Annandale Care Center Inc
ANNANDALE CARE CENTER INC in ANNANDALE, MN — inspection on August 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Based on observation and interview the facility failed to label and properly dispose of expired medications reviewed in 1 of 2 medications carts.
This had the potential to 17 out of 34 residents in the facility whose medications were stored in the cart.Findings include:On 8/12/25 at 11:59 during review of the medication cart following a medication pass licensed practical nurse (LPN)-A discovered six bottles of medication with no open dates noted, and two of those six bottles were expired.Photocopies taken on 8/12/2025 at 12:00 p.m. showed the following medications:1.
Tylenol 500 milligram (mg) tablets, expired in July of 2025 and lacked an open date.2.
Tylenol 500 milligram (mg) tablets, expired in July of 2025 and lacked an open date.3.
Tylenol 325mg tablets, lacked an open date.4.
Tylenol 500mg tablets, lacked an open date.5.
Docusate Sodium 100mg tablets, lacked an open date.6.
Senna Time 8.6mg-50mg tablets, lacked an open date.On 8/12/25 at 12:00p.m, LPN-A confirmed all six bottles were not labeled appropriately, and the two Tylenol bottles listed above were expired. LPN-A stated the medication should not be used as the staff had no way to know when the bottle was opened, and some were expired.
During the interview, the director of nursing (DON) came into the room and confirmed the two bottles of Tylenol were expired and all six bottles, listed above, were undated and would be destroyed.
The DON's expectation was when a resident was admitted to the facility the nurse on duty should check the orders to make sure it was the appropriate medication, check all expiration dates, and put an open date on the bottle.
The DON stated the importance of labeling each bottle with open dates for the staff to know how long the medication was ok to be used for, and the importance of not using expired medications as they lose their efficacy once that expiration date has passed.The facility policy Medication storage last revised 7/2025, indicated drug containers with missing, incomplete, improper, or incorrect labels shall be returned to the pharmacy for proper labeling before storing, and the facility shall not use discontinued, outdated, or deteriorated drugs or biologicals.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.