Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713026 (X3) Date Survey Completed 03/19/2024
Name of Provider or Supplier Bogalusa Rehabilitation Hospital Street Address, City, State 621 Columbia Street, Bogalusa, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0505 UNUSABLE DRUGS NOT USED
CFR(s): 482.25(b)(3)

ยง482.25(b)(3) - Outdated, mislabeled, or otherwise unusable drugs and biologicals must not be available for patient use


This STANDARD is not met as evidenced by:
Based on observation an interview, the facility failed to ensure expired and unusable drugs and supplies were not used for patient care. The deficient practice is evidenced by the presence of expired and unlabeled open topical medications and supplies in the wound care cart. Findings: Inspection of the wound care cart on 03/19/2024 at 11:20 a.m. revealed the cart contained and open and undated tube of triamcinolone cream, an open and undated tube of nystatin cream, an open unlabeled jar of silver sulfadiazine cream, 2 jars of iodoform gauze with an expiration date of 09/2023, and a foam dressing with and expiration of 12/23. In interview at the time of discovery, S2DMCD verified the open multidose topical medications should have been labeled with the date of opening or the date of expiration. S2DMCD also verified the expired supplies need to be destroyed.