Medication Storage and Labeling Deficiencies
Penalty
Summary
Surveyors observed that the facility failed to ensure proper storage and labeling of medications in multiple areas, including the Cascade Hall medication storage room, two medication carts, and at a resident's bedside. In the Cascade Hall medication room, an open bottle of tuberculosis testing solution was found with an open date exceeding the 28-day discard policy, and another vial lacked an open date entirely. On the Cascade Hall medication cart, an injectable medication and a blood sugar control solution were both found to be expired based on their open dates and manufacturer instructions. Similarly, on the Shoreline Hall medication cart, an injectable medication was found to be kept beyond the 28-day discard period. Staff interviews confirmed that these medications should have been discarded according to facility policy and manufacturer guidelines. Additionally, a resident was found to have two prescription eye drop medications unsecured at their bedside on two separate observations. Staff confirmed that these medications should not have been left unsecured in the resident's room. The facility's policy requires all medications to be labeled with expiration dates and stored securely, with multi-dose vials dated and discarded within 28 days of opening. These observations and staff confirmations demonstrate that the facility did not adhere to its own medication labeling and storage policies.