Based on interviews with the Nursing Home Administrator, the Director of Nursing, Assistant Director of Nursing, Nursing staff, certified Nurse Assistants, the resident's family member, the attending physician, Medical Director and consultant pharmacist, and review of the facility's policies and the resident's medical record, the facility failed to prevent the administration of an unnecessary medication to one (Resident #3) of three sampled residents. The facility failed to prevent the administration of unnecessary medications to Resident #3 who had dementia and cognitive communication dysfunction, who had an order to remove and replace Fentanyl (narcotic to treat severe pain) patches every 3 days. On 02/10/23, Staff A. …
F757 citations in Florida
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
Florida cites F757 more often than its own record predicts
1.56 times the share F757 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F757 findings written in Florida, 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 interview and record review, the facility failed to ensure physician orders were followed related to the pharmacy Psychoactive Medication Use Recommendations for the monthly drug regimen review for 1 of 5 residents, Resident #49, reviewed for unnecessary medications.Findings include: Review of the Psychoactive Medication Use Recommendations document for Resident #49 dated 6/23/2026 read, Currently receiving Trazodone which can increase risk of drowsiness and falls. Per clinical record, with recent falls. Please evaluate, consider tapering dose or implementing alternative treatment, if necessary. The physician response was documented as Agree; Will do; D/ C [discontinue]. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.85% | 1.06× |
| 2024 | 0.66% | 0.94× |
| 2025 | 1.24% | 1.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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