Failure to Properly Reconcile Narcotic Medication Logbooks at Shift Changes
Penalty
Summary
The facility failed to ensure proper reconciliation of the narcotic medication logbook for both A Hall and B Hall, as observed during the medication administration process. On multiple occasions between 02/18/25 and 04/09/25, required entries and nurse signatures were missing for various shift changes. Specific deficiencies included the absence of entries for entire shifts and missing nurse signatures for both coming on and going off duty. These lapses were confirmed by the Administrator, who acknowledged that the reconciliation process was not completed as required on the identified dates. The findings were based on direct observation, record review, and staff interviews. The narcotic medication logbooks for both halls showed repeated failures to document the transfer and accountability of controlled substances at shift changes, as required by facility policy and regulatory standards. No information was provided regarding specific residents affected or their medical conditions at the time of the deficiency.