Maine Veterans Home - Bangor
Maine Veterans Home - Bangor in BANGOR, ME — inspection on March 17, 2025.
Found 1 citation. 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
Review of R6's physician order sheet, handwritten, dated 10/29/24, stated, medroxyprogesterone 2.5 m.g PO (by mouth) daily for hypersexual behaviors. POA (power of attorney) consented for use.
Review of R6's physician order sheet, handwritten, dated 11/11/24, stated, increase medroxyprogesterone to 5 m.g QD (every day).
Review of R6's physician orders signed 11/14/24, page 3, stated under medications, 11/11/24 medroxyprogesterone acetate 5 m.g tablet by mouth daily given for antisocial sexual behavior (sexual-associated behavior disruptive to others).
Review of R6's physician order sheet, handwritten, dated 12/13/24, increase medroxyprogesterone to 10 m.g PO daily. Re-present to DR1 next opportunity.
Review of R6's physician orders signed on 1/16/25, page 2, stated diagnoses to include, Z72.51 high risk for heterosexual behavior.
Review of R6's clinical record dated 2/14/25, acute visit, provider PA-C, stated, R6, [AGE] years old, was seen today for escalation of sexually inappropriate behaviors.
Staff reports that the patient has been going after several female residents, trying to get them alone closing doors in order to attempt to have inappropriate sexual relations. He/she has been seen making sexual gestures to several female residents.
Medroxyprogesterone was resumed subsequently increased. On 1/31/25, medroxyprogesterone 5 m.g daily was initiated due to inappropriate sexual behaviors, with a plan to increase to 10 m.g daily on 2/15/25.Given the fact that the patient has been targeting certain female residents and attempted again today, nursing reached out to management and the patient will be moved to a different room off of the unit to avoid any further incidents.
On 3/13/25 at approximately 12:50 p.m., during record review and interview with RN3, a surveyor could not find evidence that R6's case has been presented to DR1 as ordered on 10/28/24 and 12/13/24. RN3 stated DR1 is no longer available, and RN3 and surveyor could not find evidence of follow-up pertaining to DR1 referrals with ordering PA-C as of 3/13/25, 121 days beyond the first order from the PA-C for case to be presented to DR1.
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