Premier Living and Rehab Center

In the surveyor’s words

From the most serious findings on record at Premier Living and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, patternF580Jul 2, 2024

  Based on record review, and staff, resident, and Physician interviews, the facility failed to notify the physician that the scheduled medication gabapentin, a medication ordered for nerve pain that is not to be stopped abruptly, was not administered. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. Resident #51 missed a total of 21 doses of the medication from 5/8/24 through 5/13/24 and had complaints of constant pain up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms and the physician was not notified of this. Resident #46 was prescribed gabapentin 800 mg two times daily for nerve pain. […]

• Immediate jeopardy, patternF600Jul 2, 2024

  Based on record review and interviews with resident, staff, Consultant Pharmacist, Pharmacy Quality Assurance Specialist, Psychiatrist, Physician, and Wound Clinic Physician, the facility failed to protect the residents' right to be free of neglect when the facility failed to obtain significant medications (Resident #51, Resident #46, and Resident #8), administer significant medications (Resident #269, Resident #51, Resident #46, Resident #419, Resident #39, Resident #32, Resident #10, Resident #50, and Resident #8), notify the physician that scheduled medication for nerve pain that was not to be stopped abruptly was not administered (Resident #51 and Resident #46), and provide effective pain management (Resident #51 and Resident #46). […]

• Immediate jeopardy, patternF697Jul 2, 2024

  Based on record review, staff, resident, Consultant Pharmacist, and Physician interview, the facility failed to provide effective pain management and manage symptoms of withdraw for 2 of 10 residents (Resident #51 and Resident #46) reviewed for pain management. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. The medication was not available to administer and resulted in a total of 21 doses of the prescribed medication not administered from 5/8/24 through 5/13/24. Resident #51 had complaints of constant pain at up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms. […]

• Immediate jeopardy, patternF755Jul 2, 2024

  Based on record review, staff, resident, Consultant Pharmacist, Pharmacy Quality Assurance Specialist, and Physician interview, the facility failed to ensure scheduled medication was obtained and available for administration for 3 of 10 residents (Resident #51, Resident #46, and Resident #8) reviewed for medications. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. The medication was not obtained from the pharmacy and Resident #51 missed a total of 21 doses of the medication from 5/8/24 through 5/13/24. Resident #51 had complaints of constant pain up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms. […]

• Immediate jeopardy, patternF760Jul 2, 2024

  Based on record review and interviews with resident, staff, Consultant Pharmacist, Pharmacy Quality Assurance Specialist, Physician, and Wound Clinic Physician, the facility failed to prevent significant medication errors for 9 of 10 residents reviewed (Resident #269, Resident #51, Resident #46, Resident #419, Resident #39, Resident #32, Resident #10, Resident #50, and Resident #8). Resident #269 was administered 6 doses of haloperidol (antipsychotic medication) 20 milligrams (mg) instead of the ordered dosage of 2 tablets of 2 mg at bedtime and was not administered carvedilol (a medication used to treat heart failure, high blood pressure and chest pain) for 25 of the ordered doses. […]