Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
of F756 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025857
Every F756 citation surveyors wrote nationally that year.
Facilities cited855
Distinct nursing homes with at least one F756 finding.
The harm level
How severely F756 is cited
0.3% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J70.2%
K20.0%
L10.0%
Actual harm
G40.1%
H—
I—
No harm, potential for more than minimal
D2,96873.7%
E95723.8%
F721.8%
No harm, potential for minimal
A—
B50.1%
C130.3%
Every recorded F756 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F756 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedJune 9, 2026
Based on record review, staff, Pharmacist and Physician interviews, the facility failed to ensure the Pharmacist provided monthly medication regimen reviews that included a comprehensive review of the resident's medical record, including the medication administration record to identify medication irregularities. The Pharmacist medication regimen review (MRR) dated [DATE] through [DATE] did not identify irregularities related to ongoing Prednisone (a corticosteroid used to reduce inflammation and suppress an overactive immune system, treating a wide range of conditions including allergies, autoimmune disorders, and respiratory diseases) 20 milligrams (mg) order (3 tablets by mouth with breakfast for 5 days starting [DATE]. …
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose physician's orders included the administration of a medication with a black box warning, the facility failed to ensure the dispensing Pharmacist and the Pharmacy Consultant identified and reported a medication that was prescribed and administered at an excessive frequency, which resulted in Resident #1 experiencing an overall decline in condition, requiring transfer and admission to the hospital.Findings include:Review of the facility's policy, titled Pharmacy Services Overview, with a revision date of 04/2019, included the following:-Pharmaceutical services consist of:*the processes of receiving and interpreting prescriber's orders; receiving, reconciling, and dispensing.all medications.*the… …
D · No harm, potential for more than minimal, isolatedSeptember 11, 2026
Based on a review of clinical records and staff interviews, it was determined the facility failed to ensure the attending physician acted upon and documented a clinical rationale regarding consultant pharmacist identified medication regimen irregularities for one of 5 residents reviewed (Resident 22). Findings include: A review of Resident 22's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses that included dementia (a medical condition involving loss of cognitive functioning such as memory, thinking, and reasoning severe enough to interfere with daily activities). …
B · No harm, potential for minimal, patternJuly 9, 2026
Based on interviews, record review, and facility document review, it was determined the facility failed to have a policy and procedure in place for Medication Regimen Review for five (Resident #4, #5, #11, # 21 and #47) of five residents reviewed. The findings include:Resident #4A review of the admission Record revealed the facility admitted Resident #4 on 08/02/2024 with diagnoses that included major depressive disorder, end stage renal disease, chronic congestive heart failure, type-2 diabetes and morbid obesity. …
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Cited in the same inspection, not caused by one another.
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