Improper Storage of Medications in Unsecured Areas
Penalty
Summary
Facility staff failed to ensure that medications and biologicals were stored in accordance with professional standards and facility policy. Multiple observations revealed that boxes containing medication cards, some labeled with residents' names and containing various prescription drugs, were left in open and accessible areas behind the nurse's station on the second floor. These areas were not secured, lacked doors, and allowed anyone to access the medications. Additionally, finished medication cards, some still containing medications, were found in trash bags and open boxes behind the nurse's station. The medications observed included antihypertensives, diabetic medications, and antihistamines, all of which were not properly secured as required. Interviews with staff confirmed that medications delivered by the pharmacy were routinely left behind the nurse's station, sometimes for several days, instead of being immediately stored in locked compartments as per facility policy. Staff acknowledged that medications should be put away promptly or locked in the storage room if immediate storage was not possible. The Regional Nurse Advisor and facility administration also confirmed that the observed medications had been delivered several days prior and had not been stored properly. Two residents with moderate cognitive impairment and significant medical diagnoses were specifically identified as having their medications left unsecured.