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F0761
D

Expired and Undated Medications and Equipment Found in Storage Areas

Lacey, Washington Survey Completed on 06-06-2025

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 drugs, biologicals, and medical equipment in the facility were not consistently dated upon opening or discarded once expired. In the medication storage room refrigerator on the 2nd floor, a vial of Tuberculin Purified Protein Derivative (PPD) was found opened without a date indicating when it was opened or when it should be disposed of. Additionally, two boxes of Bisacodyl Suppositories and a box containing 35 BD Vacutainer Safety Lock Blood Collection Sets were found with expiration dates that had passed. On the 1st floor treatment cart, a bottle of Hibiclens Solution was observed with an expiration date of 04/2024, and staff confirmed it should have been discarded after expiration. Staff interviews confirmed that medications and equipment in the medication storage room and refrigerator are expected to be destroyed at the time of expiration, and the administrator was aware of the medication storage issues.

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