Based on record review and interview, the facility failed to adequately monitor a medication and ensure a resident with impaired renal function did not receive [MEDICATION NAME] (a heart medication used to maintain a normal, steady heartbeat) while experiencing [MEDICAL CONDITION] (low heartrate) and also receiving [MEDICATION NAME] (an antibiotic that can exacerbate the effects of [MEDICATION NAME]) and was subsequently admitted to the hospital with [REDACTED]. (Resident C) The immediate jeopardy began on [DATE] when the facility failed to follow nursing standard of practice and gave Resident C's prescribed [MEDICATION NAME] dose when her heartrate was 53. …
F757 citations in Indiana
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
Indiana cites F757 more often than its own record predicts
1.38 times the share F757 takes of citations nationally.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F757 findings written in Indiana, 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 antibiotic peak and trough levels were implemented to adequately monitor a high risk medication prescribed to a resident which resulted in a hospitalization for [MEDICATION NAME] poisoning and an acute kidney injury for 1 of 3 residents reviewed for intravenous (IV) antibiotic medication use (Resident B). Findings include: On 4/18/19 at 11:00 a.m., Resident B's closed clinical record was reviewed. [DIAGNOSES REDACTED]. A review of Resident B's March, 2019, physician's orders [REDACTED]. -On 1/29/19 the resident was ordered [MEDICATION NAME] (an antibiotic medication) 2 grams IV every 12 hours for 38 days, for left hip infection. …
Based on record review and interview, the facility failed to ensure a pharmacy recommendation was implemented as requested and approved by physician for 1 of 5 residents reviewed for unnecessary medications (Resident 59). Findings include: Resident 59's record was reviewed on 6/9/26 at 1:10 p.m. The profile indicated the resident's diagnoses included, but were not limited to, type II diabetes mellitus with chronic diabetic kidney disease (happens when high blood sugar damages the small blood vessels in your kidneys, affecting their ability to filter waste), chronic obstructive pulmonary disease (COPD- a group of progressive lung diseases, primarily emphysema [progressive irreversible lung disease where the tiny air sacs in the lungs are destroyed] and chronic bronchitis, that block airflow… …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.94% | 2.42× |
| 2024 | 1.24% | 1.78× |
| 2025 | 1.09% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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