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F0761
E

Medication Cart Left Unlocked and Unattended

West Bend, Wisconsin 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

A medication cart on the 400 North unit was observed left unlocked and unattended, with an open computer screen displaying resident information. The drawers of the cart faced the hallway, and a resident was seen self-propelling in a wheelchair nearby. The agency RN responsible for the cart confirmed that it should have been locked and the computer turned off, but stated they forgot to do so when leaving to refill a water jug. The facility's policy requires all medication storage compartments, including carts, to be locked when not in use and not left unattended if open or accessible. The DON also confirmed that medication carts should be locked when unattended.

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