Inspection·December 9, 2025

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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 locked compartments and permit only authorized personnel to have access to the keys during medication storage inspection for 3 (cart #1, cart #2, and cart #3) of 4 medication carts reviewed for storage. The facility failed to ensure medication carts #1, #2 and #3 were locked and secured while unattended. This failure could result in drug diversion. Findings included: During an observation on 09/24/2025 at 05:30 AM, medication carts #1 and #2 were observed to be unlocked with residents and staff within 10 feet of the cart or within eyesight with the medication drawers facing outward. These carts were observed to have the following medication:* heart medications (amiodarone, amlodipine, metoprolol), *depression medications (trazodone), * diuretics (metolazone), * antinausea (meclizine, ondansetron), * diabetes medications (glucagon, insulin), * inhalation medications (albuterol, ipratropium bromide, budesonide), * anti-yeast medications (nystatin powder and cream), *OTC pain medication (aspirin, Tylenol), and *OTC constipation medication (MiraLAX).During an interview on 09/24/2025 at 05:38 AM, RN C stated she was the charge nurse for the night shift, and it was her responsibility to make sure all carts remained locked when not being used. She stated she had left medication carts #1 and #2 unlocked intentionally because the day shift would be coming onto their shift soon. During an observation on 09/24/2025 at 12:12 PM, Medication Cart #3 was observed to be unlocked with residents and staff within 10 feet of the cart out of eyesight with unlocked drawers facing outward. Cart #3 was observed to have the following medications:* heart medications (amiodarone, amlodipine, metoprolol), * depression medications (trazodone), * diuretics (metolazone), * antinausea (meclizine, ondansetron), *diabetes medications (glucagon, insulin), * inhalation medications (albuterol, ipratropium bromide, budesonide), *anti-yeast medications (nystatin powder and cream), *OTC pain medication (aspirin, Tylenol), and*OTC constipation medication (MiraLAX). During an interview on 09/24/2025 at 12:12 PM, RN D stated cart #3 was her responsibility. She stated she felt she had her eyes on the cart, but when the cart had been found unlocked, her back was toward the cart. She stated she did not know what medications were in her cart, or which residents they were for. RN D stated she had driven to the facility early and was tired. She stated she was also in the process of attaining her master's degree and felt she did not need to be written a citation for not following protocols of having an unlocked medication cart. During an interview on 09/24/2025 at 11:58 PM, the ADMN stated all medication carts should have been locked when not in use. She stated the nurses on shift should have monitored their own carts, as well as all staff being aware of the possibility of unlocked carts. The ADMN stated, the potential harm to residents was the residents and/or staff could have taken medications out of the carts causing a medication diversion or misappropriation of property as well as a possible overdose or allergic reaction. The ADMN stated the failure was the staff being too busy to take the time to lock the (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 12/09/2025 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)