F0761

E

Expired and Improperly Stored Medications on Multiple Medication Carts

White Rock, South Carolina Survey Completed on 12-09-2025

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure medications were stored and labeled according to policy and professional standards, including removal of outdated/expired medications and proper storage conditions. The facility policy required all drugs and biologicals to be stored in a safe, secure, and orderly manner, with nursing staff responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner, and for refrigerating unopened insulin vials/pens until use and dating them once opened. During an observation of Medication Cart A on one wing, surveyors found an Insulin Aspart Injection vial that had been opened on 11/04/25 and was expired as of 12/02/25, yet remained on the cart. They also found a ten-count package of Promethegan 25 mg suppositories labeled to be refrigerated, stored in the top drawer of the cart and not cool to the touch.

Further observations of Medication Cart A on another wing revealed multiple insulin and injectable medications without required open dates or clear usable dating. An Insulin Aspart FlexPen had a manufacturer expiration date of 10/08/25 but no open date documented. A Liraglutide Injection pen and another Insulin Aspart FlexPen were also present without any open dates or expiration dates noted on them. On Medication Cart B, surveyors identified Alprazolam 0.25 mg tablets with an expiration date of 07/2025 still stored on the cart, with four tablets remaining, and documentation showing the medication was last administered on 11/21/25. These findings showed that expired medications and medications lacking required dating were stored on active medication carts alongside medications in current use, contrary to the facility’s own storage policy.