Based on observation, interview, record review, and facility policy review, the facility failed to ensure a medication error rate of less than 5%. Observations during medication administration revealed 35 opportunities with two total medication errors, resulting in an error rate of 5.71%. During observations, Licensed Practical Nurse (LPN) 2 administered bothR147 and R42 incorrect dosages of medications. These failures had the potential to cause adverse drug reactions in the event of overdosing or lack of effectiveness of the medications in the event of underdosing.Findings include:Review of the facility's policy titled, Medication Administration, dated 11/2022, revealed, Medications are prepared, administered, and documented only by Licensed Nurses in accordance with current Alabama Board… …
F759 citations in Alabama
Medication error rate · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alabama cites F759 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alabama in 2025, this is the portion that was F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F759 findings written in Alabama, 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.
What else Alabama surveyors cite →
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