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F0761
D

Improper Storage and Labeling of Medications

Windsor, Virginia Survey Completed on 05-01-2025

Penalty

No penalty information released
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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

Surveyors observed that medications and biologicals were not properly stored or labeled in multiple medication carts and a medication room. In several instances, loose tablets, capsules, and partial pills were found in drawers, with staff unable to identify the medications or their intended recipients. Discontinued medications, such as cipro and permethrin cream, were found in medication carts and storage rooms instead of being separated for return or destruction as per facility policy. Additionally, a narcotic blister pack was found taped closed, and topical medications were stored alongside oral medications, contrary to policy requirements. Staff interviews confirmed that these practices were not in line with facility expectations, and that loose or unidentified medications were typically discarded in sharps containers. The facility's policy required medications to be stored in an orderly manner, with external and internal use medications separated, and discontinued or expired medications removed from active storage. However, observations revealed that these procedures were not consistently followed. Staff were unable to provide documentation for medication start and stop dates in the electronic medical record, and regular inspections of medication storage areas did not prevent the accumulation of loose, unidentified, or improperly stored medications. These findings were confirmed by both administrative and nursing staff during the survey.

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