Based on observation, interview, and record review, the facility failed to ensure temperature sensitive medications were properly monitored and stored when medications were found to have been stored at or below 35 degrees Fahrenheit (F) and not within an acceptable temperature range between 36 degrees Fahrenheit (F) to 46 degrees F, according to the facility's policy and procedure and medication safe storage guidelines, affecting five of 57 sampled residents (Residents 329, 537, C, D, and E) in a universe of 228 residents. This failed practice could result in medication losing their potency (effectiveness) which could cause residents not getting the full benefits of their medications. …
F761 citations in California
Drug labeling and storage · Pharmacy Service Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F761 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F761.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F761 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview, and record review, the facility failed to ensure medications were properly secured for one of three (3) medication carts (Medication Cart 1- used to transport medication between resident-to-resident rooms) when one Licensed Vocational Nurse (LVN 1) left Medication Cart 1 key unattended, inside a disposable cup on top of the medication cart.This failure had the potential to result in medications being accessible by unauthorized individuals and medications being used inappropriately by unauthorized individuals.During a concurrent observation and interview on September 2, 2026 at 6:04 AM, LVN 1 was outside room [ROOM NUMBER] documenting on the computer. …
Based on observation, interview, and facility P&P review, the facility failed to ensure the medications in the medication room was stored properly. * The facility failed to ensure the bisacodyl (use for constipation) suppository medications were stored separately from eye drop medications. This failure had the potential for the medication degradation and contamination.Findings: Review of the facility's P&P titled Medication Labelling and Storage (undated) showed the medications for external use, as well as hazardous drugs and biologicals, are clearly marked as such, and are stored separately from other medications. On 1/6/26 at 1153 hours, an inspection of Medication Room A and concurrent interview was conducted with RN 1. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 3.11% | 0.98× |
| 2024 | 2.99% | 0.97× |
| 2025 | 3.12% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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