Improper Medication Labeling and Storage Identified
Penalty
Summary
Surveyors identified that the facility failed to ensure proper labeling and storage of medications and biologicals on two of three units reviewed. On the second-floor medication room, two opened vials of Tuberculin Purified Protein Derivative (PPD) were found in the medication refrigerator; one vial was labeled with a date (4/2), while the other was not labeled or dated. The unit manager confirmed that multidose vials are to be discarded 30 days after opening, and acknowledged the improper labeling. Additionally, in the St. [NAME] medication room, an unopened bottle of Pedialyte was found with an expiration date of October 1, 2021, which was confirmed by the unit manager. For one resident, who had diagnoses including transient ischemic attack, seizures, kidney failure, diabetes, and xerosis cutis, a medicated lotion (Ammonium Lactate External Lotion 12%) ordered for topical application was found stored in an unlocked drawer in the resident's room, mixed with personal belongings. The bottle was not properly labeled with the resident's name, only marked with the room number. The unit manager observed and removed the medication from the resident's room after this was brought to their attention.