cms_UT: 17
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
17 | HERITAGE PARK HEALTHCARE AND REHABILITATION | 465003 | 2700 WEST 5600 SOUTH | ROY | UT | 84067 | 2019-02-21 | 761 | E | 0 | 1 | R8D511 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview it was determined that the facility did not ensure safe and secure storage of drugs and biologicals in accordance with accepted professional principles; or include the appropriate accessory and cautionary instructions, and the expiration date on the medication. Specifically, opened multi-dose vials of insulin were not labeled with open dates and opened multi-dose vials of insulin were expired and still available for use. Additionally, an insulin pen with instructions to keep refrigerated was found on a medication cart. Findings include: On 2/20/19 at 7:30 AM, an observation was made of a medication cart on the A hall. Observations were made of the following insulin medications: [REDACTED] a. [MEDICATION NAME] 100 unit/ml (milliliter) vial opened with an expiration date of 2/16/18. b. [MEDICATION NAME] R 100 unit/ml vial opened with no open date. c. Humulog 100 unit/ml vial opened with no open date. On 2/20/19 at 7:35 AM, an interview was conducted with Registered Nurse (RN) 3 on the A hall. RN 3 confirmed the above insulin medication were opened and expired or had no open date on the vials. RN 3 stated insulin was to be discarded 28 days after it was opened. RN 3 stated the night shift audited the cart for expired medications. RN 3 stated she would discard then above mentioned insulin vials. On 2/20/19 at 7:45 AM, an observation was made of a medication cart on the C hall. Observations were made of the following insulin medications: [REDACTED] a. [MEDICATION NAME] 100 unit/ml (3 ml) insulin pen, unopened and not refrigerated. Instructions were attached to the pen to keep refrigerated. b. [MEDICATION NAME] 100 unit/ml vial opened and dated 1/15/19. c. [MEDICATION NAME] R 100 unit/ml vial, opened, with no open date. d. [MEDICATION NAME] 100 unit/ml vial, opened and dated 1/12/19. On 2/20/19 at 7:50 AM, an interview was conducted with RN 4 on the C hall. RN 4 stated the Unit Manager audited the medications carts. RN 4 stated, a company audited the medication carts as well. RN 4 confirmed the insulin pen should have been refrigerated until it was opened. RN 4 confirmed the above mentioned insulin vials were expired or opened with no opened date recorded. RN 4 stated she would discard the above mentioned insulin medications. On 2/20/19 at 10:00 AM, The Director of Nursing (DON) was interviewed. The DON stated expired medications were to be discarded. The DON stated a consultant pharmacist and a floor nurse audited the medications carts weekly, as well as the Unit Managers. | 2020-09-01 |