Improper Medication Labeling and Storage, Expired Supplies Found
Penalty
Summary
Surveyors observed that the facility failed to ensure medications and biologicals were properly labeled and stored according to facility policies and accepted professional standards. Specifically, three loose pills were found in a medication cart, which staff confirmed should not occur as the medications could not be identified and this posed infection control concerns. Additionally, two opened Trelegy Ellipta inhalers were found in medication carts without opened date labels, contrary to facility policy and manufacturer instructions that require inhalers to be discarded six weeks after opening. Staff interviews confirmed that the lack of labeling could affect medication efficacy and that opened inhalers should be dated to ensure timely disposal. Further, seven expired lubricating jellies were discovered in a crash cart, which staff acknowledged should not be present due to the risk of irritation or side effects if used during emergencies. The facility's policies require regular inspection and maintenance of crash carts to ensure supplies are current and safe for use. The Director of Nursing confirmed that expired items and improperly stored medications were not in compliance with facility procedures and posed safety concerns.