Based on observations and interviews, the facility failed to ensure one of three treatment carts and one of three medication carts were locked when unattended by nursing staff. This deficient practice allowed unauthorized access to medications and treatment supplies, placing medications at risk for diversion and placing residents at risk for not receiving medications and dressing changes as prescribed.Findings Include:1) On 05/13/26 at 08:34 AM, during medication administration observation, observed the treatment cart with prescribed topical medications and other supplies for the residents in the hallway unlocked and unsecured. …
F761 citations in Hawaii
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
Hawaii cites F761 more often than its own record predicts
1.58 times the share F761 takes of citations nationally.
Of every deficiency written in Hawaii 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 Hawaii surveyors wrote
F761 findings written in Hawaii, 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 4.64% | 1.46× |
| 2024 | 3.54% | 1.15× |
| 2025 | 5.08% | 1.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction