F757 in Rhode Island. Pick another state for the same tag.
Against expectation — 2025
Rhode Island cites F757 more often than its own record predicts
Versus expected share3.05×
3.05 times the share F757 takes of citations nationally.
Share of Rhode Island citations2.43%
Of every deficiency written in Rhode Island in 2025, this is the portion that was F757.
Rhode Island2.43%
National0.80%
Share of all citations that were F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Rhode Island surveyors wrote
F757 findings written in Rhode Island, 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.
K · Immediate jeopardy, patternJanuary 28, 2025
Based on record review and staff interview, it has been determined that the facility failed to ensure that residents are free from unnecessary medications for 1 of 2 residents reviewed who have cancer diagnoses, Resident ID #1.
Findings are as follows:
Review of a community reported complaint dated 1/17/2025 alleged that a cancer medication was given to the wrong resident for 14 days.
During a surveyor interview on 1/21/2025 at 9:35 AM with Registered Nurse, Staff A, she indicated that she mistakenly transcribed Resident ID #2's Abiraterone Acetate into Resident ID #1's medical record. Staff A acknowledged that Resident ID #1 received Abiraterone Acetate 1000 mg daily from 12/21/2024 through 1/2/2025 in error, for a total of 13 days. …
Based on clinical record review and staff interviews, the facility failed to ensure that the drug regimen of 1 of 2 residents reviewed, Resident #1, was free from unnecessary drugs. Specifically, Resident ID #1 was prescribed Lovenox (an anticoagulant medication prescribed to prevent and treat harmful blood clots) and was administered more than twice the intended dose due to the facility's failure to ensure the medication dosage was accurately ordered, verified, and administered. As a result of this medication error, Resident ID #1 sustained actual harm, including bruising, pain, and swelling of the left arm, which required hospitalization. …
E · No harm, potential for more than minimal, patternJune 26, 2026
Based on clinical record review and staff interview, the facility failed to ensure that a resident's drug regimen is free from unnecessary drugs for 2 of 3 residents reviewed related to pharmacy recommendations, Resident ID #s 11 and 13.Findings are as follows:1) Record review revealed that Resident ID #11 was admitted to the facility in July of 2024 with a diagnosis including, but not limited to, chronic kidney disease.Record review revealed the following physician's orders:1/3/2026- alendronate sodium (a medication prescribed to increase bone mass) 70 milligram (mg) administer every Saturday 30 minutes before food, beverage, or medication.Review of a document titled, MD (Medical Doctor) Recommendations dated 4/23/2026 revealed the pharmacy recommendation to consider discontinuing his/her… …
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