Based on interview and record review, the facility failed to correctly transcribe the hospital's discharge orders for 1 of 3 residents reviewed for accuracy of physician orders for a newly admitted resident. This deficient practice resulted in a resident not having a diagnosis of diabetes identified and not receiving his hospital discharged ordered insulin for five (5) days, which contributed to the resident having elevated (high) blood glucose, diminished cognitive levels, lethargy and being sent out to the local hospital. The resident was sent out to the local hospital on 2-13-26, at the request of the family. He was subsequently admitted to the local hospital the same date for altered mental status, possibly related to dehydration, infection or diabetic ketoacidosis. …
F755 citations in Indiana
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
Indiana cites F755 more often than its own record predicts
1.26 times the share F755 takes of citations nationally.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F755 findings written in Indiana, 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 interview and record review, the facility failed to ensure 1 of 3 residents reviewed for receipt of physician-ordered medications received their ordered anti-convulsant (seizure prevention medications) and/or anti-anxiety medications as ordered for 3 consecutive days, resulting in an increase in the number of seizures and a hospitalization related to the increase in seizures. (Resident B) Findings include:The clinical record of Resident B was reviewed on 11-12-25 at 11:14 a.m. His diagnoses included, but were not limited to, traumatic hemorrhage of the cerebrum (brain bleed), seizures, general anxiety, impulse disorder, aphasia (does not speak/nonverbal). It indicated he was admitted to the facility on [DATE], from an area hospital. …
Based on observation, interview and record review, the facility failed to ensure medications were administered as ordered by the attending physician or nurse practitioner, to ensure controlled substances were documented on the narcotic log, to ensure a certified medication aide (a qualified medication assistant or QMA) notified a licensed nurse of potential for administration of a controlled substance prior to its administration and to ensure nursing staff followed the facility's procedure and the manufacturer's recommendations for the use of a medical device used for delivery of a diabetic medication. (Residents B, C and D, LPN 3, QMA 4, LPN 5 and RN 6) Findings include:1. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.79% | 0.85× |
| 2024 | 2.93% | 1.37× |
| 2025 | 2.95% | 1.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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