Failure to Secure Medications and Biologicals in Locked Storage
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments accessible only by authorized personnel, as required by policy. During observations, a resident was found with a bottle of fluticasone propionate nasal spray and biotene dry mouth moisturizing spray on his bedside table, and a can of barbasol shaving cream on his windowsill. Record review showed that there were no physician orders addressing the use of these items, and the resident had not been assessed for self-administration of medications. The baseline care plan indicated the resident required assistance with personal hygiene and oral care. Interviews with staff revealed that the resident's family member often brought in medications and other items, and that the resident had not been evaluated for self-administration. Staff confirmed that medications should be stored on the medication cart and shaving cream in the storage closet or shower room, not left at bedside. Facility policy required all drugs and biologicals to be stored securely in locked compartments, but this was not followed in the case of this resident.