cms_GA: 102
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 102 | CENTER FOR ADVANCED REHAB AT PARKSIDE, THE | 115040 | 110 PARK CITY ROAD | ROSSVILLE | GA | 30741 | 2017-09-21 | 431 | D | 1 | 1 | KNJV11 | > Based on the facility's Storage of Medications policy, observations, staff interviews, and review of manufacturer's instructions the facility failed to ensure medications were: 1) dated appropriately when opened in 1 of 2 medication storage rooms, and 2) removed expired medication and biologicals from use in 1 of 2 medication storage rooms. The facility census at the time of the survey was 122 residents. Findings include: 1. Review of the policy titled Storage of Medications last revised on (MONTH) 2007, revealed in number 4, The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy or destroyed. a. Failure to Appropriately Date Medications Once Opened. An audit of the Subacute Care (SAC) medication room refrigerator was conducted on 9/20/17 at 11:45 a.m. in the presence of Registered Nurse (RN) Unit Manager (UM). The audit revealed two opened and used multiuse vials of Tuberculin Purified Protein Derivative (PPD) solution (lot number 4). The containers and used vials of PPD solution were not dated when opened. The manufacturer's instructions on the side of the medication container revealed the medication should be discarded 30 days after being opened. During an interview with RN UM on 9/20/17 at 12:16 p.m. RN UM acknowledged the two used vials of PPD solution were not dated when opened. RN UM stated the medication should be dated when opened and the medication was only good for 30 days after being opened. RN UM removed the two opened and undated multiuse vials of PPD solution from use. b. Expired Medication and Biologicals An audit of the Subacute Care medication room cupboards were conducted on 9/20/17 at 11:50 a.m. in the presence of RN UM. The audit revealed: 1. Gericare Vitamin B-6, Dietary Supplement 100 tablets, 100 milligram (mg) unopened with an expiration date of 5/17. 2. Major Geravim liquid (lot number 0710B) 16 ounces unopened with an expiration date of 8/17. 3. Magnesium-oxide 400 mg tablets (lot number 39) 120 tablets unopened with an expiration date 3/31/17. 4. Magnesium-oxide 400 mg tablets (lot number 8042-6006) 60 tablets unopened with an expiration date of 3/31/17. 5. Magnesium-oxide 400 mg tablets (lot number 8042-6010) 60 tablets unopened with an expiration date of 8/31/17. 6. Benadryl 25 mg capsules of 30 capsules unopened with an expiration date of 2/2017. 7. Dextrose 5 in Lactated Ringer's injection (lot number J4N456) 1000 milliliter (ml) x 2 container unopened with an expiration date of 4/17 During an interview with RN UM on 9/20/17 at 12:16 P.M., RN UM acknowledged the expired drugs and intravenous liquids and she removed them from the cabinets. The UM stated she was responsibly to check for expired drugs but the unit was so busy with admissions she did not check. Interview on 9/21/17 at 5:03 p.m. with Assistant Director of Nursing (ADON) revealed the Unit Manager on SAC shoud be checking on all the medications for expiration dates every two weeks. She stated there is no signed sheet for documenting when the checks are done. | 2020-09-01 |