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F0658
D

Failure to Complete Narcotic Count During Shift Change

Baltimore, Maryland Survey Completed on 06-02-2025

Penalty

No penalty information released
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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

Facility staff failed to complete a narcotic count when a registered nurse assumed control over the nursing assignment, as evidenced by a review of the Controlled Drug Count Verification form. On multiple shifts, the signatures of incoming and outgoing nurses did not match, and it could not be verified that the narcotic count was completed when a different nurse took over the shift. During an interview, the Director of Nursing was unable to confirm that the narcotic count was performed when a nurse assumed control of the assignment, indicating a lapse in following professional standards of practice for controlled substance accountability. No specific residents or patient medical histories were mentioned in relation to this deficiency.

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