Failure to Document Narcotic Counts per Shift
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 ensure proper documentation of narcotic control sheets on two out of three medication carts, as observed during medication administration and record review. Specifically, the narcotic sign-in sheets for the 100 unit were missing required nurse signatures on several dates, and the 300 unit narcotic count sheets also lacked signatures on multiple occasions. According to facility policy, both the outgoing nurse and the incoming nurse are required to count and verify all controlled substances at the end of each shift and sign the narcotic sheet to confirm the count. An interview with a nurse confirmed that signatures are required to verify the accuracy of the narcotic count and to prevent drug diversion.