Improper Pre-Pulling and Storage of Medications on Medication Cart
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
Surveyors observed that the medication cart on the 200-unit contained 18 cups of loose pills, each labeled with the names of all residents on the unit. An LPN confirmed that she had pre-pulled all morning medications for these residents in advance of administration. The DON verified that this practice was not in accordance with facility policy, which requires medications to be prepared, administered, and signed off for each resident individually before proceeding to the next. The facility's policy also specifies that the person administering medications should initial the Medication Administration Record (MAR) after giving each resident's medication and before administering the next.