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F0761
D

Improper Storage, Labeling, and Expired Medications Found on Medication Carts

Shelton, Washington Survey Completed on 06-09-2025

Penalty

No penalty information released
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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

Surveyors observed that medications and biologicals were not properly stored or labeled in two of five medication carts reviewed. On one cart, an unattended bottle of Tylenol was found on top, and a bottle of Day Time Cold and Flu Relief with an expired date was inside the cart. Additionally, two antifungal creams were found in the cart drawers without resident names or labels. Staff confirmed the Tylenol was left by a new employee from central supply and acknowledged the expired medication. On another medication cart, four opened bottles of nystatin powder were found without any resident identifiers or labels. Staff confirmed the lack of labeling and disposed of the bottles. The Resident Care Manager/Registered Nurse stated that expired medications should be removed and destroyed, and all medications should be labeled with resident names, confirming that the observed practices did not meet expectations.

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