Souris Valley Care Center
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 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.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 355109
SOURIS VALLEY CARE CENTER in VELVA, ND inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.