Medication Storage Room Not Secure Due to Faulty Door
Penalty
Summary
The facility failed to ensure that the second floor medication storage room was secure and that access was limited to authorized personnel via a key. Multiple observations revealed that the door to the medication room was ajar and did not fully close due to catching on the door frame. Staff were seen entering the medication room without the use of a key, and at one point, the surveyor was able to access the room without a key while no staff were present within line of sight. The medication room contained multiple-dose containers of medications, injection supplies such as needles and syringes, and treatment supplies including bandages and scissors. The Director of Nursing (DON) confirmed during observation that the facility was aware of the issue with the door not closing and locking as intended. Additionally, the DON stated in an interview that there was no outstanding work order to address the malfunctioning door. These actions and inactions resulted in the medication storage area not being properly secured as required by regulation.