cms_VT: 70
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
70 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2017-12-14 | 761 | D | 0 | 1 | 0QUX11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and staff interviews the facility failed to assure that drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable. Findings include: 5). During observation of the Medication storage room (Unit 3) on [DATE] at 11:10 AM, a small plastic container and a small metal box, which were locked, were stored in the medication refrigerator. However, the nurse did not have the correct keys to open them. It could be determined that there were items inside the containers, as evidenced by the rattling sound inside when picked up. The nurse stated that the keys needed to be found and were most likely controlled drugs but was not sure. The nurse found that the plastic box contained a 30 ml bottle of [MEDICATION NAME] for a resident who died several months ago (beginning of (MONTH) (YEAR)) and the metal container had four 1 ml vials of [MEDICATION NAME], which had to be pried opened as no keys were found. Review of the facility's policy and procedures Management of Controlled Drugs states below: #5 -Ongoing Inventory of Controlled Drugs (shift count) all Schedule II to IV at change of shifts or any time in which keys are surrendered from one licensed nursing staff to another, counting of schedule V is optional , but recommended; #6.2 Destruction will occur when drugs are discontinued, daily or a minimum of weekly; # 6.1.2 quantities of controlled drugs (e.g. discontinued outdated) maybe destroyed immediately OR stored awaiting destruction. During Interview on [DATE] @ 12:01 P.M. the Unit Manager (UM), acknowledged that according to the Narcotic Log Book the expected daily/shift counts were not done for period of four(4) months for the bottle of [MEDICATION NAME] , as well as for the [MEDICATION NAME] vials, for several months, which were in the metal box. The UM stated that the medications were not accounted for and destroyed according to the facility's policy and procedures and acceptable practices. 2.) During observation of the 5th floor medication storage room, a bottle of Beefeater gin with a resident's name on the label was noted to be locked in the refrigerator with insulin and the emergency medication box. Per interview with the DNS on [DATE] at 8:05 AM, s/he confirmed that the bottle of gin should not be in the medication refrigerator and removed it immediately. | 2020-09-01 |