Souris Valley Care Center
SOURIS VALLEY CARE CENTER in VELVA, ND — inspection on August 27, 2024.
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
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 08/19/24 with interviews of staff that determined the cause of the incident.
Nursing staff failed to administer long-acting insulin as ordered due to a transcription error.
* Provided 1 to 1 education on transcribing orders after the incident and on 08/19/24 with all nursing staff on insulin administration, blood glucose monitoring, and notification of change policy.
Those not in attendance received education prior to start of their shift.
* Suspended the nurse involved until the investigation was completed.
* Reviewed medical records of all residents receiving insulin to ensure insulin administered at the appropriate time.
* Implemented a secondary observer of management staff to review all new admission orders.
* On 08/19/24 began audits on new admission orders, insulin administration, blood glucose monitoring, physician notification, and documentation of blood glucose parameters.
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