Inspection Report
Original Licensing
Deficiencies: 1
Nov 8, 2017
Visit Reason
The Adult Care Licensure Section conducted an initial survey of the facility on November 8, 2017, to assess compliance with state regulations for medication aide training and competency.
Findings
The facility failed to ensure that one of three sampled Medication Aides (Staff C) had passed the State Medication Aide exam within 60 days after being validated to pass medications and completing a Medication Clinical Skills Checklist. Staff C continued to administer medications for almost one month past the deadline, placing residents at risk and constituting a Type B Violation.
Severity Breakdown
Type B Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to assure that 1 of 3 sampled Medication Aides (Staff C) had passed the State Medication Aide exam within 60 days after validation and clinical skills completion. | Type B Violation |
Report Facts
Days past deadline: 30
Medication Aides sampled: 3
Residents for MAR review: 5
Medication administration dates documented: 6
Correction deadline: Dec 23, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Named in deficiency for failing to pass State Medication Aide exam within required timeframe and continuing to administer medications. |
| Operations Manager | Interviewed regarding responsibility for ensuring training completion and scheduling of Staff C's exam. | |
| Facility Nurse | Interviewed regarding responsibility for training and scheduling of Staff C's State Medication Aide exam. | |
| Human Resource Manager | Responsible for ensuring staff qualifications are checked routinely as part of the plan of correction. |
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