F759 in District of Columbia. Pick another state for the same tag.
Against expectation — 2025
District of Columbia cites F759 more often than its own record predicts
Versus expected share1.48×
1.48 times the share F759 takes of citations nationally.
Share of District of Columbia citations1.60%
Of every deficiency written in District of Columbia in 2025, this is the portion that was F759.
District of Columbia1.60%
National1.08%
Share of all citations that were F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What District of Columbia surveyors wrote
F759 findings written in District of Columbia, 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.
D · No harm, potential for more than minimal, isolatedAugust 26, 2025
Based on observation and staff interviews, facility staff failed to ensure that the medication error rate was less than 5%. The findings included: A facility policy titled Medication Administration dated 06/11/25 documented:- Administer medication as ordered in accordance with the manufacturer specifications.During a medication administration pass on unit 3 south on 08/26/25 at 9:00 AM with Employee #6 (Licensed Practical Nurse/LPN), two (2) medication errors were observed in five (5) opportunities, equaling a medication error rate of 40%. Employee #6 was observed crushing two (2) medications that had manufacturer labeled specifications to Do not crush on the blister packets. …
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