F0761

D

Unattended Unlocked Treatment Cart Left Accessible in Hallway

Yukon, Oklahoma Survey Completed on 03-05-2026

Penalty

No penalty information released

Summary

The facility failed to ensure a treatment cart on hall 8 was secured when staff were not in attendance, contrary to facility policy requiring medication carts to be closed and locked when out of sight of the medication nurse. On 03/04/26 at 12:26 p.m., an LPN left the treatment cart unlocked in the hallway and went inside a resident room, positioning the cart slightly sideways near the wall with the front of the cart facing the hallway. At 12:27 p.m., an unidentified resident approached the front of the unattended, unlocked treatment cart and spoke to the LPN from the doorway while the LPN remained inside the room. The facility’s Medication Administration policy, dated 01/2024, stated that during medication administration the cart must be kept closed and locked when out of sight and must be clearly visible to the personnel administering medications when unlocked.

When interviewed at 12:29 p.m., the LPN stated they did not think leaving the cart unlocked was a big deal because they returned quickly. Later, at 2:32 p.m., the regional consultant and the DON confirmed that the policy and procedure for treatment/medication cart storage required carts to be locked anytime staff were not in attendance of the cart. The administrator identified that 105 residents resided in the facility at the time of the survey.