Montereau Inc.: Pharmacy Service Deficiencies - OK
Federal inspectors documented two separate incidents where staff violated basic medication security protocols at the facility.
On the afternoon of October 27, LPN #2 left an unlocked treatment cart next to the second-floor nursing station while talking to a nursing student, then walked away entirely. The cart contained insulin, Narcan, lidocaine pain patches, and antiseptic solutions. For four minutes, the medications sat accessible to anyone walking by.
When questioned, LPN #2 admitted they kept the cart key "under the trash bags in the open compartment on the side of the cart" for "easy access." They acknowledged medications were stored on the cart but "did not have an answer for why the cart was unlocked and unattended."
The nurse walked away again, leaving the cart unlocked.
Another nurse, LPN #3, eventually locked the cart and told LPN #2 to "Keep that cart locked."
The next day, inspectors found the first-floor North treatment cart unlocked around the corner from the nurses' desk, positioned so its lock faced away from staff view. A nursing assistant stopped to grab gloves from the top while the cart remained unsecured.
LPN #1 admitted they "forgot to lock the cart."
The Director of Nursing told inspectors that carts "should have been locked" when out of sight and that nurses should keep keys "on them." The DON claimed to monitor cart security through rounds, yet walked past the unlocked first-floor cart without acknowledging the violation.
The facility operates six treatment carts and six medication carts total, according to the DON.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Montereau, Inc. from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Montereau, Inc. in Tulsa, OK was cited for violations during a health inspection on November 21, 2025.
Federal inspectors documented two separate incidents where staff violated basic medication security protocols at the facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.