cms_GA: 8170
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8170 | CRESTVIEW HEALTH & REHAB CTR | 115525 | 2800 SPRINGDALE ROAD | ATLANTA | GA | 30315 | 2011-12-08 | 431 | E | 0 | 1 | GPWF11 | Based on observation, staff interviews and review of the facility policy and procedure for Medication Emergency Boxes (E-Box), the facility failed to ensure that one (1) of five (5) refrigerated Emergency Boxes was locked and failed to ensure that medications were not expired in one (1) box located in medication refrigerator on one (1) unit (A-2) of five (5)units. Findings include: 1. Observation of the refrigerated E-Box on A-2 Unit on 12-05-11 at 2:00pm revealed the box was not locked. Review of the medication sign out slips located in the E-Box indicated one (1) of two (2) injectable vials of Ativan had been signed out on 09-19-11 at 8:30am and another one was signed out on 11-22-11 at 12:10pm. Interview with the interim Unit Manager BB on 12-05-11 at 2:00pm revealed each time the E-box was opened, it was supposed to be resealed and the pharmacy was notified to replace the box. Interview with the Director of Nursing (DON) on 12-07-11 at 8:35am revealed the refrigerated E-Box could be opened more than one time before re-ordering but should be re-sealed each time. The pharmacy checks the medication refrigerator monthly for the security of the E-Box, as well as for expired medications and she was not sure why the E-Box was not locked and medications reordered as per procedure. Interview with the Consultant Pharmacist on 12-08-11 at 12:30pm revealed the medication refrigerators were checked monthly and that the E-Boxes should only be opened once, re-sealed, and re-ordered. Review of the facility policy and procedure for Emergency Pharmacy Services and Emergency boxes indicated that after removal of a medication, the E-box was re-sealed, and re-ordered from the pharmacy. 2. Observation of the medication refrigerator on A-2 Unit on 12-05-11 at 2:00pm revealed three (3) multi-dose vials of Purified Protein Derivative (PPD) had been opened and one (1) vail of Influenza vaccine. PPD Vial # 1 was opened 07-02-11, vial # 2 was opened 07-22-11, and vial # 3 was opened 08-01-11. Vial # 2 also had a manufacturer expiration date of 08-18-11. The one (1) vial of multi-dose Influenza was opened on 10-29-11. Review of the facility policy on Medications with Special Expiration Date Requirements indicated that PPD and Influenza vaccine should have been discarded 30 days after opening. | 2016-06-01 |