Failure to Date Opened Insulin Vials for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to ensure that opened insulin vials were dated in accordance with facility policy and accepted professional standards. For one resident, whose physician order sheet for August 2025 included Insulin Lispro 100 unit/mL to be given per sliding scale, an LPN prepared and administered 18 units of insulin from an opened insulin vial that had no date indicating when it was first accessed; the LPN confirmed she did not know when the vial was opened. For a second resident, also ordered Insulin Lispro 100 unit/mL per sliding scale, an RN prepared and administered 2 units of insulin from another opened, undated insulin vial and likewise stated she did not know when that vial was first accessed. The Director of Nursing later stated that the facility’s policy required insulin vials to be dated when first accessed and used for a period of 28 days, after which any remaining insulin should be discarded. The observations of staff administering insulin from undated vials, combined with staff statements that they did not know when the vials were opened, demonstrate that the facility did not follow its own policy for labeling and managing opened insulin vials for these two residents.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.