Inspection Details: XOGW


Date
9/8/2022
Event ID
XOGW
Inspection type(s)
Complaint Investig.
Deficiencies cited
2

Citation Details

C0010
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
9/8/2022
Corrected Date
N/A
Details

Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes.  This report reflects the findings of the complaint investigation conducted 09/08/2022.  The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Oregon Administrative Rule 411, Division 57.  The following deficiencies were identified:



Abbreviations possibly used in this document:


ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration

Record

tid:three times a day

































































C0303
Severity Level: 2
Visits: 1
Scope
Isolated/Minimal harm or potential for moderate harm
Visit Number
1
Visit Date
9/8/2022
Corrected Date
N/A
Details

Based on interview and record review, it was confirmed that the facility failed to administer medications and prescribed. Findings include:


In review of Resident # 1's medication administration records (MARs) and progress notes for August 2022 and Medication Incident Report for 08/26/22. Resident #1 received 6 doses of a medication that was put on hold. The facility failed to give medication as ordered in the MAR.


The above information was acknowledged by Staff #1-2 on 09/08/22.


In interviews on 09/08/22, Staff #1-2 stated that Resident #1 had a medication on hold, however, when cycle fill was put in on 08/20/22, a new card was placed in the resident 's basket. The morning med tech gave the medication because they did not check the medication against the MAR.

.

Plan of Correction:

Policy and procedures for medication administration reviewed with staff, system re-evaluated and corrections made. Staff member was written up and pulled off the cart to part time med passer.