Inspection Report
Complaint Investigation
Capacity: 54
Deficiencies: 1
May 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding medication administration errors at The Landing at Saco Bay, a PNMI Level IV Residential Care Facility.
Findings
One resident (Resident #1) did not receive multiple medications as ordered for 19 days due to medications being discontinued in error by Wellness Nurse #1 in the facility's electronic health system. This resulted in increased anxiety, agitation, and a fall for the resident. This is a repeat deficiency from a prior statement dated 4/16/2024.
Complaint Details
The complaint investigation confirmed that Resident #1 was not administered multiple medications from 4/30/2025 through 5/18/2025 due to Wellness Nurse #1 discontinuing the medications in error. The deficiency was substantiated and is a repeat from a prior deficiency dated 4/16/2024.
Severity Breakdown
Class II: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident #1 did not receive multiple medications as ordered for 19 days due to erroneous discontinuation in the electronic health system. | Class II |
Report Facts
Total Capacity: 54
Days medications not administered: 19
Date of incident report: May 18, 2025
Date of telephone interview: May 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Poulin | Administrator | Interviewed and confirmed medication error |
| Residential Care Director | Interviewed and confirmed medication error | |
| Wellness Nurse #1 | Discontinued medications in error |
Inspection Report
Plan of Correction
Capacity: 54
Deficiencies: 1
May 18, 2025
Visit Reason
The document is a Plan of Correction responding to a complaint investigation regarding a resident not receiving medications as ordered.
Findings
An incident report dated 5/18/2025 found that a resident did not receive medications for 19 days due to discontinued orders. The facility investigated and completed all reports. Errors in medication order processing and administration were identified and addressed.
Complaint Details
Complaint investigation found that Resident #1 was not administered multiple medications for 19 days due to medication orders being discontinued in error. The complaint was substantiated based on interviews and record review.
Deficiencies (1)
| Description |
|---|
| Resident did not receive medications as ordered for 19 days due to medication orders being discontinued in error. |
Report Facts
Total Capacity: 54
Days medications not administered: 19
Inspection Report
Complaint Investigation
Census: 47
Capacity: 54
Deficiencies: 0
Sep 17, 2024
Visit Reason
The inspection visit was conducted as a complaint investigation for The Landing at Saco Bay, a PNMI Level IV Residential Care Facility.
Findings
The facility was found to be in substantial compliance with Part of 10-144, Chapter 113, Regulations Governing the Licensing and Functioning of Assisted Housing Programs: PNMI Level IV Residential Care Facility.
Inspection Report
Plan of Correction
Census: 47
Capacity: 54
Deficiencies: 0
Aug 14, 2024
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for The Landing at Saco Bay, a Level IV PNMI Residential Care Facility, related to regulatory licensing and certification oversight.
Findings
The facility is in substantial compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: PNMI Level IV Residential Care Facilities, Part of 10-144, Chapter 113.
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