State Findings:
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on medical record review, observation, and interview, the facility failed to ensure physician ordered pain medication was available for 1 Resident (#103) of 1 resident on Patient Controlled [MEDICATION NAME] (PCA) pump (method of allowing a person in pain to administer their own pain medication) of 12 residents reviewed for pain. The facility’s failure to ensure the pain medication was available on 2 occasions between 5/4/18 and 5/7/18 resulted in an increase in pain and harm to Resident #103.
Interview with Resident #103 on 5/9/18 at 10:43 AM, in the resident’s room, confirmed when the PCA pump ran out the first time the pain was worse and stated .Yeah it probably was . Further interview confirmed the pain was worse the second time the PCA ran out stating .it got bad . Continued interview confirmed the resident stated .it needs to be on hand at all times . The resident further stated he was very upset, and if it had happened once, it should not have happened again.
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Personal Note from NHA-Advocates
NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety.
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