Based on the review of a facility reported incident interviews, medical record review and review of facility policy, it was determined that the facility staff failed to ensure that medication was administered correctly. These failures led to the findings of actual harm to Resident #7. This was evident during the review of 1 of 1 Residents (#7) The findings include:Brief interview for mental status (BIMS) used to determine the individual's attention, orientation and ability to register and recall new information.Resident #7 was admitted to the facility with an assessed BIMS of 15, meaning that s/he was cognitively intact and would verbalize his/her needs and was self-directed in activities.Review of the facility reported incident 3013734 on 9:40 AM on 6/26/26 revealed and incident occurring… …
F757 citations in Maryland
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
Maryland cites F757 more often than its own record predicts
1.94 times the share F757 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F757 findings written in Maryland, 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 medical record review and staff interview it was determined the facility failed to keep a resident's drug regimen free from unnecessary drugs by failing to follow physician ordered blood pressure parameters for administering blood pressure medications to a resident. This was evident for 1 (Resident #6) of 3 residents reviewed for unnecessary medications during a complaint survey.The findings include: Review of Complaint 3065123 was conducted on 8/20/26 regarding care provided to Resident #6. Review of Resident #6's medical record on 8/20/26 revealed the Resident was admitted to the facility in March 2026 with a diagnosis to include hypertension (high blood pressure). …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 1.53% | 1.90× |
| 2024 | 1.43% | 2.06× |
| 2025 | 1.55% | 1.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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