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“Resident #17’s Primidone (anti-seizure medication) went up to sixty-five (65) days between refills”

SIGNATURE HEALTHCARE OF PIKEVILLE

LOCATED: 260 SOUTH MAYO TRAIL, PIKEVILLE, KY 41501

SIGNATURE HEALTHCARE OF PIKEVILLE was 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 submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO SAFELY PROVIDE DRUGS AND OTHER SIMILAR PRODUCTS AVAILABLE, WHICH ARE NEEDED EVERY DAY AND IN EMERGENCIES, BY A LICENSED PHARMACIST

LEVEL OF HARM –IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, interview, record review, and review of the facility’s policy, it was determined the facility failed to provide pharmaceutical services to meet the needs of four (4) of thirty (30) sampled residents (Residents #11, #13, #16, and #17). The facility failed to have an effective system to reorder residents’ medications timely to ensure the residents received their medications as physician ordered. Review of Pharmacy Medication Dispensing

Records revealed Resident #11’s Digoxin (medication to treat an abnormal heartbeat) was dispensed to the facility in a fourteen (14) day supply. However, this medication went up to thirty-seven (37) days between refills. Resident #17’s Primidone (anti-seizure medication) went up to sixty-five (65) days between refills of a thirty (30) day supply and up to forty-three (43) days between refills for a thirty (30) day supply of Depakote (medication to prevent seizures and treat some psychiatric disorders). There was a forty-seven (47) day span between refills for a thirty (30) day supply of Resident #13’s Keppra (medication to prevent seizures); and up to twenty-five (25) days between refills of a fifteen (15) day supply for Resident #16’s Depakote.

Laboratory tests revealed the residents’ labs values for these medications that required monitoring were sub-therapeutic (refer to F282, F333, F490, and F514).

The facility’s failure to have an effective system in place to ensure care and services were provided as per the resident’s plan of care was likely to cause serious injury, harm, impairment, or death.

Personal Note from NHA-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 and your loved one file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

You can make a difference even if your loved one has already passed away.

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