Failure to Prevent Resident Access to Marijuana and Inadequate Staff Reporting
Penalty
Summary
A deficiency occurred when a certified nurse aide (CNA) provided a vulnerable resident with access to the CNA's marijuana vape pen, allowing the resident to inhale marijuana. The resident in question had moderate cognitive impairment, a history of stroke resulting in unilateral functional limitations, and was dependent on staff for most daily care, including transfers and bathing. The resident was also prescribed multiple medications, including antipsychotics, antidepressants, anticonvulsants, muscle relaxants, and other drugs, many of which have known interactions with cannabis that could increase the risk of adverse effects. The CNA disclosed to other staff members that the incident of providing marijuana to the resident had occurred, and also reported coming to work while under the influence of marijuana. Despite these admissions, staff did not immediately report the CNA's statements to facility administration. The Director of Nursing (DON) was not informed about the CNA being under the influence until several hours after the CNA's shift had ended, and only learned about the marijuana incident after being approached by other CNAs. The facility's drug and alcohol policy prohibits staff from being under the influence or bringing drugs into the facility, and emphasizes the importance of safety for residents and staff. Additionally, the facility failed to notify the resident's physician about the incident involving marijuana use, despite the resident's complex medical regimen and the potential for significant drug interactions. The physician's office confirmed that no notification was received and indicated that such an incident should have been reported. The lack of timely reporting and oversight contributed to a failure to provide adequate supervision and protective oversight for the resident.