Failure to Document Controlled Medication Accountability
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by missing licensed nurse signatures on Narcotic Accountability Records for two of four medication carts reviewed. During an audit of the [NAME] hall medication cart, it was observed that 11 required nurse signatures were not documented on the Narcotic Accountability Record covering a 20-day period. Additionally, an audit of the East hall medication cart revealed one missing nurse signature on the corresponding record. Interviews with an LPN and the ADON confirmed that two nurses were expected to sign the Narcotic Accountability Record when accepting or releasing the medication cart, but this procedure was not consistently followed.