Failure to Secure Medications in Medication Rooms
Penalty
Summary
The facility failed to properly secure medications and biologicals in two of three medication rooms, specifically the TCU and Harmony Unit Medication Rooms. During a review of facility policy and on-site observations, it was found that the doors to these medication rooms were left unlocked, with medications designated for return sitting on the counter. The facility policy requires that medication rooms, cabinets, and supplies remain locked when not in use or attended by authorized personnel. Staff interviews confirmed that licensed nursing staff had keys to the medication rooms and were aware that the doors should be locked, yet the rooms were found unsecured during the survey. Further interviews with the DON and Nursing Home Administrator confirmed the failure to secure medications and biologicals as required. The deficiency was identified through direct observation and staff acknowledgment, with no mention of specific residents being affected or any adverse outcomes at the time of the survey. The findings were cited under relevant state pharmacy and nursing services regulations.