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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.