Based on record review, review of the State Agency's Long-Term Care Reporting Portal, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for Resident #171 and placed this resident in immediate jeopardy of serious harm, impairment, or death when LPN #1 and RN #2 failed to administer a high-risk medication. Findings include: Resident #171 was admitted to the facility on [DATE], with multiple diagnoses including pneumonia caused by influenza, hypertension, and longstanding persistent atrial fibrillation (an irregular and often very rapid heart rate which can lead to blood clots and stroke). …
F760 citations in Idaho
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
Idaho cites F760 more often than its own record predicts
2.68 times the share F760 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F760 findings written in Idaho, 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 record review, review of Incidents and Accidents (I&A's) reports, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 8 of 8 residents (#4, #5, #6, #7, #8, #9, #10, and #11) reviewed for medication errors. Resident #4 was harmed after being administered her roommate's opioid pain medication and required medical intervention. Resident #5 was harmed when her narcotic medication was omitted resulting in increased pain. There was potential for harm and adverse outcomes when Residents #6, #7, #8, #9, #10, and #11's medications were not administered following physicians' orders. …
Based on record review, review of facility policies, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This affected 2 of 6 residents (#25 and #38) reviewed for medication administration. This deficient practice created the potential for harm when significant medication administration errors were made during medication pass. Findings include:The facility's Medication Administration policy dated 9/10/25, documented a medication error refers to any observed or identified mistake in the preparation or administration of medications or biologicals that does not follow:- The prescriber's written order- The manufacturer's instructions for safe use- Recognized professional standards and guidelines, including those set by… …
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 1.43% | 1.29× |
| 2024 | 1.24% | 1.06× |
| 2025 | 3.49% | 2.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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