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F0761
E

Medication Storage and Labeling Deficiencies Identified

Morgan Hill, California 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

Surveyors identified multiple deficiencies related to medication storage and labeling within the facility. During inspections of medication carts and storage rooms, expired medications such as Buspirone HCL and Latanoprost eye drops were found in active medication storage. Additionally, two vials of tuberculin purified protein and a bottle of Ciprofloxacin eye drops were discovered without open dates, contrary to facility policy requiring such labeling for multi-use vials and bottles. An unopened vial of Humulin R, which requires refrigeration, was found stored at room temperature, and oral medications were stored together with eye drops in the same drawer, violating segregation protocols. Further observations revealed that one medication cart drawer was unclean, containing a sticky substance, and discontinued medications were stored in active medication carts rather than being removed and secured as per policy. Interviews with nursing staff, the pharmacy consultant, and the regional nurse consultant confirmed these findings and acknowledged that these practices did not align with facility policies or accepted professional standards. The facility's own policies require proper labeling, segregation, and storage of medications, as well as regular inspection and removal of discontinued or expired drugs. No specific residents were identified as directly affected in the report, and the deficiencies were observed through inspection and staff interviews. The findings were based on direct observation of medication storage areas and carts, as well as review of facility policies and staff confirmation of improper practices.

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