Based on observation, review of facility policy, and staff interview, the facility failed to ensure safe and secure storage of medications in 1 of 3 units (100-unit) observed. Failure to secure medications may result in unauthorized access to medications. Findings include:Review of the facility policy titled Medication Administration occurred on 07/29/26. This policy, revised 04/28/26, stated, . Lock cart when not attended to.Observation on 07/28/26 at 7:40 a.m. showed an unlocked medication cart in the 100-unit hallway with a medication cup containing two pills on the top of the cart, and the computer screen open and displaying resident information. Observation showed facility staff left the medication cart unattended for over 3 minutes with residents present in the hallway. …
F761 citations in North Dakota
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
North Dakota cites F761 less often than its own record predicts
0.77 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Dakota 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 North Dakota surveyors wrote
F761 findings written in North Dakota, 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 staff interview, the facility failed to properly store medications, and laboratory supplies for 2 of 2 storage areas (medication room and medication cart). Failure to discard expired medications, culture swabs and vacutainers (blood specimen collection tubes) increases the risk of residents receiving outdated medications with reduced efficacy and/or staff utilizing outdated laboratory supplies. Findings include: Observation of the medication room and medication cart occurred on the morning of 01/11/18 with a licensed staff member (#4). …
The short window
Recent years
| Year | Share of North Dakota citations | vs expected |
|---|---|---|
| 2023 | 3.51% | 1.11× |
| 2024 | 5.19% | 1.69× |
| 2025 | 2.49% | 0.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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