Improper Storage and Handling of Controlled and Expired Medications
Penalty
Summary
Surveyors observed that the facility failed to ensure proper storage and labeling of drugs and biologicals in accordance with accepted professional principles. Specifically, a narcotic box containing multidose anti-anxiety medication was found inside an unlocked refrigerator in the North medication room. The narcotic box itself was locked but not permanently affixed within the refrigerator, contrary to best practices for securing controlled substances. Staff interviews confirmed that the narcotic box had never been affixed, and both the LPN and DON acknowledged this had been the practice for over two years. The facility's policy did not address the requirement for the narcotic box to be permanently affixed. Additionally, an expired bottle of anti-angina medication was discovered in a tackle-style box located in an upper cabinet above the narcotic refrigerator. The LPN stated that the medication had been left in the old emergency kit and should have been disposed of when the kit was changed out. Both the DON and the Administrator confirmed that expired medications should not have been left accessible and acknowledged that nursing staff were responsible for medication storage. The presence of expired medication and the unsecured narcotic box were both observed and confirmed through staff interviews and policy review.