Based on observation and interview it was determined, for 1 of 4 residents sampled, that the facility did not ensure that medication error rates were not 5 percent or greater. Specifically, observations were made of 4 medication errors out of 32 medication opportunities that resulted in a medication error rate of 12.5%. A resident's Metoprolol administration was missed due to the medication not being available from the pharmacy, and a Farxiga, Oxycodone, and Potassium Citrate Extended Release tablets were administered crushed and the manufacturer recommended to take the medications whole. …
F759 citations in Utah
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
Utah cites F759 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah 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 Utah surveyors wrote
F759 findings written in Utah, 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 Utah citations | vs expected |
|---|---|---|
| 2023 | 1.16% | 0.95× |
| 2024 | 1.04% | 0.96× |
| 2025 | 0.45% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah 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