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Tag No.: A0115
Review of documentation, interview, and observations it was determined that, patient #16's right to reasonable protection of personal property from theft or loss was not provided, as the patient's belongings were not returned to him upon discharge from the facility.
Findings Include:
During Observations conducted of the facility on 06/13/2024 at 3:00PM. Review of the medication room in the Sunrise Unit revealed patient home medication containers are stored in the medication dispensing unit in a sealed plastic bag with patient identifiers on them.
An interview was conducted with Staff #34 and Staff #35 on 06/13/2024 at 3:15PM. Staff #34 and #35 were asked what the intake process for new patients that arrive with home medications. Staff #35 states when the patient to the unit and personal belongings and personal searches are conducted if there are any additional medications are found that the intake nurse in the intake area did not find, the medication would be secured and verified by the unit nurse and they would be added to any medication that had already been received by the intake nurse logged on the personal medication sheet, secured in a bag and placed in the medication dispensing cabinet so it could be returned to patient at the time of discharge. Staff #35 states once the medication is verified by the unit nurse and they counter sign the sheet her responsibility for the medication ends because she does not have access to the medication dispensing unit. Staff #34 states as a nurse she would store the medication at admission and part of their discharge process would check the medication dispensing unit for any home medication that needed to be returned to the patient at discharge. Staff #34 and #35 stated that they have the patients sign their sheet when they come in and when they leave but sometimes things just get left behind. When staff #34 asked to look in the cabinet for patient #16 belongings they state there is none.
Documents reviewed included:
1. Review of patient #16's medical record for April 18, 2024, at 3:45PM, revealed during admission on the "Home Medication Belongings Form" there are several medications listed as being received by the facility, with the Patient signature. At time of discharge, it is noted on this sheet the patient refused to sign due to medication missing.
2. Review of the medical record for patient #16 revealed A supplemental sheet dated 04/25/2024 and signed by the patient and two RN's (names unreadable) that indicates "Discharge Home Medications Missing at D/C on 4/25/24: Naproxen, Melatonin, Zoloft (2 Bottles), Mens daily vitamins, Buspar, and Trazadone." But there are several other medications that were received at the same time during admission listed as returned.