Failure to Label Insulin Pen and Remove Expired Stock Medications
Penalty
Summary
Surveyors found that the facility failed to properly label and store medications and biologicals as required by facility policy and professional standards. During observation of the 100–200 hall medication cart at 8:05 AM, an insulin pen (Novolog) for Resident 41 was found without an open date or discard date. In a separate observation of the treatment cart at 8:15 AM, four bottles of stock medications were found to be expired: aspirin 325 mg (expired 01/26), vitamin D tablets (expired 03/26), calcium 600 mg with vitamin D 5 mcg (expired 07/25), and zinc 50 mg tablets (expired 01/26). A certified medication aide confirmed that the stock medications were expired, and a licensed nurse confirmed the insulin pen was undated and stated that staff were supposed to date insulin pens when opened. The facility’s Medication Storage policy, dated 03/2026, stated that all drugs and biologicals would be stored in a safe, secure, and orderly manner and that discontinued, outdated, or deteriorated drugs or biologicals would not be used and would be returned to the pharmacy or destroyed per state regulations. These observations and staff confirmations demonstrated that the facility did not ensure insulin pens were dated when opened and did not remove expired stock medications from use, contrary to its own policy and accepted standards for medication storage and labeling.
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.