Olympia Convalescent Hospital
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
DON stated the narcotic, tramadol, was delivered to another facility by mistake by the pharmacy staff. DON stated the expectations from licensed nurses when receiving any type of medication from pharmacy was for nurses to check the pharmacy receipt against the medications received, after confirming verification, the nurses can then sign the receipt. DON stated signing the narcotic sheet ahead of time is not part of the facility policy, the nurse does not know if there are any situations happening that may cause the count to be inaccurate. DON added when the oncoming and outgoing nurses signed on the narcotic sheet, that means both nurses counted the narcotics and that they endorsed (gave report to) on each other. DON confirmed there were two nurses (LVN 2 and LVN 5) who signed out of the narcotic sheets ahead of time. During a
record review, the facility Policy and Procedures (P&P - policy explains the rules and presents them in a logical framework while procedures outline the step-by-step implementation of various tasks) titled Medication Storage in the Facility - Controlled Medication Storage with an effective date of 01/2022, indicated, Two licensed nurses do a physical inventory of all controlled substances at each shift change and documented on the narcotic sheet. During a record review, the facility's undated P&P titled Medication Storage in the Facility -Ordering and Receiving Non-Controlled Medications from the Dispensing Pharmacy indicated, A licensed nurse who received medications delivered by the pharmacy verifies medications received and promptly reports discrepancies and omissions to the to the issuing pharmacy and the supervisor.
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Olympia Convalescent Hospital in LOS ANGELES, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOS ANGELES, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Olympia Convalescent Hospital or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.