Based on record review, observations, staff interviews, policy review and manufacturer's instructions the facility failed to assure a medication error rate of less than 5%. During observations of medication administration, the facility had 2 errors out of 31 opportunities resulting in an error rate of 6.45 % (Residents #113 and #124). The facility reported a census of 110 residents.Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #113 had diagnosis of Type 2 diabetes (a chronic condition where the body resists or cannot use insulin well or does not make enough insulin). …
F759 citations in Iowa
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
Iowa cites F759 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa 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 Iowa surveyors wrote
F759 findings written in Iowa, 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 Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 0.48× |
| 2024 | 0.40% | 0.37× |
| 2025 | 0.72% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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