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.
F761 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F761 more often than its own record predicts
Versus expected share1.21×
1.21 times the share F761 takes of citations nationally.
Share of Massachusetts citations3.90%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F761.
Massachusetts3.90%
National3.22%
Share of all citations that were F761.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F761 findings written in Massachusetts, 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.
G · Actual harm, isolatedApril 9, 2024
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was known to wander, rummage, and eat food he/she found, the Facility failed to ensure that medications were kept locked up (secured) or under direct supervision of nursing staff, when on 03/29/24, Nurse #1 left a medication package delivered from the Pharmacy unattended on the desk at the Nurses' Station, and as a result, Resident #1 was later found with the opened package and was believed to have ingested multiple Seroquel (antipsychotic) and Risperidone (antipsychotic) tablets. …
D · No harm, potential for more than minimal, isolatedAugust 5, 2026
Based on observation, interview, and document review, the facility failed to ensure all drugs and biologicals used in the facility were stored in a safe and secure manner as required. Specifically, the facility failed to ensure medication and treatment carts were locked and secured when not in direct supervision of a licensed nurse on two of two units.Findings include:Review of the facility policy titled Storage of Medications, last revised July 2025, indicated but was not limited to:-The facility stores all drugs and biologicals in a safe secure, and orderly manner.-Drugs and biologicals used in the facility are stored in locked compartments. …
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