Annandale Care Center: Expired Medications Found - MN
The inspection, conducted on August 12, 2025, caught the problem during a routine review of one of two medication carts at the facility. A licensed practical nurse identified as LPN-A made the discovery at just before noon, pulling out bottle after bottle that lacked any open date. Two of them, both Tylenol 500 milligram tablets, had expired in July 2025, the month before the inspection.
The remaining four bottles, also missing open dates, included a second Tylenol 500 milligram product, Tylenol 325 milligrams, Docusate Sodium 100 milligrams, and Senna Time 8.6 milligram and 50 milligram tablets. None carried any notation of when they had been opened. Inspectors photographed all six at noon that same day.
LPN-A confirmed on the spot that staff had no way of knowing how long any of the bottles had been in use. The medications were stored in a cart that served 17 of the facility's 34 residents.
The director of nursing walked into the room during the interview and confirmed what the nurse had already found. The two Tylenol bottles were expired. All six bottles were undated. The director said all of them would be destroyed.
The director described what should have happened when any resident was admitted: the nurse on duty was expected to check orders, verify expiration dates, and write an open date on the bottle. The reason, the director explained, was straightforward. Staff needed open dates to know how long a medication remained safe to use. Expired medications, the director said, lose their effectiveness once that date has passed.
The finding was tagged at the lower end of the federal harm scale, meaning inspectors assessed the lapse as carrying potential for harm rather than documented injury. But the question left unanswered by the inspection is a simple one: how long had the expired Tylenol been sitting in that cart, and how many residents received it before anyone checked.
The facility's own medication storage policy, last revised in July 2025, the same month both Tylenol bottles expired, stated that containers with missing or improper labels were to be returned to the pharmacy before being stored. The policy also prohibited the use of outdated or deteriorated drugs. The bottles were not returned. They stayed in the cart.
The inspection covered only one of two medication carts at the facility. What the second cart contained was not reviewed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Annandale Care Center Inc from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
ANNANDALE CARE CENTER INC in ANNANDALE, MN was cited for violations during a health inspection on August 13, 2025.
The inspection, conducted on August 12, 2025, caught the problem during a routine review of one of two medication carts at the facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.