Based on observations, interviews, and record reviews the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 1 of 24 residents reviewed for medication storage. 1. The facility failed to store Resident #52's medications which were kept at her bedside which resulted in an incident on 11/22/2023, when she was hospitalized and diagnosed with overdose related to self-medication with Diphenhydramine (an antihistamines; used for relief from symptoms related to hay fever, upper respiratory allergy, or cold symptoms) and hydrocodone (a narcotic analgesic agent for the treatment of moderate to moderately severe pain). An Immediate Jeopardy (IJ) was identified on 03/29/2024. …
F761 citations in Texas
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
Texas cites F761 more often than its own record predicts
1.49 times the share F761 takes of citations nationally.
Of every deficiency written in Texas 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 Texas surveyors wrote
F761 findings written in Texas, 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, interview, and record review, the facility failed to properly secure medications in locked compartments for 1 of 1 medication carts (A Hall) reviewed for medication storage. The facility failed to ensure the A Hall medication cart was locked and secured on 09/16/26 when left unattended by MA C on the A Hall for an unknown amount of time.This failure placed residents at risk for unauthorized access to the medication cart and consumption of harmful medications. Findings included:An observation and interview on 09/16/26 at 9:15 AM revealed an unlocked medication cart was situated against the wall in a hallway on A Hall. There were not any staff members observed in the vicinity of the unlocked medication cart on A Hall. …
Based on observation, interview and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles in 1 of 3 medication carts reviewed. (medication cart assigned to Hall 200) Medication cart assigned to Hall 200 was left unlocked and unattended. This failure could place the residents who received medications at risk for drug diversion. Findings include: During an interview and observation on 1/25/22 at 7:47 a.m., LVN B was giving a resident medication in room [ROOM NUMBER] during the medication pass observation. She left the cart unlocked and walked into a resident's room and pulled the privacy curtain and gave the resident's medications. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 4.26% | 1.34× |
| 2024 | 4.19% | 1.37× |
| 2025 | 4.79% | 1.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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