Based on review of a facility reported incident, medical records, facility documentation, and family and staff interviews, for six (6) of 104 sampled residents, the facility's staff failed properly store medications in accordance with Standards of Practice or Medication Manufacturer's Specifications as evidenced by: (1) not ensuring Resident #7's individual medication compartment did not contain expired Humalog (Lispro) insulin. Subsequently, the resident was administered expired Humalog (Lispro) insulin, (2) Employee #34 failed to ensure Resident #224's individual medication compartment did not contain a deceased resident's [Resident #488] medication, Subsequently the resident was administered the deceased resident's medication [Gabapentin], (3) Employee #35 stored Resident #147's Novolog… …
F761 citations in District of Columbia
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
District of Columbia cites F761 less often than its own record predicts
0.74 times the national share — cited less often here than elsewhere.
Of every deficiency written in District of Columbia 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 District of Columbia surveyors wrote
F761 findings written in District of Columbia, 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, record review, and staff interview, for one (1) of 53 sampled residents, facility staff failed to ensure proper storage of Resident #43's medication. The findings included:According to the manufacturer, Novo Nordisk, medical guidelines for Ozempic stated, Recommended Storage Conditions for Ozempic Single-patient-use pens (with multiple weekly doses): After first use of the Ozempic pen, the pen can be stored for 56 days at controlled room temperature 15 C to 30 C (59 F to 86 F) or in a refrigerator 2 C to 8 C (36 F to 46 F ).https://www.ozempic.comResident #43 was admitted to the facility on [DATE] with diagnoses that included: Morbid (Severe) Obesity and Chronic Obstructive Pulmonary Disease (COPD).Review of Resident #43's medical record revealed:A physician's order… …
The short window
Recent years
| Year | Share of District of Columbia citations | vs expected |
|---|---|---|
| 2023 | 2.27% | 0.72× |
| 2024 | 3.57% | 1.16× |
| 2025 | 2.40% | 0.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else District of Columbia surveyors cite →
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