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 Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F756 more often than its own record predicts
Versus expected share1.66×
1.66 times the share F756 takes of citations nationally.
Share of Massachusetts citations1.31%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F756.
Massachusetts1.31%
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 Massachusetts surveyors wrote
F756 findings written in Massachusetts, 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.
J · Immediate jeopardy, isolatedMay 13, 2025
Based on record review and interviews, the facility failed to ensure for one Resident (#40), out of a total sample of 18 residents, an Admission Medication Regimen Review (AMRR) was completed by the Consultant Pharmacist upon readmission to the facility and an irregularity was identified. Specifically, the Consultant Pharmacist failed to identify the discontinuation of Resident #40's immunosuppressant medication and, as a result, Resident #40 (a heart transplant recipient) missed 40 doses of tacrolimus (Prograf, an immunosuppressant medication used to prevent transplanted organ rejection) and required emergent hospitalization and medication adjustments during and after hospitalization . …
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, isolatedApril 23, 2026
Based on record review and interview the facility failed to ensure for one Resident (#3), out of five applicable residents, out of a total sample of 21 residents, that monthly pharmacy medication regimen review recommendations were implemented in accordance with the physician/nurse practitioner response to the recommendations. Findings include: Resident #3 was admitted to the facility in December 2023 with diagnoses that included anxiety disorder, diabetes, hyperlipidemia and depression. Review of the Minimum Data Set (MDS) assessment, dated 2/19/26, indicated a Brief Interview for Mental Status (BIMS) score of 5 out of 15, indicating severe cognitive impairment. Review of the clinical progress note, dated 4/2/26, indicated: Medication Regimen Reviewed. …
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