Failure to Properly Store and Monitor Medications in Medication Rooms
Penalty
Summary
The facility failed to ensure proper storage and labeling of medications in all three medication rooms, as required by facility policy and professional standards. During inspection, expired influenza vaccine syringes were found in active storage in one medication room refrigerator, despite being intended for return to the manufacturer. This was confirmed by both a nurse and the consultant pharmacist. Additionally, refrigerator temperature logs and thermometer readings revealed that medication refrigerators were not consistently maintained within the required temperature range of 36-46 degrees Fahrenheit. One refrigerator was found at 32 degrees Fahrenheit, while another was at 17 degrees Fahrenheit, with missing temperature log entries for the day shift. Staff confirmed the out-of-range temperatures and acknowledged that temperature monitoring and documentation were not performed as required. The maintenance director was notified but did not immediately verify the temperatures with available thermometers. The surveyor's calibrated thermometer readings further confirmed the temperature discrepancies. These findings demonstrate a failure to follow facility policy regarding medication storage, temperature monitoring, and removal of outdated medications.