| 38 |
BELLA TERRA OF BILLINGS |
275020 |
1807 24TH ST W |
BILLINGS |
MT |
59102 |
2019-04-18 |
755 |
E |
0 |
1 |
D2B811 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure expired bottles of stock medications were removed from the medication carts and not readily available for resident use; and failed to ensure culture test swabs were not being used past their expiration date. This practice had the potential to affect all residents being administered stock medications or using supplies from the facility. Findings include: Expired Stock Bottles of Medications 1. During an observation and interview on [DATE] at 9:58 a.m., of the Rim View medication cart, with staff member C, a large bottle of Vitamin E, 1,000 unit capsules, was found in the stock supply. The expiration date printed on the bottle by the manufacturer read, ,[DATE]. Staff member C stated no residents were currently taking Vitamin E, but the medication should have been checked for an expiration date and removed from the cart. Staff member C stated medications in the medication carts were available for resident use. 2. During an observation and interview on [DATE] at 10:16 a.m., of the Mountain View medication cart, with staff member N, a large bottle of Magnesium, 400 milligram (mg) tablets, was found in the stock supply. The expiration date printed on the bottle by the manufacturer read, ,[DATE]. Staff member N stated she, Thought the unit manager checked for outdates. Staff member N stated she did not check for the expiration dates on stock medications she was dispensing because that was done by someone else. Expired Culture Swabs 3. During an observation and interview on [DATE] at 1:06 p.m., of the supply storage room on the 300 hall, with staff member S, two red-top and seven blue-top BBL Culture Swabs were found expired. The red-top swabs had an expiration date of [DATE], and the blue-top swabs had an expiration date of ,[DATE]. Staff member S stated all expired supplies should have been discarded and not available for resident use. A review of the facility's policy, Storage and Expiration of Medications, Biologicals, Syringes and Needles, read, .4. Facility should ensure that medications and biologicals that: (1) have an expired date on the label; (2) have been retained longer than recommended by manufacturer or supplier guidelines .are stored separate from other medications until destroyed or returned to the pharmacy or supplier. 5. Once any medication or biological package is opened, Facility should follow manufacturer/supplier guidelines with respect to expiration dates for opened medications. Facility staff should record the date opened on the medication container when the medication has a shortened expiration date once opened. |
2020-09-01 |