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Pharmacy Services42 CFR §483.45

F0759Free of Medication Error Rates of 5% or More

F0759 requires that a facility's medication error rate stay below 5%. Unlike many F-tags, this one is tied to a quantifiable threshold — surveyors observe medication administration passes and calculate an actual error rate during the survey.

Common Deficiency Examples

  • Wrong dose, wrong resident, wrong time, or wrong route observed during a med pass
  • Omitted doses without documented, valid reason
  • Errors compounding across multiple residents during the observed pass, pushing the calculated rate over 5%

What Your Plan of Correction Needs

Because this tag is numerically defined, your PoC should show the math as clearly as the fix:

Error classificationthe specific error(s) observed and their classification
Immediate corrective actionfor any affected resident (clinical assessment if warranted)
Systemic fixoften a med-pass workflow, staffing, or verification-process issue, not just individual retraining
Monitoring planre-auditing medication administration passes with a documented, recalculated error rate
See the four required elements of every Plan of Correction →

Frequently Asked Questions

Does F0759 only apply to nurses administering medication?+

It applies to whoever is administering medication under your facility's scope-of-practice policies, which may include nurse aides administering certain medications where state law permits.

Is F0759 the same as F0760?+

No — F0759 is about the rate of errors overall; F0760 covers significant medication errors regardless of overall rate. A facility can be cited under F0760 even with a low overall error rate if a single error caused significant harm.

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