cms_WV: 8591
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8591 | CANTERBURY CENTER | 515179 | 80 MADDEX DRIVE | SHEPHERDSTOWN | WV | 25443 | 2012-04-19 | 425 | C | 0 | 1 | KWL711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, pharmacist interview, and record review, the facility failed to properly dispose of medications after discharging residents and/or after expiration of the medication. The facility's pharmacy policy contained directives for medication disposal which were not implemented by the facility. This had the potential to affect all residents, as there was only one (1) medication preparation/storage area. Facility census 60. Findings include: a) During observation of medication storage, in the sole medication storage and preparation room, accompanied by the director of nurses (Employee #72) at 3:00 p.m. on 04/18/12, the following medications were found in the refrigerator in the shelf of the door: - One (1) opened and resealed bottle labeled Ativan intensol 2mg/ml with a name handwritten across the label. There was no date to indicate when it was opened. The previous name on the label was blackened out with a marker. Employee #72 confirmed the medication belonged to Resident #1001, who was discharged on [DATE]. - One (1) bottle of Novolin R insulin and one (1) bottle of Novolin N insulin whose labels indicated they were opened on 03/15/12. According to facility policy, these should have been disposed of on 04/11/12. They were labeled for Resident #1002 who was discharged on [DATE]. - One (1) opened bottle of Lantus insulin labeled as opened on 03/24/12. It belonged to Resident #1003, who was discharged on [DATE]. - One (1) opened bottle of Novolog insulin labeled as opened on 03/16/12. It belonged to Resident #69, a current resident. According to facility policy, this medication should have been discarded on 04/12/12. Observation revealed a sign, posted above the refrigerator in the medication storage/preparation room, which stated, OPENED VIALS TO BE DISCARDED AFTER 28 DAYS. The director of nursing (DON) was present, and verified this was facility policy. She acknowledged all these medications should have been discarded prior to the observations on 04/18/12. During a telephone interview with the facility's consultant pharmacist, at 10:15 a.m. on 04/19/12, he stated he was unaware of the label changes on the Ativan. He stated, as a controlled substance, Ativan could not be retained in the facility without a written, signed order from the physician received in the pharmacy. He further stated, No medications can be transferred in the facility. When a resident was discharged , all medications were to be pulled from the cart, stock, or refrigerator, and disposed of appropriately. The pharmacist had no answer why the medications of discharged residents and/or outdated medications had not been discovered during pharmacy inspections. He and the director of nurses both stated there had been a pharmacy review the preceding week. | 2016-05-01 |