of F755 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 20252,542
Every F755 citation surveyors wrote nationally that year.
Facilities cited2,205
Distinct nursing homes with at least one F755 finding.
The harm level
How severely F755 is cited
1.7% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J420.4%
K420.4%
L20.0%
Actual harm
G600.6%
H120.1%
I—
No harm, potential for more than minimal
D6,34066.7%
E2,81029.6%
F1681.8%
No harm, potential for minimal
A—
B240.3%
C60.1%
Every recorded F755 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F755 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternJuly 9, 2026
Based on review of facility documents, clinical records, and staff interview, it was determined that the facility failed to implement procedures to ensure availability of prescribed medications. This failure resulted in an Immediate Jeopardy situation for four of 25 residents (Residents R1, R2, R3, and R4).Findings include: Review of the Facility Assessment for 2026, Quarter 1, indicated the facility will provide intravenous medications and treatment for infections. Under the Acuity - Care Requirements section indicated, We also admit residents with IV medications. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. …
Based on interview, and record review, the facility failed to provide pharmaceutical services, including procedures to ensure the accurate acquiring, receiving, dispensing, and administering of medications, to meet the needs for 1 of 4 residents (CR #1) reviewed for pharmaceutical services. The facility failed to ensure CR #1's prescribed hydrocodone-acetaminophen 10-325 mg was reordered and available as prescribed during her 72-hour therapeutic leave, resulting in the medication being unavailable for 4 scheduled administration times on 8/27/2026 and 8/28/2026. During the period the medication was unavailable, CR #1 reported pain of 8 out of 10 that affected her ability to sleep and function. …
D · No harm, potential for more than minimal, isolatedSeptember 17, 2026
Based on observation, interview, and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals, to meet the needs of each resident for one of six residents (Resident #49) reviewed for pharmacy services. The facility failed to ensure LVN I followed the manufacturer's instructions to prime the Aspart Insulin pen prior to dialing in the required amount of Insulin to be administered to Resident #49 on 09/16/26 at 11:51 AM. This failure could place residents at risk of not receiving the full dosage of medication resulting in a decline in condition. …
B · No harm, potential for minimal, patternJune 8, 2026
Based on observation, facility documentation, facility policy and interviews for storage and reconciliation of narcotic medications, the facility failed to maintain bi-monthly reconciliation of narcotic medications and failed to accurately document the destruction of house-stock narcotic medications to prevent misappropriation of narcotic medications. The findings include:An observation and interview with the Director of Nursing (DON) on 6/2/26 at 2:30 PM in her office, identified a Narcotic Destruction Form in plain view on a cabinet with 3 house-stock narcotics documented as destroyed.A review of the Narcotic Destruction Form identified 3 corresponding Controlled Substance Disposition Records attached. …
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Cited in the same inspection, not caused by one another.
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