Based on record review, staff interviews, review of the policy titled Pharmacy Policy & Procedure Guide for Care Centers, and review of job descriptions, the facility failed to provide pharmaceutical services that dispensed the correct dosage of physician ordered medication for one of twenty sampled residents (R) (R77). R77 was administered an incorrect dosage of lamotrigine (medication for seizures) for 13 days before a medication error was recognized. Harm was identified to have occurred on 7/15/2024 when R77 experienced a grand mal seizure due to receiving a subtherapeutic dose of lamotrigine. Findings include: Review of the policy titled Pharmacy Policy & Procedure Guide for Care Centers, with a review date of 10/5/2021, revealed the Purpose, Objective, and Goals. Purpose: Number 1. …
F755 citations in Georgia
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
Georgia cites F755 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F755 findings written in Georgia, 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 observations, interviews and review of policy titled, Medication Administration, the facility failed to ensure that the narcotics count was documented at the beginning of each shift on three of three medications carts (Hall 1 cart, Hall 2 cart and Hall 3 cart). The deficient practice increased the risk of inaccurate accountability of controlled substances and increased risk of diversion or unauthorized use.Findings include:Review of policy titled, Medication Administration dated 02/01/2024 and revised 02/14/2026 documented under the section, Policy Explanation and Compliance Guidelines number 18 that, If medication is a controlled substance, sign narcotic book. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 1.62% | 0.77× |
| 2024 | 0.87% | 0.41× |
| 2025 | 1.14% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction