Based on observation, record review, policy review, and resident and staff interview, it was determined the facility failed to ensure residents were free from unnecessary drugs. This was true for 1 of 5 residents (Resident #51) reviewed for unnecessary medications. This failure resulted in harm to Resident #51 when she fell and sustained a fracture from oversedation. Findings include: The facility's policy for Medication Regimen Review, undated, documented the following: * The consultant pharmacist performed a comprehensive medication regimen review (MRR) at least monthly. …
F757 citations in Idaho
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
Idaho cites F757 more often than its own record predicts
1.67 times the share F757 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F757 findings written in Idaho, 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 policy review, record review, and staff interviews, it was determined the facility failed to ensure monitoring for potential opioid side effects. This was true for 2 of 6 residents (#8 and #37) reviewed for opioid medications. This deficient practice created the potential for adverse outcomes when the facility did not document assessments for opioid-related adverse effects such as sedation, constipation, or respiratory changes. This resulted in incomplete monitoring to ensure the safe and effective use of opioid medications. Findings include:The facility's Opioid Overdose/Naloxone Management policy, undated, documented: Recognizing the signs of overdose and quickly responding can prevent brain injury and death. …
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 2.86% | 3.56× |
| 2024 | 0.62% | 0.89× |
| 2025 | 1.33% | 1.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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