Brockett House 1

The facility failed to obtain a clarification of order for an as-needed medication used to treat breathing problems for one resident. The physician's order for Levalbuterol Tartrate lacked a stated indication for use, which is required for PRN medications.

The facility failed to ensure medication administration records were accurate for one resident. Specifically, there was a discrepancy between the physician's order for Fluoxetine HCI (3 capsules every morning) and the MAR, which documented only 1 capsule every day.

The facility failed to obtain a clarification of order for an as-needed medication used to treat breathing problems for one resident. Specifically, the physician's order for Levalbuterol Tartrate lacked a stated indication for use, which is required for medications ordered on an as-needed basis.

The facility failed to ensure therapeutic diets were served as ordered for a resident who required a nutritional supplement four times daily. Observations revealed no protein shakes were available in the refrigerator or food storage, and the resident's medication administration record showed no entries for the required supplements. Interviews with staff confirmed that the required protein shakes were not being provided as prescribed.

The facility failed to ensure therapeutic diets were served as ordered for one resident who required a nutritional supplement four times daily. Observations revealed no protein shakes were available in the refrigerator or storage cabinets, and the resident's medication administration record showed no entries for the required supplements.

The facility failed to properly implement and monitor the resident's specific nutritional needs and orders as part of their care oversight. While the specific finding relates to the lack of protein shakes, the regulation cited involves the implementation of facility programs and procedures regarding resident health needs.