D · No harm, potential for more than minimal, isolatedOctober 5, 2022
Based on observation, record review, resident and staff interview, the facility failed to ensure when a resident self administered medications, the interdisciplinary team had determined this practice was clinically appropriate. This deficient practice was identified during a random opportunity for discovery when Resident #53 was observed in the resident's room with an inhaler on the bedside table. Resident identifier: Resident #53. Census: 62. Findings included: a) Resident #53 A review of Policy NSG 309 Medications: Self-administration, revision date of 03/01/22, showed if a resident requests to self-administer medications they would be evaluated for safety and appropriateness. …