Based on observations, staff interviews, review of the electronic medical record, and review of the facilities policies and procedures, the facility failed to provide safe and secure storage of medications for 1 of 5 residents reviewed for medications. (Resident #233) The findings include: On 4/28/25 at approximately 1:30 PM, Resident #233 was observed in her room with a Lidocaine patch (a medication used for pain) on the nightstand table. There was also observed a round orange pill on a washcloth on the bedside table. On 04/29/25 at approximately 08:15 AM, the Lidocaine patch and orange pill was once again observed on the nightstand. This was brought to the attention of Staff D, a Registered Nurse. The medication and the patch were removed out of the room at this time. On 4/30/2025 at 8:47 AM a record review of the medication administration record for Resident #233 revealed an order for Lidocaine patch and Calcium Carbonate (which was the previously observed orange pill). The facility's Policy and Procedure for Medication storage states that all drugs and Biologicals will be storage in locked compartments. During the medication pass, medications must be under direct observation of the person administering medications or locked in the medication storage cart.