Medication Storage Deficiency
Penalty
Summary
The facility failed to store medication appropriately for one of the residents, identified as Resident 23. According to the facility's policy on medication storage, medications for internal use should be stored in medication carts or other designated areas. However, during an observation and interview with Resident 23, a round pink/orange pill was found on the floor in her bathroom. The resident, who was cognitively intact and required assistance for daily care needs, was receiving antipsychotic medication, specifically 25 mg of Seroquel daily for psychosis. The pill on the floor was identified as Seroquel, which the resident was scheduled to receive in the evening. Licensed Practical Nurse 2 confirmed that the medication should not have been on the floor and explained that Resident 23 was the only one using that toilet, and her morning medications were crushed and served with pudding or applesauce. The Director of Nursing also confirmed that medication should not be on the floor, indicating a failure in adhering to the facility's medication storage policy. This incident highlights a deficiency in the facility's handling and storage of medications, as outlined by the relevant state codes.