Based on observation, record review, and interview, the facility failed to ensure a medication error rate below five percent. Twenty-five medication administrations were observed, with 5 errors identified, resulting in a medication error rate of 20 percent (%). Findings included:- Resident (R) 18's Electronic Health Record (EHR) documented the following orders:Levetiracetam oral solution 100 milligrams (mg)/milliliter (ml), give five ml via gastrostomy tube (G-tube: tube surgically placed through an artificial opening into the stomach) two times a day.Oxybutynin chloride oral tablet five mg, give five mg by mouth two times a day.Acetaminophen 160 mg/five ml oral liquid, give 30 ml via G-tube three times a day.Carbidopa 25 mg/levodopa 100mg oral tablet, give one tablet via G-tube three… …
F759 citations in Kansas
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
Kansas cites F759 less often than its own record predicts
0.22 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas 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 Kansas surveyors wrote
F759 findings written in Kansas, 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 Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.19× |
| 2024 | 0.54% | 0.51× |
| 2025 | 0.24% | 0.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas 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