CMS F-tag

F759: Pharmacy services

Medication error rate must be below 5 percent. Cited 4,762 times at 3,812 nursing homes in the last three inspection cycles.

#23 of 242 tags0% caused harm51 statesLatest survey Jan 14, 2026

How F759 shows up in inspections

#23 of 242 tagsVery often cited

Rarely cited
Occasionally cited
Often cited
Very often cited
Among the most cited

How serious it usually is

Immediate jeopardyJ · K · L0.1%6
Actual harmG–I0%0
No actual harmD · E · F99.9%4,756
Minimal harmA–C0%0

0% of F759 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

4,762Citations
3,812Facilities cited26% of rated nursing homes

Citations by survey year

20171
201838
2019207
202085
2021278
2022647
20231,115
20241,324
20251,063
20264

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F759 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F759 citation.

States by share of facilities cited

California56% of homes895 citations · 644 of 1,154 facilities
Ohio31% of homes375 citations · 280 of 911 facilities
Texas26% of homes370 citations · 309 of 1,167 facilities
Florida33% of homes305 citations · 225 of 689 facilities
Missouri47% of homes296 citations · 225 of 479 facilities
Illinois34% of homes290 citations · 223 of 665 facilities
Michigan31% of homes161 citations · 129 of 420 facilities
Wisconsin30% of homes138 citations · 95 of 321 facilities
Massachusetts31% of homes135 citations · 106 of 338 facilities
Pennsylvania16% of homes113 citations · 102 of 653 facilities

Top 10 of 51 states. Every state page lists its most-cited tags.

Facilities cited most often

Quarters at Des Peres, theDes Peres, MO · Report card5 F759No harm
Autumn Lake Healthcare at GreenfieldMilwaukee, WI · Report card4 F759No harm
Aviata at OldsmarOldsmar, FL · Report card4 F759No harm
Luxe Rehabilitation and Care CenterLancaster, OH · Report card4 F759No harm
Wheaton Franciscan Hc - Terrace at St FrancisMilwaukee, WI · Report card4 F759No harm
California Post AcuteLos Angeles, CA · Report card3 F7591 with harm
A Grace Sub Acute & Skilled CareSan Jose, CA · Report card3 F759No harm
Acc Care CenterSacramento, CA · Report card3 F759No harm
Alameda Care CenterBurbank, CA · Report card3 F759No harm
Alderwood Post Acute & RehabilitationLynnwood, WA · Report card3 F759No harm
Amethyst Health of Brown DeerMilwaukee, WI · Report card3 F759No harm
Anaheim Terrace Care CenterAnaheim, CA · Report card3 F759No harm
Arbors at CarrollCarroll, OH · Report card3 F759No harm
Arcadia Care JacksonvilleJacksonville, IL · Report card3 F759No harm
Arcadia Valley Skilled Nursing and RehabilitationCoolville, OH · Report card3 F759No harm

What to ask a facility about a F759 citation

What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
What was the plan of correction, and was it accepted by the state on the first submission?
Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Jan 14, 2026. Counts are citations unless labeled facilities.

What is F759 in a nursing home inspection?

F759 is the CMS F-tag for the requirement "Ensure medication error rates are not 5 percent or greater." (Pharmacy services). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.

How common is F759?

F759 was cited 4,762 times at 3,812 facilities (26% of rated nursing homes) in the last three inspection cycles, ranking #23 of 242 tags. 6 of those citations involved actual harm or immediate jeopardy.

Does a F759 citation mean the facility is unsafe?

Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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