Inspection·September 27, 2023

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 observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments on 1 of 5 medication carts reviewed for storage of drugs. Nurses' Medication Cart was left unattended, unlocked and medication cart keys left in medication cart lock by nurse's station area. This deficient practice could affect residents who have medications on the Nurses' Medication Cart and could result in lost medications, drug diversion, or harm due to accidental ingestion of unprescribed medications. Findings included: Observation on 09/25/23 at 1:45 PM revealed a medication cart was left unlocked, unattended and medication cart keys left in medication cart lock by nurse's station. There was one resident about 5 to 10 feet away from cart and one nurse located at the nurses station out of view of the unlocked medication cart. This surveyor opened the top drawer recognizing the cart being unlocked. Multiple medications in bulk bottles and blister packs were easily assessable for removable. The DON walked by approximately 5 to 10 minutes later and was made aware of the situation and paged RN A over the intercom to come to the nurse's station. When RN A came out of resident's room, he took ownership of the medication cart and acknowledged it being unlocked and unattended. Interview on 9/25/2023 at 3:20 PM with DON stated, medication carts should be locked at all times and RN A must have gotten distracted from locking it. DON stated it was important to keep medication cart locked at all times due to anyone being able to open it and get medications not prescribed to them. DON stated that the keys to medication carts should always be with the nurse responsible for that medication cart and in-servicing on unlocked medication carts would began immediately. Interview on 09/27/2023 at 2:00 PM., with RN A stated it was a rare circumstance to leave medication cart unlocked with keys left in it. RN A stated he was called to change a resident and was in a hurry. RN A stated it was important to not leave the keys on the medication cart because of the different types of medication including narcotics it stores and could be a safety issue. RN A stated if the keys are left on the medication cart a myriad of things could happen for example, a resident, visitor, or staff member can gain access to the meds in the cart. Record review of the Facility's Medication Carts and Supplies for Administering Medication policy and procedure states; (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 4 Event ID: 675892 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 675892 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/27/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Gulf Pointe Plaza 1008 Enterprise Blvd Rockport, TX 78382 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)