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F0761
D

Unattended Unlocked Treatment Cart Found in Facility Hallway

Carlsbad, New Mexico Survey Completed on 04-05-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Facility staff failed to ensure that all treatment carts were locked while unattended, as required for the secure storage of drugs and biologicals. During a random observation, a treatment cart located in the hallway of the 200 rooms was found unlocked with no facility employees present in the area. This was confirmed by both a case manager and a registered nurse, who acknowledged the cart was unlocked and subsequently secured it. The unlocked cart had the potential to allow unauthorized access to medical supplies and personal health information for all 18 individuals residing in rooms 200 through 216. No specific details about the medical history or condition of the affected residents were provided in the report.

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