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F0755
D

Expired Medications Found in Medication Room

Houston, Texas Survey Completed on 04-11-2025

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

The facility failed to ensure that drugs and biologicals were stored properly in accordance with professional standards of practice in one of two medication rooms. During an observation of the Hall 100 medication storage room, three expired hydrocortisone acetate 25mg suppositories with an expiration date of 03/2025 were found. Interviews with an LVN and the DON revealed that the DON was responsible for checking the medication rooms for expired medications, and both acknowledged the risks associated with administering expired medications. The DON stated that he checked the medication storage rooms every morning and suggested that someone must have placed the expired medication in the storage room fridge. The facility's Regional Nurse was asked for the policy on expired medications and drug destruction.

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