Based on observation, record review, and interviews conducted during the survey, the facility failed to establish and maintain a system to accurately reconcile, verify, and oversee methadone medications received from an external opioid treatment program. This was evident for 10 (Residents #2, 16, 28, 49, 50, 53, 114, 142, 146, 177) of 23 residents enrolled and receiving methadone (a long-acting opioid used to treat opioid use disorder) through an opioid treatment program. Specifically, a review of methadone administration records revealed 10 of 23 residents received dosages inconsistent with physician's orders. …
F755 citations in New York
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
New York cites F755 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 New York surveyors wrote
F755 findings written in New York, 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 reviews and interviews conducted during the abbreviated survey, the facility failed to implement a system to consistently and accurately reconcile controlled medications in accordance with professional standards of practice. This was evident for two out of four residents (Resident #1 and Resident #15) sampled for medication discrepancies. Specifically, (1) the entries on a narcotic count sheet for Resident #1 were changed and written over by staff that had not administered the narcotic, and (2) discrepancies were noted with entries on the inventory log of narcotics for Resident #15 that did not timely and accurately reflect if medications received by the facility were administered, destroyed, or returned to Resident #15 upon their discharge. …
Based on observation, record review, and interviews during a recertification survey and abbreviated survey (NY00326260), the facility did not ensure procedures that assured the accurate acquiring, receiving, dispensing, reconciliation, and storage of medications. Specifically, the facility did not ensure that narcotic medications received at the facility were properly destroyed. This is evidenced by: On October 13, 2023, Director of Nursing #1 sent a notification to the New York State Department of Health Bureau of Narcotics advising them of the destruction of controlled substances. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.99% | 0.47× |
| 2024 | 1.12% | 0.53× |
| 2025 | 1.03% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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