Drug regimen review · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F756 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F756 less often than its own record predicts
Versus expected share0.42×
0.42 times the national share — cited less often here than elsewhere.
Share of Colorado citations0.34%
Of every deficiency written in Colorado in 2025, this is the portion that was F756.
Colorado0.34%
National0.79%
Share of all citations that were F756.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F756 findings written in Colorado, 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.
L · Immediate jeopardy, widespreadApril 26, 2024
Based on interviews and record review, the facility failed to implement policies and procedures that ensured potential irregularities identified by the consulting pharmacist (CP) and documented in monthly drug regimen reviews (MRRs) as recommendations, would be timely reviewed and acted upon by the medical provider, medical director, and the director of nursing (DON). This failure affected four of four residents (#51, #60, #15, #64) whose records were reviewed.
In an interview, the CP responsible for the facility's MRRs stated she emailed the residents' MRRs to the DON monthly. There had been no response to the MRR recommendations for four months, beginning in January 2024. …
E · No harm, potential for more than minimal, patternJune 3, 2026
Based on record review and interviews, the facility failed to provide a rationale to act upon the pharmacist's recommendations in a timely manner for three (#2, #3 and #4) of five residents out of 36 sample residents. Specifically, the facility failed to provide a rationale for not acting upon the pharmacist's recommendations for Resident #2, Resident #3 and Resident #4.
Findings include:
I. Facility policy and procedure
The Medication Regimen Reviews policy and procedure, revised February 2025, was provided by the nursing home administrator (NHA) on 6/3/26 at 7:17 p.m. It revealed in pertinent part, Upon receiving the medication recommendation report (MRR) from the pharmacist, the physician reviews and responds to the report. …
C · No harm, potential for minimal, widespreadFebruary 28, 2018
Based on record review and staff interviews, the facility failed to ensure two (#66 and #46) residents out of 51 sample residents' drug regimen was reviewed at least once a month by a licensed pharmacist.
Findings include:
I. Facility policy and procedure
On 2/28/18 the facility provided a copy of the facility ' s policy and procedure, titled Drug Regimen Review, which included in pertinent part: The consultant pharmacist reviews the medication regimen of each resident at least monthly.
II. Resident #66
Resident #66, age 88, was admitted on [DATE] and readmitted on [DATE]. According to the (MONTH) (YEAR) computerized physician orders [REDACTED].
The 1/23/18 minimum data set (MDS) assessment indicated the resident had moderately impaired cognitive function. …
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