Expired and Undated Medications Found in Medication Storage and Carts
Penalty
Summary
Surveyors identified that drugs and biologicals in one of three medication storage rooms/carts were not stored and labeled according to accepted professional standards. Expired medications, specifically two bottles of Molnupiravir 200 mg, were found among resident stock medications in the north storage medication room. The Assistant Director of Nursing (ADON) confirmed these expired medications should not have been present and indicated that pharmacy staff are responsible for inspecting and removing expired stock. Additionally, an opened multi-use vial of Aplisol (Tuberculin Purified Protein Derivative, Diluted) was found in the medication fridge without an open date on either the box or the vial, contrary to facility expectations that both should be dated and used within 28 days of opening. Further inspection of the medication cart on the north wing revealed an open bottle of Clear Lax and Geri-Lanta, both undated, with the LPN unable to identify when the Geri-Lanta was opened. Record review showed that the Aplisol vial had been opened on 2/14/25 and was used for nine doses on seven residents after its expiration date of 3/14/25. The Director of Nursing (DON) confirmed that multi-use vials are expected to be dated and disposed of within 28 days, and expired medications should not be in stock. The north wing medication room serves as the main stock supply for the facility, but the expired PPD solution was only used for residents on the north wing.