Based on observation, interview, and record review, the facility failed to ensure that medication error rate remained below 5 percent for 4 of 34 opportunities of medication administration observed. (Resident identifiers are #41 and #46.)Findings include: Resident #46 Observation on 4/29/26 at approximately 8:45 a.m. with Staff A (Licensed Practical Nurse) during Resident #46's medication administration revealed that Staff A prepared Resident #46' scheduled morning medication and placed the oral medications in a medication cup that included one Over-The-Counter (OTC) Calcium with Vitamin D 600 mg-200 unit tablet, one Metoprolol Tartrate 12.5 milligram (mg) dose tablet, and one Digoxin 125 microgram (mcg) tablet. …
F759 citations in New Hampshire
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
New Hampshire cites F759 more often than its own record predicts
1.33 times the share F759 takes of citations nationally.
Of every deficiency written in New Hampshire 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 New Hampshire surveyors wrote
F759 findings written in New Hampshire, 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.
Based on observation, record review and interview, it was determined that the facility failed to ensure that the medication error rate was not greater than 5% during 32 medication pass observations. (Resident identifier is #217.) Findings include: Resident #217 Observation on 9/6/18 at approximately 11:06 a.m. during medication pass revealed that Resident #217 received the following scheduled 9:00 A.M. medications; Aspirin 81 mg (milligrams) (1 tablet) by mouth one time a day, [MEDICATION NAME] 40 mg (1 tablet) by mouth one time a day, ROPINIRole HCI 1 mg (1 tablet) by mouth one time a day, [MEDICATION NAME] HCI 100 mg (1 tablet) by mouth one time a day, [MEDICATION NAME] HCI 25 mg (1 tablet) by mouth one time a day, [MEDICATION NAME] 50 mg by mouth (two times a day), and Micro-K Extended… …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 0.34× |
| 2024 | 1.50% | 1.40× |
| 2025 | 1.44% | 1.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire 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