Unsecured Medication Left Unattended on Medication Cart
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
During a medication administration observation, a packet of phenazopyridine 100 mg, labeled for a resident with neuromuscular bladder dysfunction and prescribed for bladder spasms, was found lying unsecured on top of a medication cart near the nurses' station. The medication was left unattended for several minutes while no staff were present in the area. The LPN responsible for the medication stated in an interview that she had been called away to assist another resident and did not secure the medication in the cart before leaving. The medication cart itself was locked during this period, but the medication packet remained outside and accessible.