The most recent inspection of The Plaza at Punchbowl on September 26, 2024, identified two deficiencies related to narcotic counts and unavailable PRN medications. Earlier inspections showed a pattern of medication management and documentation issues, including inconsistencies in resident service plans, missing physical exam documentation, and medication labeling concerns. Inspectors cited problems mainly with medication administration, recordkeeping, and resident care documentation. No complaint investigations or enforcement actions were listed in the available reports. The facility’s inspection history suggests ongoing challenges with medication and documentation practices without clear improvement or worsening over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The inspection was conducted as the annual survey of The Plaza at Punchbowl assisted living facility on September 26 and 27, 2024.
Findings
Two deficiencies were identified: narcotic counts between two licensed staff were not completed on multiple occasions between July and September 2024, and a resident's PRN medications were not available for administration despite physician orders.
Deficiencies (2)
Description
Narcotic counts between two licensed staff were not completed on multiple occasions between July and September 2024.
Resident #1's current medication orders include PRN Ondansetron and Lorazepam oral tablets, but no supply is available for PRN administration.
The inspection was conducted as the annual survey for The Plaza at Punchbowl assisted living facility to assess compliance with state regulations.
Findings
The report identifies deficiencies related to inconsistencies in resident service plans, lack of documented blood pressure monitoring, and missing current physical exam documentation. Plans of correction and future plans were provided to address these issues.
Deficiencies (3)
Description
Resident #1's service plan did not reflect the updated liquid consistency order, showing 'nectar consistency' instead of 'thin liquids consistency'.
Resident #1 lacked documented evidence of daily blood pressure readings between 9/7/23 and 9/14/23 despite physician's order.
Resident #2's current physical exam was unavailable for review; last physical exam dated 5/7/22.
Report Facts
Completion date for correction of service plan deficiency: Oct 20, 2023Completion date for future plan on service plan deficiency: Oct 9, 2023Completion date for future plan on blood pressure documentation deficiency: Oct 9, 2023Completion date for correction of physical exam deficiency: Sep 28, 2023Completion date for future plan on physical exam deficiency: Oct 2, 2023
The inspection was conducted as the annual survey for The Plaza at Punchbowl assisted living facility to assess compliance with applicable state licensing regulations.
Findings
The inspection identified deficiencies including lack of documented temperature readings for the 2nd floor medication refrigerator on multiple dates, incorrect medication labeling for a resident's OTC melatonin, and untimely medication reviews by a registered nurse or physician for a resident.
Deficiencies (3)
Description
No documented evidence of temperature readings for the 2nd floor medication refrigerator on specified dates.
Medication Administration Record (MAR) and facility applied label on OTC melatonin bottle had conflicting dosage information.
Timely medication review by a registered nurse or physician was unavailable for a resident between 1/26/22 and 6/9/22.
Report Facts
Dates missing temperature readings: 7Timeframe of unavailable medication review: 134
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