Failure to Properly Track and Secure Controlled Medications
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
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by a missing licensed nurse signature on the narcotic accountability record for one medication cart during a review. The narcotic accountability record, covering a specific period, was found to have only one nurse's signature instead of the required two. Both an RN and the Admissions Nurse confirmed that two nurses should have signed the record when accepting or releasing the medication cart. This lapse was identified during a medication cart review and was limited to one cart, but had the potential to affect all residents receiving controlled medications.