Based on observation, interview and record review, the facility failed to ensure that medications were secure and inaccessible to residents. One resident (Resident #10) with a history of self harm, accessed and ingested an unknown amount of acetaminophen that was left in an unlocked cart. The facility census was 87. On 2/24/21 the administrator was notified of the past non-compliance which occurred on 12/21/20. On 12/21/20 facility staff became aware that Resident #1 had ingested medication he/she took from an unsecured cart. The resident received immediate medical attention and the facility initiated an investigation. Facility staff completed inservices and counseled staff involved. Observations made during the onsite visit showed no concerns with medications. …
F761 citations in Missouri
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
Missouri cites F761 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri 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 Missouri surveyors wrote
F761 findings written in Missouri, 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 and interview, the facility failed to ensure all medication was secured when medication and treatment carts were left unlocked, medication keys were left in box on top of the medication cart, and keys were left in the door lock of the medication room. The facility census was 77.Review of the facility policy, titled Storage of Medication, dated July 2021, showed the following:-Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier;-The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, pharmacy personnel, or staff members lawfully authorized to administered medications;-Medication rooms, carts, and medication supplies are locked when not attended by… …
Based on observation, interview, and record review, facility staff failed to destroy medications weekly and failed to store the medication behind a lock cabinet for 27 residents (Resident #2, #10, #26, #29, #30, #31, #32, #37, #42, #46, #53, #56, #59, #65, #66, #67, #68, #76, #77, #80, #81, #82, #83, #84, #85, #86, and #87). The facility census was 65.1. Review of the facility's Storage of Medications policy, undated, showed the following guidelines: -All medications for residents must be stored at or near the nurse's station in a locked cabinet, a locked medicine room, or one or more locked mobile medication carts;-Medications must be stored in the container in which they were received;-Drugs must be stored in an orderly manner in cabinets, drawers, or carts. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 2.98% | 0.94× |
| 2024 | 2.72% | 0.89× |
| 2025 | 2.42% | 0.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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