GOLDEN LIVINGCENTER – HILLCREEK
Located: 3116 BRECKINRIDGE LANE, LOUISVILLE, KY 40220
GOLDEN LIVINGCENTER – HILLCREEK was recently cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
Please Note: The following highlighted quoted text is only a portion of the full report/survey. The full report/survey can be found here.
MAKE SURE SERVICES PROVIDED BY THE NURSING FACILITY MEET PROFESSIONAL STANDARDS OF QUALITY
Level of harm – Immediate jeopardy
Based on interview, record review, and review of the facility’s Investigation Report, Medication Administration Policy and the Licensed Practical Nursing Scope of Practice in Kentucky, it was determined the facility failed to have an effective system to ensure medications were administered according to professional standards for one (1) of ten (10) sampled residents (Resident #1). On 02/19/14 at approximately 8:45 AM to 9:00 AM, Licensed Practical Nurse (LPN) #1, who was in orientation with LPN #3, administered Resident #2’s medication to Resident #1 without ensuring he/she was the right resident and without LPN #3 being present to supervise the task. Resident #1 was administered five (5) medications that were not prescribed for him/her which included an antihypertensive, an antidepressant, an antiplatelet, and an opioid pain medication. The LPN failed to compare the resident to the resident’s picture, and failed to ask the alert and oriented resident his/her name. Resident #1 experienced increased shortness of air between 8:00 AM and 9:00 AM prior to the medication error. The Advanced Registered Nurse Practitioner (ARNP) was notified, on 02/19/14 at 9:04 AM, of the medication error and shortness of air status, and the ARNP ordered the resident be sent to the hospital for a medical evaluation. Resident #1 was evaluated by the emergency room physician and admitted with the clinical impression of Dyspnea, Accidental Overdose (Opiate-Accidental), [MEDICAL CONDITION] and [MEDICAL CONDITION]. Resident #1 was hospitalized
In addition, interview and review of the facility’s Nursing Competency revealed LPN #1’s competency in medication administration had not been validated per the facility’s policy. The facility’s failure to ensure medication was administered according to the nursing standards of practice has caused or is likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy was identified on 02/28/14, and was determined to exist on 02/19/14.
Personal Note from NHAA Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.
You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately. We can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.
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