Based on interview and record review the facility failed to ensure residents were free from significant medication errors when the facility failed to ensure residents were administered physician ordered antibiotics for 1 of 3 residents reviewed for intravenous (IV) antibiotic medication (Resident #1). The facility failure to ensure residents were free from significant medication errors when the residents were not administered the prescribed antibiotics per the physician order resulted in Immediate Jeopardy. Resident #1 was admitted on [DATE] with physician orders for Vancomycin 1500 mg IV every 8 hours intravenously for infection (osteomyelitis, an infection in the bone). On 9/8/2025 at approximately 10:00 PM, Resident #1 was administered one incorrect dose of Vancomycin 1000 mg. …
F760 citations in Florida
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
Florida cites F760 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida 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 Florida surveyors wrote
F760 findings written in Florida, 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 interviews, medical record review, facility documents review, and facility policy review, the facility failed to ensure residents were free from significant medication errors for one (Resident #1) of three residents reviewed for medication administration. This action resulted in Resident #1 requiring a transfer to a higher level of care and hospital admission. The findings include: A review of Resident #1's medical record revealed she was a [AGE] year-old female admitted to the facility with a diagnosis of chronic obstructive pulmonary disease, morbid obesity, muscle weakness, transient ischemic attacks, and dementia. …
Based on record and staff interviews, it was determined that the facility did not ensure medications were administered according to professional standards, resulting in a significant medication error for one resident (Resident #1) out of three sampled. As evidence by Staff C, a Registered Nurse, administered three medications that were not prescribed to Resident #1 (one antibiotic medication, one seizure/nerve pain medication and a high blood pressure/heart failure medication). This failure increased the risk of adverse drug reactions or medication toxicity that could potentially cause serious harm to Resident #1. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.50% | 0.45× |
| 2024 | 0.60% | 0.52× |
| 2025 | 0.49% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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