Failure to Properly Track and Secure Controlled Medications
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 that controlled medications were properly tracked and secured, as evidenced by missing signatures on narcotic accountability sheets for one medication cart. During a medication cart audit, it was observed that the narcotic accountability sheets, covering a period from February to September, were missing three required licensed nurse signatures. Both an LPN and the Administrator confirmed that two nurses should have signed the narcotic accountability sheet when accepting or releasing the medication cart. This lapse in documentation created the potential for undetected misuse or diversion of controlled medications for all residents receiving such medications.