Based on review of facility policy, record review, observations and interviews, the facility failed to ensure a medication rate of less than five percent when two errors were made out of a total of 25 opportunities, during the administration of (one Resident's (R) 114). The facility's observed medication error rate was eight percent. The facility's failure created the potential for R114 and other residents to experience negative physical and/or psychosocial effects related to the incorrect administration of their medication. A total of 35 residents were reviewed in the sample.Findings include:R114 was admitted to the facility on [DATE], according to the resident's admission Record, found in the Electronic Medical Record (EMR) under the Profile Tab. …
F759 citations in Delaware
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
Delaware cites F759 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware 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 Delaware surveyors wrote
F759 findings written in Delaware, 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 Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.22× |
| 2025 | 0.85% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware 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