Inspection·December 17, 2024

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. Based on observations, interviews, and record review, the facility failed to ensure all drugs and biologicals were stored in permanently affixed compartments during medication storage inspection for 1 (cart #2) of 2 medication carts reviewed for storage. The facility failed to ensure medication cart #2 was locked and secured while unattended. This failure could result in a drug diversion. Findings included: During an observation on 12/17/2024 at 11:29 am, the medication cart #2 was observed to be unlocked with residents and visitors within 10 feet of the cart and within eyesight. During an interview on 12/17/2024 at 11:29 am, the ADMN asked was this medication cart left unlocked? He stated he had not known who was responsible for the opened medication cart. The ADMN stated it should have been locked at all times while not in use. During an interview on 12/17/2024 at 11:32 am, LVN A stated she was responsible for the medication cart, and it should have been locked. She stated she had left the medication cart to go help a CNA with resident care and had forgotten to lock it. LVN A stated the medication cart should have been locked so residents, along staff and visitors could not have access and take anything out. She stated if residents had done so, they could have taken medications. LVN A stated she felt the narcotic were safe due to them being under one lock. She stated it would not have created a possible drug diversion due to those only pertained to narcotics. During an interview on 12/17/2024 at 4:48 pm, the DON stated nurses were to keep medication carts that included medications, scissors and syringes locked at all times. She stated it was a matter of safety, as anyone could have gotten into the cart. She stated staff should always take the time to lock the carts at all times. The DON stated it was herself as well as the ADON who monitored the carts. She stated the negative impact to resident could have been someone taking medicine other than their own which could have been detrimental to the resident with having had a reaction. She stated it would be the same for staff or visitors as well. The DON stated she was not sure where the failure occurred, but possibly education or LVN A had been in a hurry. She stated her expectations were to keep medications as well as scissors and syringes always to be locked behind closed doors. During an interview on 12/17/2024 at 5:22 pm, the ADON stated the protocols for medication carts (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675330 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Oaks at Radford Hills Healthcare Center 725 Medical Dr Abilene, TX 79601 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)