Medication Cart Left Unlocked and Unattended
Penalty
No penalty information released
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
A deficiency occurred when a registered nurse left a medication cart unlocked, unattended, and out of sight in the hallway while administering medications to a resident in their room. Facility policy, dated February 14, 2025, requires that medication carts remain locked when out of sight or unattended. During the observation, the nurse confirmed that the cart was not locked as required. The Director of Nursing also confirmed that the cart should have been locked when unattended. This incident was identified during a review of facility policies, direct observation, and staff interviews.