Augusta Place, A Prospera Community
Inspection Findings
F-Tag F760
F-F760 is considered past noncompliance. The facility implemented the corrective actions to ensure the deficient practice does not recur by:
* The facility conducted an investigation on 07/30/24 with interviews of staff that determined the cause of the incident. Nursing staff failed to follow all the Rights of medication administration. Resident #1 received the wrong type of insulin.
* Provided 1 on 1 education immediately after the incident on 07/30/24 with the involved staff regarding the proper medication administration process.
* Suspended the nurse until the investigation was completed.
* Provided education to nursing staff prior to the start of their shifts beginning on the evening of 07/30/24. Will continue with education on the Six Rights of medication administration by the Director of Nursing or designee from August 1-16, 2024.
* On 07/31/24 began audits of insulin administration during med pass to ensure residents receive the correct insulin and nurses follow the Rights of medication administration.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 355125