Medication Cart Left Unlocked and Unattended
Penalty
No penalty information released
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
A medication cart on the Memory Lane unit was observed by a surveyor to be unlocked and unattended for 10 minutes during medication administration. The facility's policy requires that medication carts be locked or attended by authorized personnel at all times. During the observation, a registered nurse (RN) returned to the cart and confirmed that it had been left unlocked and unattended, stating that it was an accident and not their usual practice. The Director of Nursing also confirmed that medication carts should be locked when unattended. This incident had the potential to affect more than 4 of the 44 residents in the facility.