Failure to Secure Central Supply Room Containing Medications
Penalty
Summary
The facility failed to ensure that the central supply closet containing over-the-counter medications was closed and locked, as required by facility policy and professional standards. During an observation at 11:15 pm, the central supply room was found unlocked and open, providing access to various medications and supplies, including expired items such as six bottles of Zinc 50 mg and one package of AZO urinary pain relief. The facility's policy mandates that all drugs and biologicals be stored in locked compartments under proper conditions, but this was not followed in this instance. Interviews with staff revealed confusion and lack of clear direction regarding access and security of the central supply room. An LPN reported being unable to reach the ADON or RDO for guidance and expressed concern about locking the door without having a key for future access. Another staff member indicated that the key to the central supply room is typically left at the front desk for staff use, and that she checks daily to ensure the door is locked. Despite these procedures, the room was found open and accessible during the survey, in violation of facility policy.