Improper Labeling and Storage of Medications on Medication Cart
Penalty
Summary
Surveyors observed that the Cherry Lane medication cart contained multiple medications that were not properly labeled or stored. Specifically, nine Albuterol sulfate inhalation packets in the bottom drawer lacked any labeling, and the RN present was unable to identify which residents they belonged to. Additionally, two inhalers in the top drawer had no name or label, and another inhaler was labeled only with a resident's name and room number but lacked administration instructions. An additional Albuterol sulfate inhalation packet in the top drawer was also found without a label. The RN was unsure why these medications were not labeled, despite a recent audit of the cart, and the DON confirmed that the pharmacy had recently audited all medication carts but could not provide further information.