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 Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F756 more often than its own record predicts
Versus expected share1.33×
1.33 times the share F756 takes of citations nationally.
Share of Oregon citations1.05%
Of every deficiency written in Oregon in 2025, this is the portion that was F756.
Oregon1.05%
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 Oregon surveyors wrote
F756 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.
G · Actual harm, isolatedOctober 14, 2022
Based on interview and record review it was determined the facility failed to ensure a pharmacy recommendation was acted upon to ensure a laboratory test was obtained for 1 of 3 sampled residents (#4) reviewed for change in condition. Resident 4 was admitted to the hospital with a gastrointestinal (stomach/intestinal) bleed. Findings include:
Resident 4 was admitted to the facility in 2022 with diagnoses included an infected knee replacement.
Per Online Epocrates (web based medication reference):
[MEDICATION(S)] (antibiotic) and [MEDICATION(S)] (prevents clots)-Avoid combination: combination may decrease [MEDICATION(S)] levels, efficacy; may increase risk of bleeding, including life-threatening affects. …
D · No harm, potential for more than minimal, isolatedAugust 10, 2026
Based on interview and record review it was determined the facility failed to implement pharmacist recommendations for 1 of 5 sampled residents (#9) reviewed for medication. This placed residents at risk for adverse side effects of medication. Findings include:Resident 9 was admitted to the facility on [DATE] with diagnoses including COPD (lung disease). A 6/29/26 MDS indicated Resident 9 had a BIMS score of 9 indicating the resident was moderately cognitively intact. The MDS indicated Resident 9 was dependent for all cares. A 6/2026 pharmacy review indicated staff to change scheduled oxybutynin 10mg extended release via PEG tube to oxybutynin 10mg immediate release via PEG tube. The pharmacy review indicated staff to change cetirizine 10mg to cetirizine 5mg. …
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