Unsecured Treatment Cart with Medications Left 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
The facility failed to ensure that the treatment cart containing drugs and biologicals, including insulin pens and vials, was locked and supervised when not in use. On multiple occasions, the treatment cart was observed unlocked and unsupervised near the nurse's station, with licensed nursing staff away from the cart and out of sight. Facility policy required that medication carts be securely locked at all times when out of the nurse's view, and staff interviews confirmed awareness of this responsibility. The treatment cart was reported to contain insulin and PEG tube supplies, and the facility had a total of two medication carts and one treatment cart for 39 residents.