Expired and Improperly Stored Medications Found During Survey
Penalty
Summary
Surveyors observed that the facility failed to ensure the safe provision of pharmaceutical services by not removing and discarding expired medications and by not storing certain medications according to manufacturer requirements and facility policy. Specifically, expired insulin vials, suppositories, topical ointments, enemas, and vitamin bottles were found in medication carts and storage rooms. Additionally, eye drops were not discarded within the labeled 28-day period after opening, and unopened insulin vials were not refrigerated as required. These findings were confirmed through interviews with nursing staff, who acknowledged that the medications were expired or improperly stored and should have been discarded or stored according to policy. The Director of Nursing confirmed that medications should be stored and discarded per manufacturer instructions and facility policy, including the use of multi-dose vials within 28 days and proper refrigeration of insulin. The facility's policy and procedure also require that discontinued, outdated, or deteriorated medications be returned or destroyed as directed by the dispensing pharmacy, and that medications for external use be clearly marked and stored separately. The observed deficiencies were based on direct observation, staff interviews, and review of facility policy.