Heritage At Longview Healthcare Center
HERITAGE AT LONGVIEW HEALTHCARE CENTER in LONGVIEW, TX — inspection on February 19, 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
The facility failed to remove discontinued controlled medications from the medication cart for Resident #3, Resident #4 and Resident #5 who had expired.
The facility failed to ensure proper destruction of 71 Hydrocodone ,d+[DATE]mg, 103 Lorazepam 1mg, 17 Lorazepam 0.5mg, and 94.75ml Morphine Sulfate 100mg/5ml that were controlled medications for Resident #3, Resident #4 and Resident #5 who had expired.
These failures could place residents who received medications, including narcotics at risk for not receiving the intended therapeutic effects of their prescribed medications and experiencing unintended and harmful effects of medications prescribed to others and place the facility at risk for drug diversion.
Findings included:
1.
Record review of facility electronic face sheet indicated Resident # 3 was an [AGE] year-old female admitted to facility on [DATE]. Resident #3's diagnoses included: malignant neoplasm of liver (liver cancer), and secondary malignant neoplasm of bone (bone cancer).
Record review of Quarterly MDS dated [DATE] indicated Resident #3 had a BIMS of 14 indicating no cognitive impairment.
Record review of discharge MDS dated [DATE] indicated Resident #3 had expired in the facility on [DATE].
Record Review of comprehensive care plan dated [DATE] indicated Resident # 3 had a terminal prognosis of malignant neoplasm of liver and had received hospice services with interventions that included: .Observe resident closely for signs of pain, administer pain medications as ordered, and notify physician immediately is there is breakthrough pain .
Record review of physician orders for [DATE] indicated Resident #3 had an order for Hydrocodone , d+[DATE]mg give 1 tablet every 6 hours as needed, Lorazepam 1mg give 1 tablet every 6 hours as needed, and Morphine Sulfate 100mg/5ml give 0.25ml-0.5ml every 2 hours as needed.
Record review of narcotic count sheets indicated Resident #3 had 31 Hydrocodone ,d+[DATE]mg, 56 Lorazepam 1mg, and 26.75ml of Morphine Sulfate remaining at the time of Resident #3's expiration.
455569
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 455569 B.
Wing 02/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage at Longview Healthcare Center 112 Ruthlynn Dr Longview, TX 75605