Improper Labeling and Storage of Insulin Pens on Medication Carts
Penalty
Summary
Surveyors found that the facility failed to ensure proper labeling and storage of insulin pens on two of three medication carts observed. On the Second Floor Back Hall medication cart, one open Toujeo insulin pen was labeled with an open date of January 18, 2026, but had no expiration date documented, and another Toujeo insulin pen was unopened yet not stored in the refrigerator as required by the manufacturer’s directions. On the First Floor medication cart, one opened Lantus insulin pen had no open date or expiration date, and another unopened Lantus insulin pen was not refrigerated as recommended by the manufacturer. During an interview, the DON confirmed that the insulin pens on these carts were not properly identified with open and expiration dates, and that unopened insulin pens were not stored in accordance with manufacturer instructions. The deficiency was cited under 28 Pa. Code 211.12(c)(d)(1)(2)(5) related to nursing services and the requirement that drugs and biologicals be labeled and stored according to accepted professional principles.
