Based on interview and record review, the facility failed to ensure Resident Q did not receive an opioid medication that was ordered for another resident and failed to ensure Resident Q was effectively monitored for signs and symptoms of adverse reaction for 1 of 3 residents reviewed for significant medication errors. This deficient practice resulted in Resident Q becoming unresponsive and the resident expired (Resident Q). The Immediate Jeopardy began on [DATE] when Resident Q was administered a MS Contin 30 mg (extended release morphine) (an opioid medication for pain) tablet not prescribed for her. The facility failed to adequately assess and monitor the resident's condition after identifying the medication error. This resulted in a change of condition and death of the resident. …
F760 citations in Indiana
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
Indiana cites F760 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F760 findings written in Indiana, 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 a resident was free from a significant medication error for 1 of 1 resident reviewed for medication errors (Resident B). This deficient practice resulted in Resident B's hospitalization in the intensive care unit for bradycardia (abnormally slow heart rate), hypotension (low blood pressure) and subsequent cardiogenic shock (heart cannot pump enough blood to meet the body's needs). This deficient practice was corrected on 7/16/26, prior to the start of the survey, and was therefore past noncompliance. Findings include: Resident B's clinical record was reviewed on 7/20/26 at 11:49 a.m. …
Based on interview and record review, the facility failed to ensure residents were free from significant medication errors for 1 of 3 residents reviewed. A controlled substance medication was given routinely instead of as needed. (Resident C) This deficient practice was corrected on August 11, 2026, prior to the start of the survey, and was therefore past noncompliance. Finding includes: On 8/24/26 at 11:25 a.m., Resident C's clinical record was reviewed. Resident C's diagnoses included, but were not limited to, dementia, congestive heart failure (a chronic condition where the heart muscle cannot pump blood efficiently), and cerebrovascular disease (a term for any condition that temporarily or permanently reduces blood flow or damages blood vessels in the brain). …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 0.94× |
| 2024 | 0.70% | 0.60× |
| 2025 | 0.84% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana 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