Based on medical record review, staff interviews, hospital record review and review of facility policy, the facility failed to ensure Eliquis (an oral anticoagulant medication used to prevent and treat blood clots) was administered as ordered by the physician. This resulted in Immediate Jeopardy and serious physical harm, injuries, and/or negative health outcomes on 06/04/26 at 12:02 P.M. when Resident #100 was seen by Vascular Surgeon #250 and the left lower extremity was assessed to have palpable femoral pulses bilaterally with no appreciable flow detected in the distal left lower extremity with no distal pulses palpable, absent sensation over the left foot with preserved sensation at a more proximal level, and clammy skin with mottled discoloration. …
F760 citations in Ohio
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
Ohio cites F760 more often than its own record predicts
1.83 times the share F760 takes of citations nationally.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F760 findings written in Ohio, 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.
THE FOLLOW DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUESTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, staff interviews, review of the hospital record, review of personnel files, and policy review, the facility failed to ensure residents were free from significant medication errors. This resulted in Actual Harm to Resident #124 on 06/25/26 at approximately 11:00 P.M., when Licensed Practical Nurse (LPN) #210 administered diabetic medication Lantus (a long-acting basal insulin that provides a steady, 24-hour baseline level of insulin) 20 units subcutaneous injection in error. …
Based on medical record review, staff interview, and policy review, the facility failed to ensure residents were free of significant medication errors. This affected one (#71) of five residents reviewed for unnecessary medications. The facility census was 85 residents. Findings include: Review of the medical record revealed Resident #71 had an admissions date of 03/10/23 with diagnoses including unspecified mood affective disorder, schizoaffective disorder, psychoactive substance abuse, and opioid dependence. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #71 is cognitively intact. Review of the physician orders revealed Resident #71 had an order for Methadose Oral Concentrate 10 MG/ML (Methadone HCL) give 75 mg by mouth one time a day for opiod abuse. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 2.01% | 1.81× |
| 2024 | 2.33% | 2.00× |
| 2025 | 2.38% | 1.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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