Expired eye drops were found on 2 medication carts, including Timolol for one resident and Latanoprost for another, with staff confirming one should have been discarded. In addition, a medication cart was observed unlocked and unattended, despite facility policy requiring carts to be locked when not in use.
A resident’s self-administered inhalers and nasal spray were repeatedly observed unsecured on the bedside table and dresser instead of being kept in a locked storage area, despite care plan and physician orders allowing bedside storage. An LPN confirmed the meds were not locked, and another LPN noted there was a resident on the unit with a history of wandering into other residents’ rooms.
Surveyors found that multiple opened inhalers on two medication carts were not labeled with open or expiration dates as required by manufacturer instructions and facility policy. LPNs confirmed the lack of labeling for inhalers such as Incruse Ellipta, Breztri, Spiriva, and Trelegy, resulting in a deficiency for improper medication labeling and storage.
Surveyors found that two medication carts contained improperly labeled and stored medications, including open eye drops and inhalers without open or expiration dates, and ear drops stored with eye drops. LPNs confirmed these findings, which were not in accordance with manufacturer instructions or facility policy requiring proper labeling, separation by route, and timely removal of outdated medications.
Surveyors found that expired and discontinued medications, including controlled substances and insulin pens, were not removed from use on two medication carts. Two residents' medications were involved, with staff confirming the presence of expired Morphine, Lorazepam, and insulin pens that were either unlabeled or past their in-use expiration dates.
Surveyors found that medications, including inhalers and insulin, were not properly labeled with opening or expiration dates, and a medication cup containing a controlled substance was left unsecured in a medication cart. Nursing staff confirmed these lapses, which were not in accordance with facility policy or manufacturer instructions.
An LPN was observed storing an open multi-dose vial of Tuberculin Purified Protein Derivative (Mantoux) in the medication refrigerator without documenting the open date or expiration date, contrary to manufacturer instructions and facility policy requiring such labeling for product integrity.
Surveyors found that expired IV antibiotics and opened, undated multi-dose vials of vaccines were stored in the medication room refrigerator. A nurse confirmed that the vials had been used and the antibiotics were expired, in violation of manufacturer instructions and facility policy requiring removal of outdated medications and proper dating of opened vials.
An LPN was observed with an Albuterol Sulfate inhaler on a medication cart that lacked a resident identifier, was not in the pharmacy-dispensed container, and was expired. Facility policy requires medications to be stored in their original containers and expired medications to be removed immediately.
The facility failed to remove expired medications and properly label multi-dose vials. Observations revealed expired medications on a medication cart and improperly labeled vials in the medication room. Staff confirmed the findings, and a review of policies indicated that outdated medications should be removed immediately.
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