Deficiencies in Medication Management and Labeling
Penalty
Summary
The facility failed to ensure proper labeling, storage, and discard of medications across four medication carts, leading to deficiencies in medication management. Observations revealed that multi-dose medications, such as Trelegy Ellipta and insulin pens, were not dated with either an open date or expiration date. Additionally, ampules of Ipratropium Bromide and Albuterol Sulfate were found outside of their foil packets, and a nitroglycerin bottle was missing its red sealed tape and lacked proper dating. Blood glucose strips were also found without an open date, and a loose white tablet was observed in a medication cart drawer. Interviews with staff, including LPNs and RNs, confirmed the lack of adherence to medication labeling and storage policies. The facility's policies on medication storage and labeling were reviewed, revealing that multi-use vials should be labeled with the date they were opened and discarded within 28 days unless otherwise specified. However, the Nursing Home Administrator admitted to the absence of a multi-dose medication policy and an open medication and expiration date policy. The infection control preventionist also confirmed the lack of an ophthalmic medication policy, and no further documentation was provided to address these concerns.