Cedars Of Lebanon Care Center
Inspection Findings
F-Tag F0761
F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on resident interview, observation, medical record review, staff interview, and review of the facility policy, the facility failed to ensure medications were not left at the bedside. This affected one (#18) of three residents reviewed for medication storage. The facility census was 45.Findings include:Review of the medical revealed Resident #18 was admitted to the facility on [DATE REDACTED]. Diagnoses included diabetes, chronic non pressure ulcer of the right heel, lymphedema, congestive heart failure, atherosclerotic heart disease, benign prostatic hyperplasia, chronic kidney disease, atrial fibrillation, chronic pain syndrome, neuroleptic induced Parkinsonism, chronic obstructive pulmonary disease (COPD), insomnia, cellulitis of the right lower limb, mood disorder, personality disorder, cardiomyopathy, obstructive sleep apnea, major depressive disorder, anxiety disorder, and hypothyroidism.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Resident #18 had intact cognition, had no behaviors, and received an opioid (pain medication).Review of September 2025 physician ' s orders revealed Resident #18 had an order for oxycodone-acetaminophen 5-325 milligrams (mg) one tablet every six hours for pain and Tylenol Cold and Flu 500 mg four times daily for 14 days for respiratory and body aches. Further review revealed Resident #18 did not have a physician order to leave medications at the bedside. Interview on 09/19/25 at 10:10 A.M. with Resident #18 revealed staff always left medications on his bedside table. Concurrent
observation revealed the resident had two yellow tablets and a blue tablet in a medication cup in his bedside table. Resident #18 stated the agency nurse left it in his room a couple days ago and he kept it because he was going to take them later if he needed them.Interview on 09/19/25 at 12:50 P.M. with Licensed Practical Nurse (LPN) #225 verified Resident #18 had three tablets in a medication cup in his room. LPN #225 confirmed the medications were two yellow Tylenol Cold and Flu 500 mg tablets and one blue oxycodone with acetaminophen 5-325 mg, which was a narcotic.Review of the facility policy titled, Administering Oral Medications, dated October 2010, revealed the purpose of the policy was to provide guidelines for the safe administration of oral medication. Further review revealed staff were to remain with
the resident until all medication had been taken.This deficiency represents non-compliance investigated under Complaint Number 2577683.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
CEDARS OF LEBANON CARE CENTER in LEBANON, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LEBANON, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CEDARS OF LEBANON CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.