Failure to Secure Treatments in Resident's Room
Penalty
Summary
The facility failed to secure treatments on one of its nursing hallways, specifically the North Hall, involving a resident identified as Resident 56. During observations conducted on three separate occasions, open bottles of Dakin's solution and a bottle of Derma wound cleanser were found on the windowsill in Resident 56's room. These items are antiseptics used for treating and preventing infections in wounds, and their labels indicated that they should be kept out of reach of children and that medical help should be sought if swallowed. The deficiency was confirmed during a meeting with the Nursing Home Administrator and the Director of Nursing, who acknowledged that the items should not have been stored on the windowsill. This incident was a repeat deficiency, as a similar issue had been cited previously on February 16, 2024. The facility's failure to properly store these drugs and biologicals violated both federal regulations and state codes related to pharmacy and nursing services.
Plan Of Correction
Cited: All solutions and cleansers were removed from the window sill of resident 56. • Like: Facility-wide sweep will be completed to ensure treatment supplies/biologicals are not stored on the window sill in residents' rooms. • Educations: DON/designee will educate staff to ensure treatment supplies/biologicals are not stored on the window sill in residents' rooms. • Audits: DON/designee will audit 5 resident rooms weekly x 4 weeks then monthly x 2 months to ensure treatment supplies/biologicals are not stored on the window sill in residents' rooms. Results will be taken through QAPI.