Medication Administration and Environmental Issues in Dining and Kitchen Areas
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment when staff administered medications in the dining area during mealtimes, used an overhead paging system in the dining area, and did not maintain clean kitchen vents. During a lunch meal observation, one resident was seated and eating when an LPN approached, handed the resident a medication cup, and then administered eye drops before the resident resumed eating. Two other residents who were seated and eating at their respective tables were also approached by the same LPN, given medication cups, and stopped eating their meals to take their medications. In an interview, the LPN stated that she usually administers medications in common areas and during mealtimes because that is where all the residents are. Additional observations showed that the overhead paging system was used in the dining area on two separate mornings to call an LPN to contact another staff member. A separate observation of the kitchen serving area revealed that the ceiling vents were covered with dust and dirt, causing portions of the vents and surrounding ceiling to appear brownish-black instead of their intended white color. These conditions were identified as contributing to the failure to maintain a sanitary and homelike environment for residents who eat their meals in the dining area.
