Medication Storage and Labeling Deficiencies Identified
Penalty
Summary
Surveyors observed multiple failures in the proper storage and labeling of medications and biologicals. On one medication cart, an unopened and undated Fiasp insulin pen for a resident was found outside of the refrigerator, and the LPN present was unable to confirm when it had been removed or by whom, despite the requirement for unopened pens to remain refrigerated. On another cart, opened inhalers for two residents were found without open dates, contrary to manufacturer instructions that specify discard timelines based on the date of first use. The LPN confirmed that inhalers should be dated when opened. In the medication room of the Dementia Unit, a bottle of tuberculin serum was found with an open date exceeding the 30-day usage limit, and acetaminophen suppositories were present without labeling or resident identification. The QMA acknowledged that the suppositories should have been labeled with a resident's name. Facility policy and manufacturer instructions provided by clinical staff confirmed the requirements for proper storage, dating, and labeling of these medications and biologicals.