cms_MT: 25
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 25 | BENEFIS SENIOR SERVICES | 275012 | 2621 15TH AVE S | GREAT FALLS | MT | 59405 | 2019-07-11 | 761 | F | 0 | 1 | 01HJ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure Schedule III-V controlled substances were separately locked, and not under the same access system used to obtain non-controlled substances; the facility failed to remove expired medication and supplies from medication supply rooms; and the facility failed to maintain staff education on checking expiration dates. Findings include: [NAME] During an observation and interview on 7/11/19 at 10:10 a.m., the medication refrigerator contained a ziplock bag of individually filled syringes containing [MEDICATION NAME] liquid for a resident and two medication cards containing dronabinol capsules for a resident. These medications are Schedule III controlled substances. The [MEDICATION NAME] and dronabinol were stored in the main area of the refrigerator and not locked separately from non-controlled medications. A locked box within the refrigerator contained a ziplock bag of individually filled syringes containing [MEDICATION NAME] liquid for stock use. Staff member L stated the stock items were locked as part of an e-kit. Staff member L stated she was not aware of the requirement for Scheduled controlled substances to be separately locked from non-controlled substances. B. During an observation and interview on 7/9/19 at 1:58 p.m., a bottle of aspirin 325 mg, which was located in the storage medication cart, had an expiration date of (MONTH) 2019. Staff member B stated, in reference to the facility's process for checking expired medications, the pharmacy goes through medication carts two to three times every month, and the night shift nurses are also pretty good at going through the carts to check for expired medications. During an observation of a medication storage room on 7/10/19 at 9:26 a.m., the following expired supplies were noted: -One Kangaroo E-pump Enplus spike set (exp. 1/14/19); -One E-pump safety screw spike set (exp. (MONTH) 2019); -One Prevantics Antiseptic non-sterile solution (exp. (MONTH) 2019); -One Creamy Vanilla Smoothie Readi-Cat 2, Rx only (exp. (MONTH) (YEAR)). During an interview on 7/10/19 at 9:33 a.m., staff member T stated the above supplies were not used regularly. Staff member T stated she was unsure if the facility had a specific policy on checking expiration dates. She added that the night shift usually had more time, so they probably checked medications and supplies that did not come directly from the pharmacy. During an interview on 7/10/19 at 10:14 a.m., staff member K stated staff checked for expiration dates as frequently as possible and pharmacy checked at least once every month. Staff member K added nurses were supposed to check the expiration date prior to administering medications. During an interview on 7/10/19 at 1:50 p.m., staff member V stated he checks expiration dates at least every other day, and on the first day of the week that (his) shift starts. He added that he checks expiration dates on insulin every day. Record review of the facility's Medication Administration Standards powerpoint document, provided to nurses during orientation, showed (in flow chart format): Select med(s) from patient Pyxis profile/MAR and verify on MAR: administration, due by, med name, dose, rte, time and check when last time given .Does med removed from Pyxis match MAR and is it expired? If the nurse answers Yes to the medication expiration question, the flow chart continues, Set aside med for Pharmacy. (sic) | 2020-09-01 |