Based on observation, interview and record review, the facility failed to ensure each resident was free of any significant medication errors for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1, who was diagnosed with Stage 4 renal carcinoma (kidney cancer), was administered his physician ordered oral chemotherapy medication, axitinib 3 mg bid, to treat his advanced kidney cancer. On 05/27/26 a computed tomography (CT) scan showed a 2 mm increase in the mass on Resident #1's right kidney. An Immediate Jeopardy (IJ) was identified on 06/12/26 at 4:16 p.m. and an IJ Template was provided to the Administrator at 4:50 p.m. …
F760 citations in Texas
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
Texas cites F760 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas 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 Texas surveyors wrote
F760 findings written in Texas, 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 and record reviews, the facility failed to ensure residents were free of any significant medication errors for 1 of 5 residents (Resident #1) reviewed for significant medication errors. The facility failed to ensure processes were in place for accurate verification and reconciliation of physician orders and medications upon admission. The DON did not enter the complete medication allergy list into Resident #1's electronic medical record and the facility's NP prescribed an antibiotic that Resident # 1 had a known allergy to. This resulted in Resident #1 having an allergic reaction that led to significant rash over her body. …
Based on observations, interviews and record review, the facility failed to ensure residents were free of any significant medication errors for 1 (Resident #126) of 3 residents reviewed for medication administration.The facility failed to ensure CMA E did not crush Resident #126 Finasteride Oral Tablet 5 MG (Finasteride- used to treat enlarge prostate) and Potassium Chloride ER 10 MEQ on 9/16/2026.This failure could place residents at risk of not receiving the full therapeutic effects of their medication and can result in a decline of their health conditions. The Findings include:Record review of Resident #126's undated face sheet revealed a [AGE] year-old male originally admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.20% | 1.08× |
| 2024 | 1.16% | 0.99× |
| 2025 | 1.28% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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