Unlocked and Unattended Medication and Treatment Carts on Multiple Units
Penalty
Summary
The facility failed to ensure medications and biologicals were properly stored and secured when multiple medication and treatment carts were left unlocked and unattended on the 200, 300, and 400 hallways. On 03/17/26 at 9:38 a.m., a medication cart on the 300 unit was observed unlocked and unattended outside a resident room, and at 9:40 a.m. an LPN confirmed the cart was hers, acknowledged it was unlocked and unattended, and stated she should have locked it. At 9:42 a.m., a medication cart on the 400 unit was observed unlocked and unattended outside a resident room, and at 9:43 a.m. a CNA confirmed the cart was left in that condition. At 9:49 a.m., a treatment cart on the 200 unit was observed unlocked and unattended outside a resident room, and at 9:50 a.m. an RN confirmed the treatment cart was left unlocked and unattended and stated the nurse should have locked it prior to leaving the area. On 03/19/26 at 11:07 a.m., the DON stated that medication carts should always be locked when nurses are away from the cart and further stated it is an expectation for nurses to keep medication and treatment carts locked at all times when not in use.
