Avantara Norton
AVANTARA NORTON in SIOUX FALLS, SD — inspection on April 10, 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
Based on record review, interview, and policy review, the provider failed to follow professional standards
(medications with risk for abuse and addiction) pain medications as ordered by the physician.
Findings include:
1.
Review of resident 1's electronic medical record (EMR) revealed his medication administration record (MAR) indicated:
*He had a physician's order for oxycodone (a controlled pain medication), 5 milligram (mg) tablet, Give 2 tablet[s] orally every 4 hours as needed for pain.
*On 2/17/25, he was given two oxycodone tablets by registered nurse (RN) E at 1:16 a.m., and two oxycodone tablets by licensed practical nurse (LPN) G at 2:12 a.m.
-Less than one hour had passed between those administrations.
*On 3/20/25, he was given one oxycodone tablet by certified medication aide (CMA) F at 4:37 p.m., and two oxycodone tablets by LPN H at 7:35 p.m.
-Less than three hours had passed between those administrations.
On 3/21/25, he was given two oxycodone tablets by LPN I at 5:26 p.m., and two oxycodone tablets by RN J by 7:23 p.m.
-Less than two hours had passed between those administration.
*All of those documented administrations were given before four hours had passed between administrations as ordered.
2.
Review of resident 2's EMR revealed her January 2025 MAR indicated:
*She had a physician's order for oxycodone, 5 milligram (mg) tablet.
Give 7.5 mg by mouth every 4 hours as needed for pain.
*On 1/3/25 at 1:28 a.m., RN E documented administering resident 2's PRN oxycodone.
-On 1/3/25 at 1:30 a.m., RN E documented administering her an additional dose of oxycodone.
*On 1/21/25 at 2:01 a.m., RN E documented administering resident 2's PRN oxycodone.
*On 1/21/25 at 5:00 a.m., RN E documented administering her an additional dose of oxycodone.
*All of those documented administrations were given before four hours had passed between administrations as ordered.
435039
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435039 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Avantara Norton 3600 South Norton Avenue Sioux Falls, SD 57105