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F0761
E

Unlocked and Unsupervised Treatment Carts

Broken Bow, Oklahoma Survey Completed on 08-26-2025

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

The facility failed to ensure that three treatment carts were locked and supervised in accordance with facility policy and professional standards. On multiple occasions, surveyors observed treatment carts left unlocked and unattended in various locations near the nurse's station and the front entrance. One LPN was seen walking away from an unlocked cart to retrieve medication cups, leaving the cart unsupervised and accessible. The facility's policy requires medication carts to be locked at all times when not in use or out of the nurse's view, and this was confirmed by both the ADON and the LPN during interviews. The DON reported that there were no wanderers in the facility at the time.

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