Based on record clinical review, staff interviews, facility documentation, policy and procedures, the facility failed to ensure one resident (#170) was free from unnecessary medication. The deficient practice could result in resident developing complications such as overdose. Findings include: Resident #170 was admitted on [DATE] with diagnoses that included cervical disc degeneration and hypertension. The inventory of personal items record was dated February 17, 2023 and included one hospital gown and one pair of hospital socks. There were no other items written in the list. The list was signed by two staff and the date on the list was incomplete. …
F757 citations in Arizona
Unnecessary drugs · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F757 more often than its own record predicts
2.24 times the share F757 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F757 findings written in Arizona, 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 interviews, record review, and policy, the facility failed to ensure that 1 of 5 residents reviewed for unnecessary medications was monitored for adverse side effects associated with an anticoagulant and received opioid pain medication in accordance with the physician's ordered parameters (Resident (R)13). This deficient practice placed the resident at increased risk for receiving unnecessary medication and for adverse effects, including bleeding, oversedation, and/or respiratory depression.Findings include:Review of the admission Record revealed R13 was admitted to the facility on [DATE] with diagnoses which included unspecified dementia, unspecified severity, with other behavioral disturbance (a progressive decline in memory, thinking, and cognitive function that interferes with… …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.91% | 2.38× |
| 2024 | 2.45% | 3.51× |
| 2025 | 1.79% | 2.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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