Licensure Reference Number 175 NAC 12-006.09(H) Based on record review and interview, the facility failed to complete INR monitoring tests to ensure therapeutic dosing of Coumadin for 1 [Resident 1] of 1 sampled resident requiring INR monitoring. The facility Administrator and Director of Nursing was notified on 10/9/24 at 5:00 PM of an Immediate Jeopardy (IJ) which began on 7/10/24. The IJ was removed on 10/9/24, as confirmed by surveyor onsite verification. The Findings are: Record Review of Resident 1's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 09-30-2024 revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was scored as a 10. …
F757 citations in Nebraska
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
Nebraska cites F757 more often than its own record predicts
2.45 times the share F757 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F757 findings written in Nebraska, 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.
Licensure Reference Number 175 NAC 12.006.09 (H) Based on observation, record review, and interviews; the facility failed to ensure that one (Resident 5) of three sampled residents were not over-medicated. The facility identified a census of 89. Findings are: A record review of an undated Psychotropic Medication Use Policy revealed the following: Residents receiving psychotropic medications are monitored for adverse consequences. If psychotropic medications are identified as possibly causing or contributing to adverse consequences, the prescriber will determine whether the medication(s) should be continued, and document the rationale for this decision. …
Licensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview the facility failed to ensure residents receiving antibiotic therapy received routine monitoring during the course of the therapy for 1 resident (Resident 18) of 5 sampled residents. The facility census was 54.Findings are: Record review of a facility policy titled Antibiotic Stewardship Program and dated 06/01/2026 revealed it was the policy of the facility to implement an Antibiotic Stewardship Program as part of the facilities overall infection prevention and control program. …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 2.40% | 2.99× |
| 2024 | 2.34% | 3.36× |
| 2025 | 1.95% | 2.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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