Unsecured Medications Left Unattended in Resident Room
Penalty
Fine: $39,293
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
Medications were found unsecured and unattended in a resident's room, contrary to facility policy requiring all drugs and biologicals to be stored safely and securely. A resident with severe cognitive impairment, as indicated by a BIMS score of 5 and diagnoses including diabetes, Alzheimer's disease, depression, and hypertension, was observed to have a medication cup containing eight pills left on their dresser during two separate observations. An LPN, who was not assigned to the resident, confirmed she was unaware of the medications and acknowledged that medications should not be left at the bedside. The Director of Nursing also confirmed that medications should not be left at the bedside.