Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0761
D

Expired Biologicals and Medical Supplies Found in Storage Areas

Leesburg, Virginia Survey Completed on 05-21-2025

Penalty

Fine: $5,712
tooltip icon
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

Facility staff failed to discard expired biologicals in both a second-floor nursing unit storage closet and the central supply storage area. During an observation, multiple expired medical supplies were found, including IV start kits, oil emulsion dressings, isopropyl rubbing alcohol, hydrogen peroxide, and Foley catheters, all with expiration dates that had passed. These items were stored on shelves and were available for use. A family member expressed concerns about expired supplies following a change in the medical supplier. Staff interviews revealed that the central supply coordinator was responsible for ordering, restocking, and rotating supplies, and claimed to check supply rooms twice daily and remove expired items during restocking, particularly on Fridays. Nurses on each unit also had access to the central supply room and were expected to check for expired items, but in practice, they relied on the central supply staff to manage expiration checks for most items except medications. The facility's policy on clinical supplies outlined procedures for maintaining supply levels and reordering but did not provide guidance on the disposal of expired supplies. During interviews, staff acknowledged that expired items found in the storage areas should not have been available for use. The administrator and director of nursing were informed of these findings, and no further information was provided prior to the survey exit.

An unhandled error has occurred. Reload 🗙