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F761: 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

F761 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: 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. It sits in CMS's pharmacy service category.

13,717citations in the CMS files
8,807homes cited at least once
3,099in the 12 months to September 2026
0.1%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 14.6% of F761 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)16 (0.1%)
  • Actual harm (G, H, I)3 (0.0%)
  • Potential for more than minimal harm (D, E, F)13,662 (99.6%)
  • Potential for minimal harm (A, B, C)36 (0.3%)

By letter: B 29, C 7, D 8,219, E 4,916, F 527, G 3, J 12, K 3, L 1.

What inspectors wrote

Three recent F761 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 13, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored properly for 1 of 1 medication carts reviewed for medication storage. The facility failed to properly store medication in the medication cart. The medication cart contained four loose pills. This failure could place residents at risk of not receiving prescribed medications as ordered and place the facility at risk of drug diversions.

Munday Nursing Center, Munday, TX

Inspectors wrote, August 13, 2026, scope and severity DBased on observation, interview, and record review the facility failed to ensure medications were securely stored when unattended for 1 of 5 hallways.

Suwannee Valley Nursing Center, Jasper, FL

Inspectors wrote, August 7, 2026, scope and severity EBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly store medications in four of five medications carts (2C2 Medication Cart, 2A Medication Cart, 2B Medication Cart, and 1B Medication Cart) and one of six resident rooms (Resident R74).

Providence Health & Rehab Center, Beaver Falls, PA

Most recent F761 citations at the harm or jeopardy level

Newest first, all 19 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
June 24, 2026Orrville PointeOrrville, OH JComplaint
June 4, 2026Maple Ridge Rehabilitation and NursingSalt Lake City, UT GComplaint
March 10, 2026Providence Living CenterTopeka, KS JComplaint
February 2, 2026Cedar Haven Healthcare CenterLebanon, PA KComplaint
November 20, 2025Life Care Center of FarmingtonFarmington, NM JComplaint
June 18, 2025Friendship Health and Rehab Center - SouthRoanoke, VA JComplaint
February 26, 2025The Haven of ParisParis, IL JComplaint
September 30, 2024Patapsco HealthcareRandallstown, MD JStandard
September 17, 2024Waterview Heights Rehabilitation and Nursing CenteRochester, NY LStandard
May 16, 2024Clovis Healthcare and Rehabilitation CenterClovis, NM JComplaint
April 9, 2024Royal Wood Mill CenterLawrence, MA GComplaint
March 31, 2024Town and Country Nursing and Rehabilitation CenterBoerne, TX JComplaint
March 13, 2024Fall Creek Rehabilitation and Healthcare CenterHumble, TX KComplaint
January 11, 2024Norridge GardensNorridge, IL GComplaint
March 10, 2023Capitol City Rehab and Healthcare CenterWashington, DC KStandard
March 9, 2023Complete Care at HyattsvilleHyattsville, MD JStandard
September 21, 2022Restore Health Rehabilitation CenterWhite Plains, MD JStandard
August 15, 2022Charlotte Hall Veterans HomeCharlotte Hall, MD JStandard
July 18, 2019Ridgecrest Manor Nursing & RehabilitationDuffield, VA JStandard

Most recent F761 citations

InspectionHomeTownLetter
August 14, 2026Maple Springs of PalmerPalmer, AK F
August 13, 2026Munday Nursing CenterMunday, TX D
August 13, 2026Suwannee Valley Nursing CenterJasper, FL D
August 13, 2026Shores Nursing and Rehab CenterPort Saint Joe, FL D
August 12, 2026Beaumont Nursing and RehabilitationBeaumont, TX D
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA E
August 7, 2026Rouse Warren County HomeYoungsville, PA D
August 6, 2026Parkview Skilled Care and RehabilitationBig Spring, TX D
August 6, 2026Bayside Health and Rehabilitation CenterPensacola, FL D
August 5, 2026Spindletop Hill Nursing and Rehabilitation CenterBeaumont, TX D
August 5, 2026Heritage Living CenterPark Rapids, MN D
August 5, 2026Edwardsville Care and RehabEdwardsville, KS D
August 5, 2026Mini-Cassia Care CenterBurley, ID D
July 31, 2026Sunnyview Nursing and Rehabilitation CenterButler, PA D
July 31, 2026Centre Care Rehabilitation and Wellness ServicesBellefonte, PA D
July 31, 2026The Greens at Maple LeafStatesville, NC D
July 31, 2026Autumn Lake Healthcare at Glen BurnieGlen Burnie, MD D
July 31, 2026Mt Zion Health & Rehab CenterMount Zion, IL F
July 31, 2026Vermont Healthcare CenterTorrance, CA D
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 30, 2026Harmony Care at FloresvilleFloresville, TX D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY E
July 30, 2026Good Samaritan Society - St. Martin VillageRapid City, SD D
July 30, 2026Saint Anne HomeGreensburg, PA D
July 30, 2026Foundation Park Care CenterToledo, OH E

F761 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California1,893
Texas1,525
Ohio781
Illinois719
Pennsylvania643
Florida598
Indiana517
Missouri492
Michigan450
New York422
Massachusetts385
North Carolina337
Virginia284
Maryland282
Washington280
New Jersey243
Kansas225
Tennessee217
Kentucky208
Colorado203
Connecticut199
Georgia197
Wisconsin184
Louisiana181
Arkansas164
Oklahoma157
South Carolina154
New Mexico150
Minnesota144
Mississippi113
Maine106
Oregon98
Iowa97
Idaho96
Nevada92
West Virginia91
New Hampshire89
Arizona83
Alabama71
Utah66
Hawaii65
Nebraska65
Rhode Island64
South Dakota57
North Dakota51
Montana33
Vermont33
Wyoming29
Delaware28
District of Columbia27
Alaska24
Puerto Rico4
Guam1

By inspection year: 2018 74, 2019 397, 2020 159, 2021 490, 2022 823, 2023 2,284, 2024 3,724, 2025 3,492, 2026 2,274.

Common questions

What is F761 in a nursing home inspection?
F761 is the federal requirement to "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". CMS files it under pharmacy service. A home cited under F761 did not meet that requirement at the inspection.
How often is F761 cited?
The CMS files as of September 1, 2026 list 13,717 F761 citations at 8,807 nursing homes, 3,099 of them in the 12 months to that date. 0.1% were rated as actual harm or immediate jeopardy.
Is a F761 citation serious?
It depends on the letter. Most F761 citations (99.6%) were rated as potential for more than minimal harm, D to F. 16 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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