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F0842
D

Inaccurate Documentation of Narcotic Shift Change Counts

Lamoni, Iowa Survey Completed on 04-30-2025

Penalty

No penalty information released
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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

Staff failed to accurately document medical records related to controlled substances. On one shift, a staff member worked from 2:00 p.m. to 10:00 p.m. and signed the Controlled Drugs-Count Records at the 2:00 p.m. shift change, indicating all narcotics were accounted for. However, at the 4:00 p.m. shift change, the same staff member handed over the medication cart keys to another LPN without completing the required narcotic count together. Both staff members later acknowledged in interviews that the shift change narcotic count was not performed as required, despite both signing the record to indicate it had been completed. The documentation did not accurately reflect the actual events, resulting in inaccurate medical records.

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