Based on record review, observation, and interview the facility failed to ensure the medication error rate was not greater than 5% during the medication pass of two (Resident #6, Resident #20) of five resident reviewed. This surveyor observed 27 opportunities for medication administration and two of the 27 medications were not administered in accordance with the Physician's Orders, and administration guidelines resulting in a medication error rate of 7.41%. The findings include: Resident #20Review of an admission Record revealed the facility admitted Resident #20 on 01/05/2024. …
F759 citations in Arkansas
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
Arkansas cites F759 more often than its own record predicts
1.34 times the share F759 takes of citations nationally.
Of every deficiency written in Arkansas 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 Arkansas surveyors wrote
F759 findings written in Arkansas, 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.
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 1.23% | 1.01× |
| 2024 | 1.30% | 1.21× |
| 2025 | 1.45% | 1.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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