cms_HI: 80
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 80 | HALE MAKUA - KAHULUI | 125007 | 472 KAULANA STREET | KAHULUI | HI | 96732 | 2018-11-30 | 761 | E | 0 | 1 | 6SFF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the facility failed to ensure six medication labels were properly labeled with discard dates, and one medication remained in inventory beyond the expiration date. The deficient practice had the potential to affect the efficacy of the expired drug, and the timely identification and removal of medications when they are expired. Findings Include: 1. An inspection of the medication room on the West Neighborhood was completed on [DATE] at 09:34 AM. Pharmerica, is contracted to supply all pharmaceuticals except for over the counter medications, which are purchased by the facility. The procedure for both Pharmerica and the facility is to hand write the discard date on the label of the medication container or package. Registered Nurse (RN) 126 was present during the inspection and asked to review the labels for expiration and discard dates. The following did not have discard dates written on the label: One bottle Antacid, one bottle of Polyethylene [MEDICATION NAME] Powder, one package of Nicotine gum, one bottle of [MEDICATION NAME] and one bottle Sentry Multivitamin. 2. The WEST Neighborhood Medication cart number two was inspected on [DATE] at 10:00 AM which revealed the labels of one bottle of [MEDICATION NAME] and one bottle of [MEDICATION NAME] 1 milligram (mg) did not have discard dates. 3. During an observation of the North Neighborhood Medication Cart on [DATE] at 08:56 AM, an expired packet of [MEDICATION NAME] was found in the storage drawer. The label read discard after ,[DATE]. During an interview with Licensed Nurse (LN) 2 on [DATE] at 08:57 AM who acknowledged that the [MEDICATION NAME] packet was expired and should have been removed. The facility policy on disposal of medications was reviewed stating It is the policy and practice of Hale Makua Health Services that all medications that have been discontinued, expired, or require wasting will be identified and removed from the medication supply in a timely manner and disposed of in accordance with federal and state laws. 4. During a random inspection of the medication refrigerator on East Nursing station medication room on [DATE] at 09:27 AM with the Nursing Supervisor, an open multi-dose vial of positive protein derivative, (PPD) solution was found with no label dating when it was opened. 5. During a tour of the East unit on [DATE] at 01:35 PM, room [ROOM NUMBER]A a small intravenous (IV) bag was found hanging next to R321's bed did not have a date/time hand written on the IV bag or tubing to indicate when it was placed or needed to be discarded. During an interview with the Nursing Supervisor on [DATE] at 02:00 PM who stated we usually hang up the IV antibiotic and throw it away the next day. Medical record reviewed revealing R321 has a [DIAGNOSES REDACTED]. | 2020-09-01 |