Based on observations, interviews, and record reviews, the facility failed to ensure a medication error rate of less than 5%. The facility had 2 errors out of a total of 26 medication opportunities resulting in a 7.69% medication error rate.Findings include: R10's admission Report reads diagnoses including but not limited to chronic (congestive) heart failure, hypertensive heart disease with heart failure, and ventricular fibrillation. R10's Care Plan Report documents in part R10's risk for altered cardiovascular status related to recent cardiac arrest, hypertension, atrial fibrillation, and congestive heart failure (initiated 9/01/2020). Intervention includes giving medications as ordered by the doctor (initiated 9/01/2020). …
F759 citations in Illinois
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
Illinois cites F759 more often than its own record predicts
1.02 times the share F759 takes of citations nationally.
Of every deficiency written in Illinois 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 Illinois surveyors wrote
F759 findings written in Illinois, 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 Illinois citations | vs expected |
|---|---|---|
| 2023 | 1.37% | 1.12× |
| 2024 | 1.08% | 1.01× |
| 2025 | 1.11% | 1.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Illinois 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