Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 3
May 9, 2025
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA50002293. An unannounced visit was made to the facility on 2025-05-07 and completed on 2025-05-09.
Findings
The facility failed to ensure staff provided medication assistance and administration in accordance with physician's orders and regulations. Specifically, Resident #1 was given Armodafinil 150 mg more frequently than prescribed, resulting in accidental drug poisoning and emergency room treatment. Staff acknowledged inappropriate medication administration.
Complaint Details
The inspection was conducted to investigate complaint intake #GA50002293 regarding medication administration errors involving Resident #1.
Severity Breakdown
SS= D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure staff providing medication assistance with or supervision of self-administered medications included only the allowed tasks. | SS= D |
| Failure to provide medication administration services in accordance with physician's orders and resident needs. | SS= D |
| Failure to provide adequate, appropriate care and services in compliance with state law and regulations. | SS= D |
Report Facts
Medication dosage frequency: 10
Medication administration times: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Acknowledged medication was administered inappropriately during interview on 5/7/25 at 11:45 a.m. |
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