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Pharmacy Services42 CFR §483.45(f)(2)

F0760 — Residents Are Free of Significant Med Errors

F0760 requires that residents be free of any significant medication errors, regardless of the facility's overall error rate. A single error can trigger this citation if it meets the significance threshold based on resident condition and drug category.

Common Deficiency Examples

  • Wrong medication or dose administered with a documented adverse clinical effect
  • High-alert medication (anticoagulants, insulin, opioids) error with clinical consequence
  • Omission of a critical medication causing a clinical decline
  • Medication given via wrong route with resulting harm

What Your Plan of Correction Needs

F0760 PoCs need a clear clinical response given the significance threshold, alongside the standard elements:

Clinical factsthe specific error, medication, and clinical impact
Immediate actionclinical assessment/intervention for the affected resident and physician notification
Systemic fixmedication administration verification process, especially for high-alert medications
Monitoring planhigh-alert medication administration audits at a defined frequency

Frequently Asked Questions

What makes a medication error "significant"?+

Significance is generally judged by the drug category, dose, and resulting or potential clinical impact on the resident, not simply that an error occurred — confirm current CMS interpretive guidance for the specific criteria applied.

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