Failure to Maintain Accurate Controlled Substance Inventory
Penalty
Fine: $13,250
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 maintain an accurate inventory of controlled medications on one of three medication carts observed, specifically on the Memory Lane unit. During a surveyor's observation, a pharmacy service delivered medications to the nurses station, and an LPN signed for the delivery. When asked to show the medication storage, the LPN was found to have presigned and dated the controlled substance log count for a future shift, indicating the count had already been completed when it had not. The LPN acknowledged this action, stating they had gotten ahead of themselves. This deficiency was confirmed by the Director of Nursing.