Health inspection·September 14, 2022

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 observation, interview, and record review 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 treatment cart #1 at nurses station and medication cart #2 from hall 200 of four medication carts reviewed for label and storage of drugs and biologicals. The facility failed to ensure treatment cart #1 and medication cart #2 was locked when unattended. This failure could place residents at risk of having access to unauthorized medications and unauthorized lab and medical supplies and/or lead to possible harm or drug diversions. Findings included: During an observation on 09/12/2022 at 10:53 AM of the nurses station revealed an unlocked treatment cart with lancets and IV cannulas. All drawers of the treatment cart were unlocked, and all supplies, and additional items were easily accessible. The DON came immediately and locked the cart. During an observation on 09/14/2022 at 11:36 AM Hall 200 revealed an unlocked medication cart #2 with over-the-counter medications and eye drops in the first drawer, medication cards in the second drawer, overflow medications cards and liquid over the counter medications in the third drawer. LVN B was in the residents room, administering medications and left the cart unattended and unlocked. During an interview on 09/14/22 at 09:07 AM, the DON stated that the treatment carts are used for lab supplies since the nurses draw all their own labs. It must have been the night shift nurse who left the treatment cart unlocked. All nurses are responsible for locking all treatment carts and medication carts. The DON stated that she will re-educate all staff at their next meeting regarding the importance of locking all treatment carts and medication carts. During an interview on 09/14/2022 at 12:11 PM, LVN B stated that medication cart should be locked at all times so that residents cannot injure themselves or inflict harm on themselves by taking medications that are not theirs. Review of the facility's policy, titled Storage of Medications, revised 08/2020, reflected (in part): Only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications (such as medication aides) are permitted to access medications. Medication rooms, carts, and (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 8 Event ID: 675722 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 675722 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/14/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Fort Stockton 501 N Sycamore Fort Stockton, TX 79735 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)