Based on observation of medication cards, record review, interview with the facility staff and pharmacy consultant, the facility failed to provide pharmaceutical services to include procedures that assure the accurate administering of all drugs to each resident. The residents effected by this failure include 6 (Residents #1, #3, #7, #8, #9 and #11) who actually received incorrect or unknown drugs of the 13 (Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13) whose medication cards had been tampered. Those 13 residents had the potential to receive the incorrect or unknown drugs of the 100 residents residing in the facility. A facility nurse tampered with the packaging of the medication cards, substituting various pills in place of the narcotics. …
F755 citations in Florida
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F755 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F755 findings written in Florida, 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.
Based on record review and interview the facility failed ensure to obtain physician ordered medications in a timely manner for newly admitted residents for 2 (#1 and #2) of 3 residents reviewed. The findings included: Review of the policy titled Admission Data Collection and Orders last revised on 10/24 stated that the Nursing department is responsible for recording specific clinical data in the medical record upon a resident's admission to the community . The charge nurse who admits the resident is responsible for completing the Nursing Admission Data Collection, verifying orders are present for admission, additional corresponding data collection, and reviewing the information sent by the discharging community, hospital and/or attending physician . …
Based on record review, and interview, the facility did not follow medication administration procedures for one (Resident #1) out of three sampled residents. The Registered Nurse (RN) exited Resident #1's room and did not ensure that the medication administered was taken. There were 187 residents residing in the facility during the survey. The findings included: A review of the facility's grievance logs, covering the period from January 2026 through August 2026, indicated that Resident #1 was noted in the log on 05/19/26 regarding a report that pain medication had not been administered as requested.During an interview on 08/13/2026 at 1:30 PM the Director of Nursing (DON) stated that on 05/19/2026 Resident #1's daughter reported that she found a pill in a medication cup in the resident's… …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 2.47% | 1.17× |
| 2024 | 1.92% | 0.90× |
| 2025 | 1.90% | 0.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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