Health inspection·April 25, 2023

F 0760 Ensure that residents are free from significant medication errors. Level of Harm - Minimal harm or potential for actual harm Based on record review, interview and facility policy review, the facility failed to ensure Resident #1 was free from a significant medication error in the area of antihypertensive (medications used to lower blood pressure) medications. This affected one of three residents review for use of antihypertensive medication use. The facility census was 61. Residents Affected - Few Findings include: Review of the medical record for Resident #1 revealed an initial admission date of 11/23/22 with a latest readmission date of 04/21/23. Diagnoses included but were not limited to congestive heart failure, myocarditis, and hyperlipidemia. Review of the plan of care, dated 11/25/22, revealed Resident #1 had an altered cardiovascular status related to congestive heart failure, hyperlipidemia, hypertension, history of myocarditis, and history of myocardial infarction. Interventions included administer medications as ordered, assess for chest pain every shift, and educate on the need to call for assistance if the pain starts, elevate head of bed as tolerated and as needed, monitor/document/report as needed any signs/symptoms of coronary artery disease, and oxygen as ordered. Review of the cardiology consult summary, dated 02/24/23, revealed Resident #1 was to stop taking Losartan (medication used to treat high blood pressure) 25 mg by mouth. Review of Resident #1's discontinued physician orders revealed an order dated 11/23/22 for Losartan 12.5 mg by mouth daily for hypertension. The order was discontinued on 04/21/23. Review of Resident #1's Medication Administration Record (MAR) for February 2023 revealed Resident #1's Losartan 25 milligrams (mg) with special instructions to give one half tablet (12.5 mg) by mouth daily for hypertension was not discontinued and was administered to Resident #1 on 02/25/23, 02/26/23, 02/27/23 and 02/28/23. Review of Resident #1's MAR for March 2023 revealed Resident #1's Losartan 25 milligrams (mg) with special instructions to give one half tablet (12.5 mg) by mouth daily for hypertension was not discontinued and Resident #1 was administered all scheduled doses except for 03/01/23, 03/04/23 and 03/08/23 due to Resident #1's blood pressure being too low to administer the medication. Review of Resident #1's MAR for April 2023 revealed Resident #1's Losartan 25 milligrams (mg) with special instructions to give one half tablet (12.5 mg) by mouth daily for hypertension was not discontinued and Resident #1 was administered all scheduled doses from 04/01/23 to 04/18/23. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 366155 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 366155 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/25/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE New Albany Care Center 5691 Thompson Road Columbus, OH 43230 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)