Based on observation and interview the facility failed to properly secure medications in 3 of 12 medication carts and 3 of 6 treatment carts resulting in the potential for compromise of medications and/or misappropriation of medications, and accidental ingestion. Findings include: During an observation on 8/11/26 at 11:31 AM, The door on room [ROOM NUMBER] had a caddy on it with personal protective equipment supplies in the caddy. Noted prescription cream medication on the door caddy in reach of anyone that walked by the door. Noted that there was not a nurse near in view of the door. During an observation on 8/11/26 at 11:51 AM, a bottle of nasal spray and prescription antibiotic cream were sitting on the dresser in Resident #113's room. …
F761 citations in Michigan
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
Michigan cites F761 more often than its own record predicts
1.07 times the share F761 takes of citations nationally.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F761 findings written in Michigan, 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 the facility failed to dispose of expired medications in 1 of 2 medication storage rooms and 2 of 3 medication carts reviewed, resulting in the potential for decreased efficacy of medications and adverse side effects in a current facility census of 57 residents. Findings include: An observation of the East medication storage room on 09/14/22 03:34 PM with licensed practical Nurse (LPN) F revealed 4 bottles of Zinc 50 milligram tablets, expired on 12/21. An observation of the 400-hall medication cart on 09/14/22 03:44 PM with LPN O revealed Fiber powder 10-ounce bottle, expired on 08/22. Loperamide [MEDICATION(S)] 2 milligram tablets, expired on 08/22.
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 3.83% | 1.21× |
| 2024 | 3.32% | 1.08× |
| 2025 | 3.45% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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