Improper Storage of Narcotic Medication
Penalty
Summary
A deficiency was identified when a narcotic medication, specifically oxycodone 5 mg prescribed for pain management, was not stored according to facility policy and regulatory requirements. The medication, intended for a resident with severe cognitive impairment and multiple diagnoses including acute lymphadenitis, cerebral infarction, and dementia, was found in a medication cart drawer adjacent to the locked narcotic compartment rather than inside the double-locked compartment designated for controlled substances. The narcotic card contained 42 tablets and was secured only with a requisition sheet and rubber band. Staff interviews confirmed that the medication was not properly stored. One LPN acknowledged the improper storage and stated that narcotics must be kept under double lock. Another LPN reported that the ADON had delivered the medication earlier but she did not have the keys to the narcotic compartment, preventing her from storing the medication appropriately. Review of the facility's policy confirmed that all schedule II-V medications are required to be stored in a permanently affixed, double-locked compartment, separate from other medications.