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F0759

Sometimes serious

Ensure medication error rates are not 5 percent or greater.

F0759 is usually cited at the "potential for harm" level, but not always — 0.1% of these citations involved actual harm or immediate jeopardy. Read the specific finding rather than the tag alone.

Times cited
4,785
1.1% of all citations
Facilities cited
3,833
Immediate jeopardy
7
Serious injury likely or occurred
From complaints
12.9%
vs routine inspection

How severe are F0759 citations?

CMS grades every citation on a scope-and-severity grid from A to L. The letter matters far more than the tag number.

Immediate jeopardy (J–L)7 (0.1%)

Serious injury, harm, or death has occurred or is likely to occur imminently.

Actual harm (G–I)0 (0.0%)

A resident was actually harmed, though not in immediate danger.

Potential for harm (D–F)4,778 (99.9%)

No harm occurred, but the problem could cause more than minimal harm.

No actual harm (A–C)0 (0.0%)

A deficiency with minimal potential for harm — often a paperwork or process issue.

99.4% of F0759citations reached an accepted correction date in the federal file — so a citation on a facility's record is almost always a problem that was closed out, not one still running. That is exactly why the letter matters more than the count. The number worth noticing is the other end: 0.13% of F0759 citations show no plan of correction at all.

Where F0759 is cited most

Raw counts follow state size and how aggressively each state's survey agency inspects — they are not a ranking of care quality.

What to ask if a facility has this citation

  • What specifically happened, and when? Ask for the survey date and the finding itself, not a summary.
  • What severity letter was it? A D is a different conversation than a G or a J.
  • What changed afterward? Ask for the plan of correction and who is accountable for it.
  • Has this tag come up in more than one survey year? A repeat is the real signal.
  • Can I speak to the administrator or director of nursing about it? Reluctance is itself an answer.

Common questions

What does F0759 mean in a nursing home inspection?

F0759 is the federal deficiency tag for: Ensure medication error rates are not 5 percent or greater. It falls under the Pharmacy Service Deficiencies and is cited when an inspector finds a facility out of compliance with that requirement.

How serious is an F0759 citation?

Of 4,785 F0759 citations nationally, 7 were immediate jeopardy (the most serious band), 0 involved actual harm, 4,778 were potential-for-harm, and 0 were no-harm findings. 0.1% involved actual harm or worse.

How common is F0759?

F0759 has been cited 4,785 times across 3,833 nursing homes, which is 1.1% of all health-inspection citations in the current federal file. 12.9% of these citations came from a complaint investigation rather than a routine annual survey.

Should I rule out a facility with an F0759 citation?

Not on the tag alone. Read the actual finding, the severity letter, whether it was corrected, and whether the same problem repeats across survey years. A single corrected citation at a facility that otherwise rates well is very different from a pattern. Ask the administrator directly — they are required to discuss their inspection record with you.

Trying to judge a specific facility?

Compare up to four side by side — citations, staffing, abuse flags, and cost — then use the results to prepare written questions for each community. Confirm current price, availability, and care acceptance directly with the community.