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F0761
D

Expired Medications and Biologicals Not Disposed in Medication Room

Rural Retreat, Virginia Survey Completed on 04-08-2025

Penalty

Fine: $135,372
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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 dispose of expired medications and biologicals in one of two medication rooms, specifically the [NAME] side medication room. During an observation conducted by the surveyor and the Assistant Director of Nursing (ADON), multiple expired items were found, including 16 red top laboratory tubes with expiration dates of 12/31/24 and 11/30/24, a box of opened green top tubes with an expiration date of 03/31/25, four bottles of D3 medication expired as of 03/2025, and four boxes of Influenza vaccine labeled 2023-2024 formula with an expiration date of 06/30/24, each containing 10 syringes. The ADON confirmed these items were expired upon review. The issue was subsequently discussed with the Administrator, Director of Nursing, and Regional Director of Clinical Services. No additional information regarding this issue was provided to the survey team prior to the exit conference.

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