MERRIMACK COUNTY NURSING HOME
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Penalty
$15,646
Outcome
MERRIMACK COUNTY NURSING HOME in BOSCAWEN, NH was fined $15,646 by CMS following 9 deficiency citations identified during federal surveys.
Details
MERRIMACK COUNTY NURSING HOME (BOSCAWEN, NH) — $15,646 in CMS Fines
Outcome: MERRIMACK COUNTY NURSING HOME in BOSCAWEN, NH was fined $15,646 by CMS following 9 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure each resident receives an accurate assessment.
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Provide and implement an infection prevention and control program.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
- Perform COVID19 testing on residents and staff.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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