Expired Medications and Supplies Not Removed From Storage and Medication Cart
Penalty
Summary
Surveyors found that the facility failed to ensure expired medications and medical supplies were removed from storage areas and a medication cart, as required by professional standards and the facility’s own policy on expired medications. In the medication supply room, multiple wound care products were observed to be past their expiration dates, including several packages of IoFlex iodophor foam dressings, Maxorb II alginate wound dressings, Sorbalgon calcium alginate dressings, Tegaderm film dressings, Zetuvit Plus silicone border dressings, and an Optifoam heel foam non-adhesive dressing. Additionally, one Tubersol vial was opened and dated, and another Tubersol vial was opened with no date indicating when it was opened, contrary to expectations that such vials be dated and discarded after 30 days. On a medication cart for one hall, surveyors observed a box of Naloxone hydrochloride nasal spray with an expiration date indicating it should already have been removed. Staff interviews confirmed that the expired medications and supplies should have been removed from the medication/storage room and that the Tubersol vial should have been dated and discarded after 30 days. Another staff member acknowledged that the Naloxone should have already been removed from the cart. The DON also stated that the expired medications and supplies should have been removed, confirming that the facility did not follow its policy to rotate and review medications on a constant basis to prevent expired items from remaining available for use.
