Failure to Provide Informed, Private Medication Administration and Basic Hygiene Care
Penalty
Summary
The deficiency involves failures in medication administration practices and basic care related to hygiene and environmental cleanliness. Surveyors observed an LPN administering medications to two residents without explaining the medications or offering the opportunity for the residents to be informed. In a separate observation, an RN administered medications to a resident in a shared room without providing privacy, as the privacy curtain was not drawn and the roommate was able to observe the process. Review of the facility’s medication administration policy showed that providing privacy is required, and the DON stated that staff are expected to offer residents the opportunity to be informed about their medications to support resident choice and the ability to refuse. Additional deficiencies were identified in the management of residents’ urinals and room cleanliness. Surveyors observed two urinals filled with urine on a nightstand in one resident’s room, and the resident reported that some aides empty the urinal and some do not, and that this situation happens all the time. In another room, a urinal filled with urine and a trash can were observed on the bed. During room rounds, a trash can under a sink was found to be approximately one-quarter full of coffee-colored water and trash, and a resident stated it had been there for a couple of days. The Lead GNA reported that GNAs are responsible for emptying residents’ urinals every two hours and as needed, confirming that ensuring urinals are emptied is part of their duties.
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