Controlled Substances Not Properly Secured in Medication Cart
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 the safe and secure storage of controlled substances for one of two medication carts observed. During an observation, a medication cart on the 100 hall was found to contain three clear medication cups, each holding a controlled substance: one tramadol 50 mg tablet for one resident, one Ativan 0.5 mg tablet for another resident, and one hydrocodone-acetaminophen 5-325 mg tablet for a third resident. These controlled substances were not stored under double lock as required. The DON confirmed during an interview that controlled substances should always be stored under double lock. The facility's current policy, revised in January 2024, also specifies that controlled medications must be stored under double lock.