Based on observation, interview and record review, the facility failed to ensure it was free of a medication error rate of greater than 5 percent (%) for 2 of 4 residents observed during the medication pass observation for 2 medication errors in a total of 29 total opportunities for error in medication administration. This resulted in a medication error rate of 6.89%. (Residents C and D, and LPN 3 and RN 6) Findings include:1. During 1 of 4 medication pass observations with 4 residents and 5 facility staff members, LPN 3 was observed to prepare the morning medications for Resident C on 8-25-26 at 9:37 a.m. …
F759 citations in Indiana
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
Indiana cites F759 less often than its own record predicts
0.62 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F759 findings written in Indiana, 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 Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.78% | 0.64× |
| 2024 | 0.75% | 0.70× |
| 2025 | 0.67% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana 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