Licensure Reference Number 175 NAC 12-006.10(D) Based on record review and interview, the facility failed to ensure medications were administered in accordance with physician orders for 2 [Residents 1 and 4] of 4 sampled residents which resulted in significant medication errors. The facility Administrator and Director of Nursing was notified on 10/9/24 at 5:00 PM of an Immediate Jeopardy (IJ) which began on 7/10/24. The IJ was removed on 10/9/24, as confirmed by surveyor onsite verification. The Findings are: A. Record Review of Resident 1's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 09-30-2024 revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was scored as a 10. …
F760 citations in Nebraska
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
Nebraska cites F760 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F760 findings written in Nebraska, 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.
Licensure Reference Number 175 NAC 12-006.10(D)Based on record review and interview, the facility failed to ensure 1 (Resident 6) of 6 sampled was free from significant medication errors. The facility identified a census of 65.Findings are:Record review of Resident 6's Quarterly Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 3/18/26 identified the facility admitted the resident on 12/10/25 with diagnosis of cerebral palsy(CP) a neurological disorder that affects movement, muscle tone, balance, and posture), cellulitis(a bacterial infection of the skin and underlying deep tissue) of right and left lower limb, and venous insufficiency. …
Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review, and interview the facility failed to prevent significant medication errors related to insulin administration (Insulin is a natural hormone that controls blood sugar levels. Insulin medication is used by residents with diabetes that are unable to produce enough insulin to help control blood sugar levels. Severe health risks are caused by blood sugar levels falling too low or rising too high.) for 1 of 1 residents observed (Resident 3). …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 0.64× |
| 2024 | 2.25% | 1.93× |
| 2025 | 1.17% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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