ALERT! South Florida ALF fined $15,000 for medication errors• ⚠️FFBC Consumer Alert
The Savannah Court of Palm Beaches, a 114-bed assisted living facility located in West Palm Beach, was fined $15,000 and cited three Class II violations by the Agency for Health Care Administration (AHCA) for multiple medication errors that threatened the welfare of a resident in November 2016.
According to Agency documents, Savannah Court’s medication mismanagement resulted in multiple hospitalizations after the resident’s blood pressure skyrocketed to “over a 200 systolic.” The American Heart Association classifies any blood pressure rate exceeding 180 as a “hypertensive crisis” that requires immediate medical attention.
Resident and family interviews, along with the facility’s Medication Observation Records, revealed that facility staff neglected to offer prescribed medicines on numerous occasions that would have mitigated the resident’s rising blood pressure, even after the resident was treated and released from the hospital. The resident told surveyors that facility staff struggled with properly administering medications after the hospital visits, claiming medications were often “late” or given without explanation.
The facility’s executive director explained to AHCA inspectors that Savannah Court “was aware it had a problem with medications not being ordered and available to residents in a timely manner.”
Unfortunately, subsequent inspections over the past two years show additional cited deficiencies for medication mismanagement in 2017 and as recent as October 2018.
“It’s shocking to think that after repeated regulatory interventions, monitorings, inspections, and investigations—at taxpayer expense no less—that residents are still experiencing medication problems at this facility,” said Brian Lee, FFBC’s executive director. “Our hope is that after acknowledgment of this ongoing problem, Savannah Court will soon rebound and deliver exceptional medication service to its residents.”
The Savannah Court of Palm Beaches is operated by Senior Living Management Corporation, a for-profit company that manages more than two dozen senior care communities across Florida, Georgia, and Louisiana.