Wooded Glen
Inspection Findings
F-Tag F0761
F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, policy review, and staff interview, the facility failed to ensure expired intravenous (IV) solution was removed from medication storage in accordance with a pharmacy label or manufacture's expiration date. This had the potential to affect one resident (#239) who the facility identified as receiving IV solution.
The facility census was 51. Findings include:Observation on [DATE REDACTED] at 1:12 P.M. of the IV cart on 400-hall with the Director of Nursing (DON) revealed Dextrose 5% and sodium chloride 9% 1,000 milliliter (ml) with do not use beyond date of [DATE REDACTED], Lactated Ringers 1,000 ml with do not use beyond date of [DATE REDACTED], 5% Dextrose 250 ml expiration of [DATE REDACTED], 0.9% Sodium Chloride 50 ml with expiration of 12/2024, three bags 5% Dextrose 100 milligrams (mg) with expiration of 02/2025, 5% Dextrose 100 ml with do not use beyond date of 11/20244, 10% Dextrose 1,000 ml expiration of 03/2025, Lactated Ringers 1,000 ml expiration date of 05/2025, and Lactated Ringers and 5% Dextrose 1,000 ml expiration date of 12/2024. Interview on [DATE REDACTED] at 1:12 P.M. with the DON revealed she assumed the pharmacy representative was reviewing and removing expired IV solutions. The DON verified there were twelve IV solution bags that were expired in the IV cart. The facility identified one resident (#239) who was receiving IV solution during the survey. Review of
the facility policy titled Medication Storage dated [DATE REDACTED] revealed outdated medications must be immediately pulled from active inventory and segregated to an area to prevent unintentional use. This deficiency represents non-compliance investigated under Complaint Number 2612621.
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.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
WOODED GLEN in SPRINGFIELD, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SPRINGFIELD, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WOODED GLEN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.