cms_WV: 7043
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7043 | CARE HAVEN CENTER | 515178 | 2720 CHARLES TOWN ROAD | MARTINSBURG | WV | 25401 | 2013-08-14 | 431 | E | 0 | 1 | 66WU11 | Based on observation, staff interview, and policy review, the facility failed to properly label and store drugs and biologicals in a safe, sanitary, and/or secure manner. Narcotics stored in the medication room were not wasted in a timely manner, insulin medications were not labeled properly, and medications were not stored properly in two (2) of three (3) medication carts. This practice had the potential to affect more than a limited number of residents. Facility census: 68. Findings include: a) Medication carts An observation of the medication cart for B Hall, on 08/07/13 at 7:30 a.m., revealed five (5) gray tablets in a cup, unlabled and undated. Employee #34, a registered nurse (RN), identified them as Centrum Silver. She said the medication was borrowed from another cart. An observation of a cart utilized for part of A Hall and part of B Hall revealed various items stored together. They consisted of unpackaged gauze, electrical connectors, an unpackaged syringe of normal saline, and various other items. Employee #29 confirmed the items were not to be stored together. In addition, six (6) monteleukast sodium 10 mg tablets were observed in a drawer with no name or directions. Employee #29, a licensed practical nurse (LPN) was unable to identify to whom they belonged. Observation of insulin bottles noted a future date on the box. Employee #29 (LPN) said the date noted, was the date the medication expired and was to be discarded. The LPN said the facility's practice followed insulin storage guidelines provided by the pharmacy. Review of those guidelines, on 08/07/13, revealed Lantus, Novolin, and Novolg expired 28 days from the date opened. The LPN said the date opened was no longer documented. Two bottles of Novolog insulin were dated with an expiration date of 09/08/13. The date received from the pharmacy was 07/15/13. The nurse agreed she could not confirm the date the medications were opened. She also confirmed the medication would expire prior to the date noted on the bottle, even if it had only been opened the morning of 08/07/13. The director of nursing (DON) , Employee #48, said the pharmacy had recommended the expiration date be noted on the bottle, rather than the date opened, because medications were not being disposed of properly. She confirmed the dates were outside the parameters of the facility's practice and pharmacy guidelines. The DON confirmed both medications were received from the pharmacy on 07/15/13, and confirmed the date opened could not be verified. Review of the facility's 5.3 Storage and Expiration Dating of Drugs, Biologicals, Syringes, and Needles Policy, on 08/07/13 at 3:30 p.m., revealed infusion therapy products and supplies were to be stored separately from other drugs and biologicals. It also noted drugs and biologicals were to be kept and stored in their originally received containers. b) Medication Room An observation of the medication room, on 08/06/13 at 11:00 a.m., with Employee #90, a licensed practical nurse (LPN) revealed two vials of Ativan were in a locked box in the refrigerator. The medication was not in a permanently affixed container. The refrigerator also contained three (3) bottles of cough syrup with codeine. They were stored in the side of the refrigerator door with non scheduled drugs. Employee #90 (LPN) said one bottle of of the medicine belonged to a resident who had expired a month previously. Employee #90, an LPN, stated three (3) unit charge nurses are usually on duty during the day shift. She said two of the three (3) nurses have keys to the refrigerator unit, which contained narcotic medications, liquid and vials, as well as other medications which required refrigeration. She confirmed the medications in the refrigerator were not secured. Review of the facility's 8.14 Management of Controlled Substances policy, on 08/07/13 at 3:45 p.m., indicated all controlled drugs were to be stored under double lock, separate from other medications. The facility's Management of Controlled Drugs procedure, reviewed on 08/08/13 at 8:00 a.m., revealed schedule II-V controlled drugs may be stored, awaiting destruction, for no longer than one (1) week. The DON was interviewed on 08/07/13 at 3:00 p.m. She said schedule II-V medications were stored in the safe until destroyed with the pharmacist. When questioned about the storage of the cough medicine, the DON said she had not removed it from the refrigerator, because liquid medication had previously spilled in the safe. Employee #48 said she had forgotten about the medication, and acknowledged the medication had not been destroyed during the last pharmacy visit. Review of the pharmacy consultant summary, dated July 2013, indicated medications were not destroyed during the 07/23/13 visit. | 2017-09-01 |