was sent to the emergency department. d. Observation of the 2nd floor medication storage room on [DATE] at 10:47 AM showed 1 expired emergency kit dated ,[DATE]. Interview at that time with the LPN #3 confirmed the medication was expired, and was available for resident use. She revealed it was the [MEDICATION NAME] in the kit that had expired. 2. Interview on [DATE] at 10:42 AM with unit manager #1 revealed the facility had identified a problem with the nurses not ordering medications properly. She further stated the error was in the process of being corrected. 3. Interview on [DATE] at 11:13 AM with the DON revealed she had recognized there was a problem with the availability of the [MEDICATION NAME]. She had obtained new physician orders [REDACTED]. In addition some of the new nurses, including herself, had not been granted access to the Cubex, but this had been corrected. 4. Interview with DON on [DATE] at 11:39 AM revealed it was the expectation of the facility for nursing staff to get the medication from the Cubex, if needed, or call the backup pharmacy to get the medication until the order arrived. | 2020-09-01 |