Failure to Store and Label Medications Properly in Medication Rooms and Carts
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in a safe, secure, and orderly manner in one of two medication rooms and in three of five medication carts. Specifically, expired vials of Tuberculin were found in the Hemlock medication room, and multiple medication carts contained prepoured pills and liquid medications that were not immediately administered, as well as medications that were not properly labeled or dated. For example, the Hickory hall medication cart contained several medication cups with prepoured pills and a cup of prepoured liquid medication for residents who were not present, and the Hemlock hall medication cart had a Lantus insulin pen without an open or expiration date. Additionally, the [NAME] hall medication cart contained bisacodyl suppositories stored together with oral medications, an unlabeled and undated Tioujeo insulin pen not stored in a bag, and several opened bottles of medications and sprays without dates. These findings were confirmed by interviews with LPNs and the Director of Nursing, who acknowledged the failure to store all drugs and biologicals in accordance with facility policy and regulatory requirements.