ATLANTA, GA NURSING HOME UNAWARE OF SIGNIFICANT MEDICATION ISSUES – WIDESPREAD JEOPARDY
In The News:
BRIARCLIFF HAVEN HEALTHCARE AND REHAB CENTER located 1000 Briarcliff Rd, Atllanta, GA 30306 was cited recently as of October 2013 by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for multiple counts of medication errors, lab tests not performed, physician orders not being followed and other related issues which could have resulted in serious harm or death to the residents. The administration admits to being unaware of the significant medication administration issues until this survey had been performed, “and thus had not put corrective actions into place.”
The following are only portions of the report. There are too many to list here. The full and complete report can be found here for review of more details.
Additionally, for Resident #1, the facility failing to obtain the ordered laboratory testing related to the resident’s [MEDICATION NAME] anticoagulant drug therapy, and also resumed the [MEDICATION NAME] therapy with no order. This resulted in a situation in which the facility’s non-compliance with the requirements of participation caused, or had the likelihood to cause, serious harm, injury, impairment or death to residents.
Continuing:
The Administrator indicated that the facility had been unaware of significant issues related to medication administration errors and thus had not put corrective actions into place. However, the Administrator acknowledged the significant medication errors involving resident drug therapy for the sampled residents of this complaint survey. The facility’s failure to put into place systems which ensured the accurate provision of drug therapy, in accordance with physicians’ orders and the needs of residents, resulted in neglect by the failure to administer anticoagulant drug therapy as ordered to Resident #26.
Continuing:
The facility therefore neglected Resident Z by failed to provide effective pain management.
Continuing:
During interview on 10/18/2013 at 1:00 p.m., the Administrator indicated that the facility had not been aware, prior to this complaint survey, of significant issues involving resident medication administration, but did acknowledge the problems involving significant medication administration errors found as a result of this survey. The Administrator further acknowledged that, prior to this survey, the facility had not developed and implemented measures to address a problem involving a pattern of significant medication errors.
Continuing:
Based on record review, staff interview, and resident interview, the facility failed to ensure the provision of effective pain management, by failing to administer [MEDICATION NAME] medications in conformance with physicians’ orders, for two (2) residents (C and Z), on the total survey sample of thirty-three (33) residents. This resulted in harm for both Residents C and Z, who had a history of [REDACTED]. However, the facility failed to administer pain medication as ordered for expressed pain, and these residents continued to experience pain.
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