VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Commonwealth Senior Living at Cedar Bluff
500 Clinic Drive
Cedar bluff, VA 24609
(276) 596-9750

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-680-D
Description:	Based on resident record review and staff interview the facility failed to administer medication in accordance with the physician?s instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. EVIDENCE: 1. Resident #1 is prescribed 0.25mg Xanax, take one tablet by mouth twice daily. 2. Staff #1 administered 0.25 mg Ativan to resident #1; instead of the prescribed 0.25 Xanax on 05/04/2
Plan of Correction:	1. At time of error, Resident #1 and her responsible party, physician, and pharmacy were made aware of the medication error. 2. Staff #1 was educated on the 5 rights of medication administration on 5/9/2023. Current RMA staff will be provided training to Completing Med Pass to include 6 rights of medication administration and controlled substance management by 7/31/2023. Ongoing training will occur at hire and as needed. 3. The RCD/designee will complete Med Pass Observation Competency with each current med tech by 8/31/2023 to assure understanding and competency of items reviewed during training. Moving forward Med Pass Observation Competency will be completed on new and current RMAs at hire and as needed. [sic]