Based on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure an effective system was in place for pharmaceutical services to meet the needs of each resident. The facility failed to develop a system to ensure medications received from the pharmacy were accounted for. In addition, the facility failed to collaborate with their contracted pharmacy to develop safeguards and put systems in place to control, account for, and periodically reconcile medications to prevent diversion, and there was no documentation that the causes of the discrepancies were thoroughly investigated. These failures affected eight (8) of seventy-one (71) sampled residents (Residents #19, #30, #63, #77, #150, #151, #161 and #162). …
F755 citations in Kentucky
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
Kentucky cites F755 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F755 findings written in Kentucky, 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 provide routine drugs to its residents as ordered or obtain them for one (1) of six (6) sampled residents, Resident (R) 1. The facility failed to administer R1's scheduled monthly invega sustenna injection (an antipsychotic medication used to treat schizophrenia) on 04/19/2026 and did not promptly notify the pharmacy that the medication was unavailable. R1 did not receive his scheduled invega sustenna injection until 05/06/2026, 17 days later, resulting in increased behaviors in April and May 2026. R1 was admitted to the state psychiatric facility from 05/08/2026 until 05/21/2026. …
Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure proper control, accountability, reconciliation, and safeguarding of controlled substances in accordance with professional standards of practice, to include 6 of the facility's 6 medication carts.Observation during narcotic counts of the facility's six medication carts on 08/11/2026 and 08/12/2026 revealed the Controlled Medication Shift Change Log had been pre-signed by day shift prior to evening shift arrival.Observation during a narcotic count on 08/11/2026 revealed a controlled substance had not been signed out by Licensed Practical Nurse (LPN) 6 on the Controlled Drug Record.Observation during a narcotic count on 08/12/2026 revealed a controlled substance had been wasted… …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 1.23% | 0.59× |
| 2024 | 1.65% | 0.77× |
| 2025 | 0.98% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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