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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F761 less often than its own record predicts
Versus expected share0.45×
0.45 times the national share — cited less often here than elsewhere.
Share of Virginia citations1.45%
Of every deficiency written in Virginia in 2025, this is the portion that was F761.
Virginia1.45%
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 Virginia surveyors wrote
F761 findings written in Virginia, 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.
J · Immediate jeopardy, isolatedJune 18, 2025
Based on staff interview, clinical record review and facility document review the facility staff failed to accurately label medications for 1 of 2 residents, Resident #1.
The findings included:
For Resident #1 the facility staff failed to ensure the medication Morphine Sulfate was labeled with the correct dosage, resulting in the resident receiving multiple incorrect doses.
Resident #1's face sheet listed diagnoses which included but not limited to multiple sclerosis, epilepsy, long term use of opiate analgesic, and personal history of traumatic brain injury.
Resident #1's most recent minimum data set with an assessment reference date of 11/18/24 assigned the resident a brief interview for mental status score of 3 out of 15. …
D · No harm, potential for more than minimal, isolatedJuly 23, 2026
Based on observation and staff interviews, the facility staff failed to ensure expired syringes with attached needles were removed from available stock for one out of two medication rooms. The findings included: The facility staff failed to ensure expired syringes with attached needles were removed from available stock.On [DATE] at 11:14 a.m., an observation was made of the medication room on hall 100 with a licensed practical nurse, (LPN1). During the observation of the medication room, expired luer lock disposable 23-gauge x 1-inch syringes with attached needles was identified. The expiration date on the packages was [DATE]. The expired syringes were given to LPN1.On [DATE] at 11:51 a.m., an interview was conducted with a registered nurse, (RN1). …
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