Waltonwood at Providence

The facility failed to administer medications in accordance with physician orders and facility policy. During a medication pass on 11/08/22, a medication aide administered only one spray of Flonase in each nostril for a resident instead of the ordered two sprays. This resulted in a medication error rate of 24% during the observed morning medication pass.

The facility failed to administer medications as ordered and in accordance with facility policies for one resident. Specifically, a medication aide administered only one spray of Flonase per nostril instead of the ordered two sprays and crushed a Mirabegron ER tablet, which is an extended-release medication that must not be crushed.

The facility failed to provide adequate supervision for residents in the Memory Care Unit in accordance with their assessed needs and care plans. This lack of supervision resulted in one resident suffering from sunburn and heat-stroke and another resident experiencing multiple falls.

The facility failed to provide adequate supervision for residents in the Memory Care Unit in accordance with their assessed needs and care plans. This failure resulted in one resident suffering heat stroke, sunburn, and dehydration after being found unresponsive outside, and another resident experiencing multiple falls.