Wooded Glen: Expired IV Bags Found in Medication Cart - OH
The Director of Nursing was standing right there.
Inspectors documented the expired bags one by one: a bag of Dextrose 5% and sodium chloride, a liter of Lactated Ringers, a 250-milliliter bag of 5% Dextrose, a 50-milliliter bag of 0.9% Sodium Chloride marked expired December 2024, three bags of 5% Dextrose 100 milligrams expired February 2025, a 100-milliliter bag of 5% Dextrose marked with a do-not-use date of November 2024, a liter of 10% Dextrose expired March 2025, another liter of Lactated Ringers expired May 2025, and a liter bag combining Lactated Ringers and 5% Dextrose expired December 2024. Some of these bags had been sitting in that cart for the better part of a year.
The Director of Nursing confirmed the count herself. Twelve bags. Expired. In the active medication storage area, available for use.
When inspectors asked how this had happened, the DON said she assumed the pharmacy representative was reviewing the cart and pulling outdated solutions. That assumption had gone unchecked long enough for IV fluids to expire across multiple months, across multiple product types, while the facility continued caring for residents who needed them.
The facility's own written policy on medication storage required outdated medications to be immediately pulled from active inventory and moved to a separate area to prevent accidental use. The bags were not in a separate area. They were in the cart.
The inspection, triggered by a complaint, found the violation carried potential for actual harm, with the risk concentrated on a single identified resident, logged in the report as Resident 239, the one patient the facility confirmed was receiving IV solution during the survey period. The facility's total census was 51 residents.
What makes the finding notable is not just the number of expired bags or how long some had been sitting there, but the mechanism that allowed it. Nobody checked. The DON believed the pharmacy handled it. There is no indication in the inspection report that the pharmacy had been formally assigned that responsibility, or that anyone had confirmed the arrangement was actually working. The result was a cart full of solutions that should have been removed months earlier, in a facility where at least one resident depended on IV therapy.
Expired IV solutions are not merely a paperwork problem. The chemical stability of intravenous fluids degrades after the manufacturer's stated expiration date, and using compromised solutions carries real risks for patients whose conditions already require IV intervention. A resident receiving IV fluids is, by definition, a resident whose oral intake or medical condition requires supplementation through the bloodstream. That is not a population for whom expired supplies represent an acceptable margin of error.
The inspection was conducted under Complaint Number 2612621. The deficiency was cited at a level of minimal harm or potential for actual harm, affecting few residents. No immediate jeopardy was declared.
What the report leaves unresolved is how Resident 239 fared, whether any of the expired bags had been used before inspectors arrived, and whether the pharmacy arrangement the DON described ever existed in writing or only in assumption. The cart was stocked. The bags were expired. The one resident on IV treatment was there, in the building, on the same hall.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wooded Glen from 2025-09-23 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: June 27, 2026 · Our methodology
WOODED GLEN in SPRINGFIELD, OH was cited for violations during a health inspection on September 23, 2025.
The Director of Nursing was standing right there.
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.