Based on interview and record review, the facility failed to follow manufacturer's recommendations for the administration of medication for one resident (#101) out of 2 residents reviewed for medication administration resulting in immediate jeopardy as a result of the facility administering [MEDICATION NAME] medication to Resident #101 (R #101) by not holding the medication as instructed and administering the medication in excessive dose, resulting in the resident's hospitalization and subsequent death. Findings include: Resident #101 (R #101) was an [AGE] year old female who was admitted to the facility on [DATE] for rehabilitation following surgery on 12/18/17 for a fractured left hip. In addition, R #101 had a [DIAGNOSES REDACTED]. …
F757 citations in Michigan
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
Michigan cites F757 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F757 findings written in Michigan, 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 comprehensive pain assessments were completed prior to the administration of opioid medications for three of three residents (Residents #1, #2, and #3) reviewed for unnecessary medications resulting in Resident #1 experiencing an opioid overdose requiring hospitalization and the use of intravenous (IV) drip administration of opioid reversal medications medications. without appropriate evaluation of pain characteristics, severity, or need placing residents at risk for adverse effects including oversedation, respiratory depression and ineffective pain management. …
Based on observation, interview, and record review, the facility failed to ensure physician ordered medication monitoring was completed for one (R45) of five reviewed. Findings include: Review of the medical record revealed R45 was admitted to the facility on [DATE] with a diagnosis of type 2 diabetes mellitus. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 2/35/26 revealed R45 scored 14 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 06/16/2026 at 12:35 PM, R45 was observed seated in her wheelchair at a dining room table with two other residents. R45 was overheard mentioning that she did not get a bedtime snack last night and her sugar was low this morning. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.63% | 0.78× |
| 2024 | 0.51% | 0.74× |
| 2025 | 0.72% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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