Based on observations, interviews, and record reviews, the facility failed to ensure a medication cart was not left unlocked and unattended for 2 of 5 medication administration observations (North Medication Cart) and medication was not left unattended on top of a medication cart for 2 of 5 medication administration observations. (Center Medication Cart) Findings include:1. On 6/17/26 at 11:52 a.m., QMA 15 prepared medication for Resident E. She walked down the hall and administered the medication in the resident's room while leaving the North Hall medication cart unlocked and unattended at the nurse's station.At 12:04 p.m., QMA 15 returned to the unlocked cart. …
F761 citations in Indiana
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
Indiana cites F761 more often than its own record predicts
1.32 times the share F761 takes of citations nationally.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F761 findings written in Indiana, 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 interview, the facility failed to ensure that two of two medication carts in the facility were locked and attended by a licensed staff member when unlocked, potentially affecting 38 of 53 self-mobile cognitively impaired residents residing in the facility. Findings include: 1. Just prior to the medication pass, on 5/17/21, observed Medication cart A to be unlocked and unsupervised from 7:57 a.m. until 8:05 a.m. The medication cart was located in front of the nurse's station and directly in the route to the dining room. There were 11 residents in the dining room at that time. Interview, on 5/17/21 at 8:07 a.m., House Scheduler 5 indicated that Medication cart A should be locked when unattended and unsupervised by licensed staff. 2. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 3.99% | 1.26× |
| 2024 | 4.87% | 1.59× |
| 2025 | 4.27% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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