Based upon observation, interview, and record review, the facility failed to ensure a medication error rate less than 5 percent. 28 medication opportunities were observed with 3 errors occurring, for a total medication error rate of 10.71 percent.The findings include:A medication administration observation was conducted on 08/12/2026 at 08:00 AM with Staff Nurse A, Licensed Practical Nurse (LPN). Staff A was observed administering prescribed eye drops to Resident #61. Staff A applied 2 drops to Resident #61's right eye and then to the left eye. Staff A did not offer any tissue or instruct Resident #61 not to rub his eyes after administration. Resident #61 immediately rubbed both eyes with the inside of his t-shirt, removing the drops that were instilled. …
F759 citations in Florida
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
Florida cites F759 more often than its own record predicts
1.54 times the share F759 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F759 findings written in Florida, 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 Florida citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 2.27× |
| 2024 | 1.95% | 1.82× |
| 2025 | 1.67% | 1.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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