Based on observation, interview with facility staff, and review of medical records and facility policies it was determined the facility failed to ensure medications were contained in a locked compartment and accessible only to authorized personnel to prevent serious injury and subsequent death related to one resident (#1) obtaining and ingesting medications from an unsecured medication cart of three residents sampled for risk of wandering and rummaging behaviors. The facility assessed Resident #1 on [DATE] which revealed he had wandering tendencies. He was care planned for having a behavioral history of eating objects including cigarettes and paper. …
F761 citations in Florida
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
Florida cites F761 more often than its own record predicts
1.06 times the share F761 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F761 findings written in Florida, 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, record review, and facility policy review, the facility failed to ensure medications and treatment supplies were securely stored to prevent unauthorized access and expired medications were removed from use for 3 residents (Residents #2, #7, and #14). Findings include: 1). During an observation on 8/31/26 at 10:26AM in Resident #2's room, a bottle of wound cleanser was observed next to Resident #2 and readily accessible. The wound cleanser was not secured or stored in the medication cart. During an interview on 9/3/26 at 9:54AM The Director of Nursing stated, wound cleanser should be stored in the medication cart and should not be left in the resident's room. The wound cleanser should only remain in the room if the resident has an infection. …
Based on observations, staff interviews, review of the electronic medical record, and review of the facilities policies and procedures, the facility failed to provide safe and secure storage of medications for 1 of 5 residents reviewed for medications. (Resident #233) The findings include: On 4/28/25 at approximately 1:30 PM, Resident #233 was observed in her room with a Lidocaine patch (a medication used for pain) on the nightstand table. There was also observed a round orange pill on a washcloth on the bedside table. On 04/29/25 at approximately 08:15 AM, the Lidocaine patch and orange pill was once again observed on the nightstand. This was brought to the attention of Staff D, a Registered Nurse. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 4.01% | 1.26× |
| 2024 | 3.60% | 1.17× |
| 2025 | 3.43% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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