Medication Left Unattended at Bedside
Penalty
Summary
A deficiency was identified when a medicine cup containing a half tablet of Senokot was found left on the bedside table of one resident during an observation at approximately 11:07 p.m. The Director of Nursing (DON) was notified and verified the presence of the medication cup. A subsequent check of 26 residents in rooms 1-16 revealed that only one resident had medication left at the bedside. The DON confirmed that the medication pass for this resident was performed by a specific employee, who had left the medication cup on the bedside table. The incident was further verified and acknowledged by both the DON and the Administrator during the exit interview. This event demonstrates a failure to maintain an environment free of accident hazards by not ensuring that medications were properly administered and not left unattended at the bedside, as observed and confirmed by facility leadership.