| 40 |
SANTA FE CARE CENTER |
325030 |
635 HARKLE ROAD |
SANTA FE |
NM |
87505 |
2018-10-28 |
761 |
E |
0 |
1 |
GNFO11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interviews, the facility failed to ensure that medications on Wing 1 medication storage cart, Wing 3 medication storage cart, and the main medication storage room were not expired. This deficient practice is likely to affect 7 (R #12, 38, 55, 61, 89, 306, and 307) of 99 residents on the facility matrix as provided by the Administrator on 10/21/18. The use of expired medication is likely to cause residents to receive medications which are less effective due to a breakdown in chemical makeup leading to less than optimal benefit from medications. The findings are: [NAME] On 10/23/18 at 2:15 pm, an observation of the medication storage cart on Wing #1 revealed that the cart contained four expired drugs: [MEDICATION NAME] INJ (injectable) USP (United States Pharmacopia) (helps to treat [MEDICAL CONDITION]) 5 milligrams/milliliter (mg/ml) for R #55, expired on 06/18; [MEDICATION NAME] (helps to treat [MEDICAL CONDITION]) 1 mg tablet for R #306, expired on 12/17; [MEDICATION NAME] (is used to treat depression) 7.5 mg tablet for R #306, expired on 08/18; and Donepezil HCL (used to treat mild to moderate dementia caused by [MEDICAL CONDITION]) 5 mg tablet for R #61, expired on 08/18. B. On 10/23/18 at 2:45 pm, an observation of the medication storage cart on Wing #3 revealed that the cart contained two expired drugs, the findings are as follows: [MEDICATION NAME] HCL (used to prevent or treat nausea and vomiting) 8 mg tablet for R #38, expired on 04/18; and [MEDICATION NAME]-[MEDICATION NAME] (used to treat moderate to severe pain) 5-325 mg tablet for R #12, expired on 05/18. C. On 10/28/18 at 9:45 am, an observation of the main medication storage room revealed that the room contained three expired medications, the findings are as follows: Latanoprost (used in the eye to treat open angle [MEDICAL CONDITION] and high pressure in the eye) 0.005% OPH (ophthalmic) eye drops for R #307, expired on 09/28/18; Latanoprost 0.005% OPH eye drops for R #89, expired on 08/23/18, and three (3) bottles of Acid Gone (antacid) 100 chewable tablets, expired on 08/18. D. On 10/25/18 at 10:35 am, during an interview Licensed Practical Nurse (LPN) #2 stated, Some of those medications we haven't used in forever, must have given us an old box, the [MEDICATION NAME] injection we haven't even given to R #55 in a long time, it doesn't work anyway. We must have missed them while we were cleaning it out. E. On 10/25/18 at 10:36 am, during an interview LPN #2 stated, The expired meds are put in the storage room in a box labeled for disposal. F. On 10/28/18 at 10:33 am, during an interview Director of Nursing (DON) stated, No that is not normal practice, we've been expecting this (survey process) for the last few months, so I've had them (nurses) checking the carts for the past few months. As far as a medication from (YEAR) being in there .that is a little baffling. |
2020-09-01 |