Failure to 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 licensed nurse signatures on narcotic accountability records for two medication carts. During audits of the Sawtooth Hall and Sun Valley Hall medication carts, it was observed that the narcotic accountability records had three and five missing nurse signatures, respectively, over the documented periods. Staff interviews confirmed that two nurses were required to sign the narcotic accountability record when accepting or releasing the medication cart, but this procedure was not consistently followed. The Director of Nursing also acknowledged that the required signatures were missing at the times of cart transfer.