Based on observation, interview, and record review, the facility failed to be free of medication error rate of 5% or more. There was a total of 2 medication errors out of 29 opportunities. The medication error rate was 6.9%. Finding: On 9/11/24 at approximately 8:47 a.m., a surveyor observed the Certified Nursing Assistant (CNA-M) prepare medications for Resident #9, which included physician orders for: Senna Plus (senna 8.6 mg (milligrams) with ducosate sodium 50 mg) Give 1 tablet by mouth twice a day for constipation and Aspirin 81 mg tablet, delayed release, give 1 tablet by mouth every day for heart health. The CNA-M dispensed one tablet of the Senna 8.6 mg and Aspirin 81 mg chewable into the medicine cup. …
F759 citations in Maine
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 — 2024
Maine cites F759 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maine in 2024, 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 Maine surveyors wrote
F759 findings written in Maine, 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.
What else Maine surveyors cite →
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