Based on record review and interview, the facility failed to ensure residents were free from significant medication errors for 2 resident (#s 1 and 2), out of 2 sampled residents. The facility failed to implement and maintain processes and procedures to ensure accurate transcription of physician orders for medications. The facility administered seven doses of an anticoagulant medication (a blood thinning medication that decreases the blood's ability to clot) without a valid physician order which resulted in concurrent administration of two different anticoagulants. …
F760 citations in Alaska
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F760 more often than its own record predicts
1.64 times the share F760 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F760 findings written in Alaska, 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 interview and record review, the facility failed to ensure 1 resident (#24), out of 15 sampled residents, was free from significant medication errors. This failed practice caused the resident to be in pain and in physical respiratory distress due to a delay and inconsistency in medication administration. Findings: Resident #24 Record review on 3/14/25 and 3/17/25 revealed Resident #24 was admitted to the facility with diagnoses that included myasthenia gravis with acute exacerbation (a condition caused by a breakdown in communication between nerves and muscles, causes weakness and rapid fatigue of muscles), diffuse large B-cell lymphoma (cancer of B cells, a type of lymphocyte that is responsible for producing antibodies), chronic respiratory failure, and heart failure. …
.Based on record review, observation, and interview, the facility failed to discontinue a medication order when wound care orders had changed for 1 resident (#5) out of 8 sampled residents. Specifically, the facility continued administering Santyl (prescription enzymatic debriding agent used topically to remove dead tissue from chronic skin ulcers promoting healthy wound healing) ointment after the wound care plan was revised to discontinue its use. This failed practice led to thirteen administrations of a medication that was no longer required and further placed the resident at risk for unnecessary treatment, potential adverse effects, and harm .Findings:Record review on 8/29/25, revealed Resident #5 was admitted to the facility with diagnoses that included dementia (a decline in… …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2023 | 2.19% | 1.97× |
| 2025 | 2.13% | 1.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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