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F0761
E

Failure to Properly Dispose of Discontinued Medications

Pasadena, California Survey Completed on 05-23-2025

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

Facility staff failed to follow established policy and procedure regarding the disposal of discontinued medications, as evidenced by the observation of three unidentified loose pills found on the floor of the medication storage room. During a survey, the Infection Preventionist Nurse (IPN) confirmed the presence of these pills, which included a light purple round pill, a yellow oblong pill, and a white round pill. The IPN was unable to identify the pills and acknowledged the risk that loose pills could be inadvertently moved out of the medication room and potentially accessed by residents. Further interview with a Registered Nurse (RN) confirmed that having loose pills on the floor was unacceptable and not in accordance with facility policy, which requires discontinued medications to be disposed of in a designated container for incineration. Review of the facility's policy indicated that all discontinued or outdated medications should be placed in a secure, designated location for destruction, which was not followed in this instance.

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