Based on observation, interview, record review, and facility policy review, the facility failed to prevent medication errors at a rate of five percent or more. This affected two residents (Residents #6 and #68) of three residents reviewed for medication administration. The facility census was 90.Findings include:1. Observation of medication administration for Resident #68 on 08/17/26 at 8:24 A.M. by Licensed Practical Nurse (LPN) #617 revealed the nurse administered one 80 milligram (mg) pill of simethicone (anti-gas medicine) to the resident. Review of the medical record for Resident #68 revealed he was admitted [DATE] and had diagnoses including hemiplegia, dementia, and gastroesophageal reflux disease (GERD). He had an order for simethicone 250 mg to be given with meals. …
F759 citations in Ohio
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
Ohio cites F759 more often than its own record predicts
1.31 times the share F759 takes of citations nationally.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F759 findings written in Ohio, 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 Ohio citations | vs expected |
|---|---|---|
| 2023 | 1.25% | 1.02× |
| 2024 | 1.46% | 1.36× |
| 2025 | 1.41% | 1.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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