cms_GA: 1058
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1058 | MACON REHABILITATION AND HEALTHCARE | 115362 | 505 COLISEUM DRIVE | MACON | GA | 31217 | 2017-08-10 | 431 | D | 0 | 1 | 4CBP11 | Based on observation and medication review, the facility failed to store drugs in locked compartments with only authorized personnel having access in two of four medication storage carts. The facility further failed to ensure expired medications were stored in separate location from active medications in one medication storage room out of one medication storage room available. The facility placed all residents at risk for adverse reaction/s related to medication safety and storage. The sample size was 34 residents reviewed. The findings include: On 8/8/17 at 9:15 a.m., observation of the medication storage cart on the top of the South Wing was unlocked. Licensed Practical Nurse (LPN) EE was previously observed standing in front of the cart and walked away entering the resident room with her back to the cart leaving the medication storage cart unsecured. She was in the resident's room approximately two minutes and locked the cart when she returned to the cart. On 8/10 /17 at 10:10 a.m., observation of the medication storage cart on the bottom of the North Wing was unlocked. LPN DD who was responsible for the medication cart was not in sight. After waiting two to three minutes, LPN DD returned to the medication storage cart from a resident room. She stated she did not realize she had left it unlocked. On 8/10/17 at 1:45 p.m. during observation of the medication storage room, a small refrigerator for medication storage was observed. The refrigerator contained multiple medications which included several expired medications. Inside the medication refrigerator was a small plastic box, inside this box was one bottle of Novolog insulin (an injectable medication for diabetics to reduce blood sugar levels) which expired 11/2016, one bottle of Novolin R insulin which expired 8/2016 and a Phenergan (anti-nausea medication) suppository 25mg which expired 12/2016. There was also a plastic bag which contained five Preparation H (medication used to reduce hemorrhoids) suppositories which expired 7/2017 and a box of 16 Preparation H suppositories which expired 7/2016. The Director of Nursing (DON) was present during the observation of the medication storage and indicated the medications were expired. She revealed the pharmacist comes once a month and is supposed to check the medication room as part of their monthly visit. She further indicated she did not understand how this was missed by the pharmacist and the multiple nurses who have access to the refrigerated medications. On 8/10/17 at 3:00 p.m., review of facility policy 5.3 Storage and Expiration of Medications, Biologicals, Syringes and Needles revised 1/1/13, reveals under procedure 3.3 it states: .Facility should ensure that all medications and biologicals, including treatment items, are securely stored in a locked cabinet/cart or locked medications room that is inaccessible by residents and visitors. Procedure 4 states: .Facility should ensure that medications and biologicals: .4.1 Have an Expiration Date on the label, .4.2 Have not been retained longer than recommended by manufacturer or supplier guidelines, .4.3 Have not been contaminated or deteriorated, are stored separate from other medications until destroyed or returned to the pharmacy or supplier. The DON confirmed the facility failed to follow their policy in regards to unlocked medication carts and expired medications. | 2020-09-01 |