Medication and Supply Storage, Labeling, and Security Deficiencies
Penalty
Summary
Surveyors identified multiple deficiencies related to the storage, labeling, and disposal of medications and medical supplies throughout the facility. Observations revealed that expired medications and supplies were not removed from several medication carts, including Medication Carts A, B, D, and E. In some instances, supplies were found to be unclean, with dust and residue present in trays and on equipment. Additionally, medications were found without proper labeling, and internal and external medications were stored together in the same compartments, contrary to facility policy and accepted professional standards. Further inspection showed that medication carts and treatment supplies were left unlocked and unattended, allowing potential unauthorized access. In one case, a medication cart was observed parked in a hallway, unlocked and unattended. Treatment supplies were also left unsupervised at a resident's bedside during care, and staff interviews confirmed that this was a common practice. In another instance, a can of orange juice without an expiration date was found in a medication room snack drawer, and bedside medications were observed on a resident's cabinet without proper documentation or secure storage. The facility also failed to ensure that medical, breathing, and treatment supplies were properly secured and stored. Large quantities of expired supplies, including skin protectant ointments, normal saline, and tracheostomy supplies, were found in an unlocked closet adjacent to a resident's room, exposed to dust and debris. Staff interviews indicated a lack of awareness regarding the proper storage and monitoring of these items, and some staff cited past supply shortages as a reason for improper storage. The facility's policies required that all medications and supplies be stored securely, labeled appropriately, and kept clean and sanitary, but these standards were not consistently met.