Inaccurate Controlled Drug Record-Keeping
Penalty
No penalty information released
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
The facility failed to maintain accurate pharmacy services for its census of 69 residents when the controlled drug record form was not properly filled out and signed. During an inspection of the controlled medication bin, it was observed that the bin was locked and sealed with a numbered zip tie that did not match the number recorded on the controlled count sheet. The discrepancy was confirmed by a charged nurse, who acknowledged the error, and the DON recognized the potential risk associated with mismatched tag numbers. Review of facility policy indicated that discontinued medications and controlled substances are to be handled securely, but the observed practice did not align with this requirement.