Improper Labeling and Storage of Nutritional Supplements in Medication Carts
Penalty
Summary
Surveyors observed that the facility failed to ensure proper labeling and storage of nutritional supplements and food products in medication carts, as required by facility policy. Specifically, an opened and undated carton of Ensure Plus was found in the bottom drawer of one medication cart, with no markings to indicate the date it was used or the resident for whom it was intended. The Minimum Data Set Nurse (MN) confirmed that the product should be discarded due to the lack of labeling, as it could be expired. Additionally, an unopened carton of Vital Cuisine Milkshake was found in another medication cart. The milkshake was labeled to be stored frozen but was found warm to the touch, in liquid form, and the carton was bulging with pressure felt when squeezed. The MN stated that the milkshake was expired due to improper storage and could cause illness if administered. The Director of Nursing (DON) reviewed the facility's policy, which requires proper food storage and discarding of leftovers not used within 48 hours, and confirmed that improper storage could lead to food spoilage.