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- Drug Destruction And DisposalMedicationRemedied during inspection
Inspectors found that the home did not store medications designated for destruction in a safe and secure manner. Medications awaiting disposal were kept in a container at the nursing station that allowed easy access by anyone in the area, rather than being stored separately and securely as required; the home later implemented a new secure disposal container to address this.
- Drug Destruction And DisposalMedication
Inspectors found that the home did not destroy medications on-site as required. Instead, both controlled and non-controlled substances were sent off-site to the pharmacy for destruction, and the home did not have a process in place for a designated team of staff members to destroy medications together in the home.
- Training And Orientation ProgramStaffing & training
The home did not develop and implement a complete training and orientation program for staff. New staff orientation packages were missing required training on mandatory reporting, restraint minimization policies, infection prevention and control, and relevant legislation and home policies. The home was not aware these topics were legally required to be included. Additionally, the home did not evaluate and update its training program annually or keep written records of such evaluations, as required by regulation.