Sutton's Retirement Center

The facility failed to administer medications in accordance with physician orders and facility policies, resulting in an 8% medication error rate. Specifically, a medication aide failed to perform a required safety test (priming the insulin pen) and did not hold the injection for the required duration for Resident #4.

The facility failed to administer medications in accordance with physician orders and facility policies for 2 of 4 residents observed. Specifically, a medication aide failed to prime an insulin pen with a 2-unit air shot and failed to hold the injection site for the required 10 seconds during administration.

The facility failed to administer medications in accordance with physician orders and facility policies, resulting in a 21% medication error rate. Specific errors included incorrect administration of supplements, vitamins, and inhalers, as well as failure to document dosages for certain medications.

The facility failed to ensure that all sampled Medication Aides received the annual state-mandated infection control training. Specifically, personnel records for Staff A and Staff B showed no documentation of required training for the 2016 or 2017 periods.

The facility failed to ensure that 2 of 2 sampled Medication Aides had received the state-mandated annual infection control training. Personnel records showed the last documented training for both staff members occurred in September 2015, and the Administrator acknowledged that the annual training had not been completed for 2016 or 2017.