Failure to Secure and Label Medications Appropriately
Penalty
Summary
Surveyors observed that a resident was found lying in bed with a medication cup containing seven pills left on their bedside table. The unit manager confirmed that medications should not have been left at the bedside and there was no assessment in the resident's medical record for self-administration of medications. The resident had diagnoses including dementia, delusional disorders, and muscle weakness, was cognitively intact, and required minimal assistance with activities of daily living. Additionally, during a review of a medication cart, a Trelegy inhaler was found without a date or resident identifier, and a glucose strips container was not dated when opened. The DON confirmed that medications and glucose strips should be appropriately labeled and dated when opened, in accordance with the facility's medication storage policy, which requires all medications and biologicals to be stored in a safe, secure, and orderly manner.