Failure to Ensure Proper Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure proper storage and labeling of medications for two residents. One resident was observed with a Trelegy inhaler and Azelastine nasal solution at her bedside and reported self-administering these medications without nurse supervision. There was no physician order, self-administration assessment, or care plan in place for this resident to self-administer medication. Another resident was found with a dulera inhaler and fluticasone nasal spray on her bedside table, which had been left by a nurse without being administered. This resident stated she does not self-administer medication, and there was no assessment, physician order, or care plan for self-administration in her record. Additionally, during a review of the medication storage room, an opened multi-dose vial of tuberculin was found in the refrigerator without a date indicating when it was opened. Staff interviews confirmed that it is professional practice to date multi-dose vials upon opening, and the LPN acknowledged the vial should have been dated and would be disposed of. These findings demonstrate failures in medication storage, labeling, and adherence to professional standards for medication management.