F755 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F755 more often than its own record predicts
Versus expected share1.54×
1.54 times the share F755 takes of citations nationally.
Share of California citations3.61%
Of every deficiency written in California in 2025, this is the portion that was F755.
California3.61%
National2.34%
Share of all citations that were F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F755 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedJanuary 31, 2025
Based on observation, interview, and record review, the facility failed to have a system-wide (something that extends or exists throughout a system) method of accountability for controlled medications (drugs that are regulated by the government because it may be abused or cause addiction) and ensure safeguarding of controlled medications for two of nine sampled residents (Resident 1 and Resident 2) by:
1. Failing to ensure licensed nurses document the administration of controlled substances in Resident 1's electronic Medication Administration Record (eMAR- an electronic report detailing the drugs administered to a resident)
2. …
Based on observation, interview, medical record review, and facility document review, the facility failed to provide the pharmaceutical services to ensure the accurate medication dispensing and administration for one of three sampled residents (Resident 1) as evidenced by: * Pharmacy 1 dispensed 350 mg of amphotericin B (powerful antifungal medication used to treat serious, potentially life-threatening fungal infections), instead of 350 mg of amphotericin B liposome (a different formulation of amphotericin B with different dosing requirements) as ordered by Resident 1's physician. * Pharmacy 1 dispensed a 250 ml bag of D5W (intravenous solution of 5% dextrose in water), which was intended for use with the amphotericin B liposomal (AmBisome). …
E · No harm, potential for more than minimal, patternSeptember 2, 2026
Based on observation, interview, and record review, the facility failed to have proper training, written policies, procedures, or guidelines on handling Hazardous Drugs (HD) and pharmaceutical products when:Licensed Nurse (LN) 2 did not demonstrate how to don appropriate Personal Protective Equipment (PPE) when needed for handling HD.LN 3 also did not wear gloves when administering an HD.Loose pills were found at Resident 68's bedside, indicating improper handling and storage of medications. These failures increased staff's risk of exposure to HD and surface contamination and increased the risk of other residents being exposed to pharmaceutical products.
Findings:
1. …
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