Cedar Pine Post Acute
Cedar Pine Post Acute in PASADENA, CA — inspection on June 14, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a Medication Pass observation, Licensed Vocational Nurse 1 (LVN 1) failed to administer Dexamethasone (medication that provides relief for inflamed areas of the body) two milligrams (mg, unit of measurement) tablet timely as ordered on 6/14/2024.
2.
During a Medication Pass observation, LVN 1 failed to administer the following 9 AM due medications on 6/14/2024:
a.
Cozaar (medication to lower blood pressure) oral tablet 50 mg
b.
Lasix (medication to treat fluid retention and swelling) oral tablet 20 mg
c.
Norvasc (medication to lower blood pressure) oral tablet 5 mg
d.
Docusate Sodium (stool softener) oral Capsule 100 mg
e.
Levetiracetam (medication to treat seizures [a sudden, uncontrolled burst of electrical activity in the brain]) oral tablet 750 mg
f.
Lidocaine Patch 4 percent (medication, a patch to relieve pain)
These deficient practices had the potential to result in Resident 50 to experience medication adverse effects (unwanted, uncomfortable, or dangerous effects that a medication may have) and the potential to result in Residents health and well-being to be negatively impacted.
Findings:
A review of Resident 50's Admission Record indicated the resident was admitted to the facility on [DATE] with diagnosis including angioneurotic edema (unpredictable frequent edematous episodes of cutaneous and mucosal tissues such as lips, eyes, oral cavity, larynx, and gastrointestinal system), hypertension (high blood pressure), and seizures.
555213
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555213 B.
Wing 06/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Pasadena Care Center, LLC 1640 N.
Fair Oaks Avenue Pasadena, CA 91103
During an observation on 6/14/2024 at 9:18 AM, in Resident 50's room, Resident 50 was observed taking the five medications by mouth with yogurt and fluids.
During a concurrent record review of Resident 50's Order Summary Report (a summary of all currently active physician orders) and interview on 6/14/2024 at 10:55 AM, LVN 1 stated he failed to administer the following:
1.
Cozaar oral tablet 50 mg, give 1 tablet by mouth one time a day for hypertension.
Hold if systolic blood pressure (SBP, the top number in a blood pressure reading) is less than120.
With order date of 6/6/2024.
2.
Lasix oral tablet 20 mg, give 1 tablet by mouth one time a day for edema.
Hold if SBP is less than 110.
With order date of 6/7/2024.
3.
Norvasc oral tablet 5 mg, give 1 tablet by mouth one time a day for hypertension.
Hold if SBP is less than 110.
With order date of 6/6/2024.
4.
Docusate Sodium oral capsule 100 m.
Give 1 capsule by mouth two times a day for bowel management, hold for loose stool.
With order date of 6/7/2024.
5.
Levetiracetam oral tablet 750 mg.
Give 2 tablet by mouth two times a day for Seizures.
With order date of 6/6/2024.
6.
Lidocaine patch 4 percent for pain.
Apply to right hip topically (used on the outside of the body) every 12 hours.
With order date of 6/7/2024.
LVN 1 stated failing to administer medication to a resident per the physician's order can lead to medical complications possibly resulting in hospitalization . LVN 1 confirmed that the order of dexamethasone oral tablet 2 mg, to give 1 tablet by mouth every eight (8) hours related to malignant neoplasm (abnormal cells grow, multiply and spread to other parts of your body) of brain, with order date of 6/6/2024, was given at 9:18 AM. LVN 1 stated, per physician's order, it should be given at 2 PM.
Medication Administration Record indicated that 6 AM dose was already given.
555213
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555213 B.
Wing 06/14/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Pasadena Care Center, LLC 1640 N.
Fair Oaks Avenue Pasadena, CA 91103