Based on interview and record review it was determined the facility failed to provide timely pharmaceutical services for 3 of 7 sampled residents (#s 198, 21, and 78) reviewed for medication administration, and failed to ensure narcotic medication management systems were in place to account for and reconcile narcotics for 2 of 5 narcotic books reviewed for medication administration. This placed residents at risk for untimely medications and diversion. Findings include: 1. Resident 198 admitted to the facility in 10/11/24 with a history of seizures. The 10/2024 MAR instructed staff to administer lacosamide (antiseizure medication) two times a day for seizures, with a start date of 10/11/24. From 10/11/24 through 10/21/24 the MAR referred the reader to progress notes. …
F755 citations in Oregon
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
Oregon cites F755 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon 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 Oregon surveyors wrote
F755 findings written in Oregon, 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 it was determined the facility failed had systems in place to ensure medication was available to administer for 1 of 7 sampled residents (#48) reviewed for medications. This placed residents at risk for adverse medical side effects. Findings include:Resident 48 was admitted to the facility on [DATE] and discharged on 7/31/26 with diagnoses including a stroke.A 6/7/26 physician order indicated the use of Cresemba (antifungal medication) one time a day for a fungal infection.Review of Resident 48's 6/2026 and 7/2026 MARs revealed the medication was not administered on 6/12/26, 6/19/26, 7/14/26, 7/21/26 and 7/22/26.Review of Resident 48's progress notes revealed the following:-6/12/26 Staff 26 (RN) documented no indication medication was given and no… …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.54% | 0.26× |
| 2024 | 0.98% | 0.46× |
| 2025 | 1.36% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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