Based on interview and record review it was determined the facility failed to provide appropriate monitoring and dosing of medications for 8 of 14 sampled residents (#s 1, 4, 15, 20, 27, 30, 92 and 153) reviewed for medications, pressure ulcers, hospitalization and behavior. Resident 153 received a sub thereuputic dose of antibiotics used to treat an acute infection resulting in a worsening in her/his infection and a partial imobilization to her/his infected area. Residents 27, 30 and 92 experienced delayed treatment for [REDACTED]. …
F757 citations in Oregon
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
Oregon cites F757 more often than its own record predicts
1.71 times the share F757 takes of citations nationally.
Of every deficiency written in Oregon 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 Oregon surveyors wrote
F757 findings written in Oregon, 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 observation, interview and record review it was determined the facility failed to ensure chemotherapy medications were administered as ordered for 1 of 1 resident (#2) reviewed for chemotherapy medications. This failure resulted in Resident 2 experiencing thrombocytopenia (a medical condition characterized by a lower-than-normal number of platelets in the blood), pancytopenia (a medical condition characterized by a low number red blood cells, white blood cells and platelets) and neutropenia (a condition where there is an abnormally low number of neutrophils in the blood which are a type of white blood cell that plays a crucial role in fighting infections), which caused the resident to require numerous blood transfusions, emergency department visits and hospitalizations. …
Based on observation, interview and record review it was determined the facility failed to ensure an antibiotic was not administered for an excessive duration for 1 of 5 sampled residents (#8) reviewed for unnecessary medications. This placed residents at risk for antibiotic resistance and serious infections. Findings include: The facility's 9/2024 Infection Control and Antibiotic Stewardship Policy and Procedure indicated the following:-A regular analysis of antibiotic use, prescribing trends and antibiotic resistance data would be completed.-Feedback and recommendations would be provided to practitioners related to antibiotic resistance data and prescribing practices. -Education to staff and practitioners would be provided related to antibiotic stewardship. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 1.55% | 1.94× |
| 2024 | 1.06% | 1.52× |
| 2025 | 1.36% | 1.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction