Expired Insulin Vial Not Removed from Medication Supply
Penalty
Summary
Surveyors observed that a multi-dose insulin vial belonging to a resident with Type 2 Diabetes Mellitus was found in the medication cart with an unreadable open date and an expiration date that had already passed. The insulin vial, labeled as Insulin Lispro, was expired as of 4/11/2025, but remained in the active medication supply as of 4/15/2025. The LPN responsible for the medication cart confirmed that the expired insulin should have been discarded and reordered from the pharmacy. Further review of the resident's records confirmed an active order for HumaLOG (Insulin Lispro) to be administered before meals. The facility's policy requires that all expired medications be removed from the active supply and disposed of according to established procedures, with nurses responsible for labeling medications with the date opened and expiration date. Despite these policies, the expired insulin vial was not removed in a timely manner, resulting in non-compliance with medication storage and labeling requirements.