Failure to Date Opened TB Serum Vials in Medication Room
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
Surveyors observed that the medication refrigerator in the Station 4 medication room contained multiple vials of TB (tuberculin) serum that were not labeled with the date they were opened. Specifically, an opened vial of TB serum was found in a box received from the pharmacy, and another opened vial was found in a clear plastic bag with two boxes of TB serum, both lacking an 'opened on' date. The LPN present confirmed that the TB serum should have been dated when first used and acknowledged that several residents had been admitted since the medication was delivered. Review of the TB serum package insert and facility policy confirmed that opened vials must be dated and discarded after 30 days, but this procedure was not followed.