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 883829 (X3) Date Survey Completed 02/09/2026
Name of Provider or Supplier Humboldt Family Walk-In Clinic Llc Street Address, City, State 1600 Coleman Drive, Humboldt, TN
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)
J0043 PHYSICAL PLANT AND ENVIRONMENT

The clinic . . . has a preventive maintenance program to ensure that: 491.6(b)(2) Drugs and biologicals are appropriately stored; and


This STANDARD is not met as evidenced by:
Based on the facility's policy, observation and interview, the Rural Health Clinic (RHC) failed to ensure that 3 of 5 multidose vials of medication were dated when opened and 3 of 10 medications were expired. The findings included: Review of facility's policy, "Emergency Kit Drugs/Biologicals Policy", with no date undated, revealed the Advanced Practice Registered Nurse (APRN) "...will remove and properly dispose of any expired drugs/biologicals..." Observation of medication storage cabinets located in the room behind the nurses' station on 2/9/2026 at 12:50 PM revealed the following opened multivials of medication with no opened dates identified: 1. Lidocain Viscous 2% 2. Ibuprofen- oral suspension 3. Infant Acetaminophen Observation of medication storage cabinets located in the room behind the nurses' station on 2/9/2026 at 12:55 pm revealed the following medications were expired: 1. Infant Acetaminophen- Expired 10/2025 2. Betamethasone Sodium Phosphate 30milligram (mg)/5milliliter(ml)- Expired 1/31/2026 3. Ubrelvy 100 millgram (mg)/tablet- Expired 1/2026 During an interview, on 2/9/2026, at 1:00 PM, the APRN reported the undated medication should have had an open date, and the expired medications should have been removed from storage and discarded.