Health inspection·July 11, 2024

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access, for 1 of 1 medication reviewed for security. The facility did not ensure venlafaxine ((Effexor) an antidepressant) was stored securely when it was left unattended at the nursing station. This failure could place residents at risk for harm by misappropriation of property and drug diversion. Findings included: During an observation on 07/10/24 at 07:45 a.m. of the nurses' station indicated two 30 count cards of venlafaxine ((Effexor) an antidepressant) left on the desk and accessible to staff, residents, and visitors. During an interview on 07/10/24 at 07:55 a.m., LVN A indicated she had the cards of venlafaxine out to return to the pharmacy when she got up to leave the nurses' station. She said she meant to put them in the medication room and should not have left the medication at the desk. During an interview on 07/10/24 at 09:00 a.m. the DON indicated medications were not to be left unsecured to where anyone could get them. She said staff, residents, or visitors could walk away with the medication. During an interview on 07/10/24 at 09:20 a.m., the Administrator said medications were not to be left at the nurses' station unattended by the staff as they could be removed by anyone walking by. Record review of a Medication Labeling and Storage policy revised February 2023 indicated Policy Statement: The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. Only authorized personnel have access to keys. Policy Interpretation and Implementation: Medication Storage: 4. Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, Page 1 of 2 455642 455642 07/11/2024 Dayton Nursing and Rehabilitation 310 E Lawrence St Dayton, TX 77535

F 0761 and boxes) containing medications and biologicals are locked when not in use, and trays or carts used to transport such items are not left unattended if open or otherwise potentially available to others Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 455642 Page 2 of 2