Deficiency Index

Every finding on record at Post Acute Holdings LLC

Diamondhead, Mississippi · CCN 251685

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of June 23, 2022

1 finding
L0652

Based on observation, staff interview, and policy and procedure review, the facility failed to ensure staff disposed of expired medications and medical supplies according to facility policy and procedure on one (1) of four (4) days of survey. Findings Include: Observation of the supply room on 06/20/2022 at 11:30 a.m. with the facility Administrator revealed the following expired medications: Dakin's solution Lot # 6302 with expiration date of 08/2021 quantity of three (3), Dakin's solution Lot # 6356 with expiration date of 11/2021 quantity of three (3), Dakin's solution Lot number 6140 with expiration date of 10/2021 quantity one (1). 0.9% sodium chloride injection, ten (10) milliliters (mm) single use syringe for injection, lot number 3136733, expiration date 08/01/2021, quantity nine (9), package label containing a disposable Inner Cannula, lot number 14DO179JZX with a use by date of 2019-04, and package is discolored, Eleven (11) enteral feeding tubing, lot number 20160920 with expiration date of 08/2021. An interview on 06/20/2022 at 11:52 a.m., with the Administrator confirmed the facility staff did not follow facility's policy and did not dispose of expired medication and medical supplies. Review of facility's policy, "Medical Supplies," policy number PC.M20, no date, on 06/01/2021 revealed " ...Outdated medical supplies are discarded ... Discolored, wet, or damaged medical supplies are discarded ...". During Exit Conference on 06/23/2022 at 12:32 p.m. survey findings were discussed, and no further documentation was submitted for review.

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