Based on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for medication administration, the facility failed to ensure a medication was administered in accordance with the six (6) rights of medication administration. The facility failed to ensure the correct methadone bottle and dose were verified prior to administration, resulting in Resident #1 being given another resident's methadone dose of 120 milligrams (mg) instead of 10 mg ordered for Resident #1. This incident represented the second such occurrence in a six month period and placed Resident #1 at risk for significant adverse effects including respiratory depression, decreased level of consciousness, and cardiovascular compromise. …
F760 citations in Connecticut
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
Connecticut cites F760 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F760 findings written in Connecticut, 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 clinical record review, facility documentation review, facility policy review, and interviews for one of four residents (Resident #2) reviewed for a medication errors, the facility failed to ensure a medication to treat Parkinson's disease (Sinemet) was transcribed timely, and failed to ensure medication was administered in accordance with physician orders. The Sinemet was not administered for nineteen (19) days, in accordance with physician orders, which resulted in significant medication error and a significant decline in the resident's physical condition. …
Based on review of the clinical records, facility documentation, facility policy, and interviews for 2 of 6 residents (Resident #8 and Resident #13) reviewed for medication administration, the facility failed to obtain physician orders before administering controlled medications, resulting in significant medication errors. The findings include:1.Resident #8's diagnoses included anxiety, schizophrenia, and hypertension.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #8 had a Brief Interview for Mental Status (BIMS) score of ten (10), indicating moderate cognitive impairment, required moderate assistance with bed mobility, and was independent with eating.The Resident Care Plan (RCP) dated 5/10/2026 identified Resident #8 had schizophrenia. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.30× |
| 2024 | 0.83% | 0.71× |
| 2025 | 0.68% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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