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F755: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist

F755 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. It sits in CMS's pharmacy service category.

9,024citations in the CMS files
5,689homes cited at least once
2,223in the 12 months to September 2026
1.6%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 38.6% of F755 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)78 (0.9%)
  • Actual harm (G, H, I)70 (0.8%)
  • Potential for more than minimal harm (D, E, F)8,847 (98.0%)
  • Potential for minimal harm (A, B, C)29 (0.3%)

By letter: B 23, C 6, D 6,043, E 2,650, F 154, G 59, H 11, J 39, K 37, L 2.

What inspectors wrote

Three recent F755 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 12, 2026, scope and severity DBased on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #35) of 7 residents reviewed for medication administration in that:The facility failed to accurately transcribe a physician-ordered medication onto Resident #35's Medication Administration Record. As a result, the medication was reflected on the MAR with an incorrect route of administration. This failure could place residents at risk of injury due to incorrect medication administration and inaccurate orders.

Val Verde Nursing and Rehabilitation Center, Del Rio, TX

Inspectors wrote, August 12, 2026, scope and severity EBased on observation, interview, and document review, the facility failed to reconcile liquid controlled narcotic medications in 1 of 2 medication cart to prevent potential diversion for 5 sampled residents (R7, R8, R26, R36, and R53).

Good Samaritan Society - Mountain Lake, Mountain Lake, MN

Inspectors wrote, July 31, 2026, scope and severity DBased on a review of controlled medication shift-to-shift count records, facility policy, and staff interviews, it was determined the facility failed to consistently implement procedures to ensure accurate accountability and documentation of controlled medication counts for three of four medication carts reviewed.

Saint Mary's Villa Nursing Hom, Moscow, PA

Most recent F755 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 30, 2026Little Falls Care CenterLittle Falls, MN GStandard
July 22, 2026Focused Care at Burnet BayBaytown, TX GComplaint
July 9, 2026Laurel Ridge CenterUniontown, PA KComplaint
June 29, 2026Windsor Estates of St. CharlesSaint Charles, MO GComplaint
June 11, 2026Nexus Pavilion at BellevilleBelleville, IL HComplaint
June 9, 2026Edgecombe Health Center by HarborviewTarboro, NC JComplaint
June 8, 2026Focused Care at HumbleHumble, TX GComplaint
June 4, 2026Danville Centre for Health & RehabilitationDanville, KY GComplaint
May 2, 2026Fox Hollow Post AcuteBrownsville, TX JComplaint
March 25, 2026Pine Tree Lodge Nursing CenterLongview, TX KStandard
March 25, 2026Manahawkin Health and Rehabilitation CenterManahawkin, NJ HComplaint
March 23, 2026Springhurst Health CampusGreenfield, IN JComplaint
March 6, 2026Avir at TexarkanaTexarkana, TX JComplaint
March 5, 2026Wewoka Healthcare CenterWewoka, OK KComplaint
March 2, 2026St. Crispin Living CommunityRed Wing, MN JComplaint
February 24, 2026Grand Manor Nursing & Rehabilitation CenterBronx, NY KComplaint
February 18, 2026Park Place Healthcare and RehabOklahoma City, OK GStandard
February 3, 2026Bennington Health & RehabBennington, VT GComplaint
January 29, 2026Letort Spring Nursing and Rehab LLCCarlisle, PA GComplaint
January 14, 2026Nortonville Health Care CenterNortonville, KS LStandard
January 13, 2026Laurel Lakes Rehabilitation and Wellness CenterChambersburg, PA GComplaint
December 21, 2025Bear Creek Nursing and RehabilitationGrapevine, TX KComplaint
December 4, 2025Highland Place Rehab and Nursing CenterShreveport, LA GComplaint
November 19, 2025Nexus at AltonAlton, IL GComplaint
November 17, 2025Metropolis Rehab & HCCMetropolis, IL GComplaint
November 13, 2025Community Nursing and Rehabilitation CenterIndianapolis, IN GComplaint
November 4, 2025Pacific Haven Subacute and Healthcare CenterGarden Grove, CA GComplaint
October 24, 2025River Bend HealthcareSeguin, TX GComplaint
September 30, 2025Nexus at AltonAlton, IL GComplaint
September 26, 2025The Subacute at Autumn Lake HealthcareVoorhees, NJ JComplaint
September 25, 2025Avir at BradburnGrand Saline, TX JComplaint
September 22, 2025Sabine Heights Nursing and Rehabilitation CenterPort Arthur, TX JComplaint
September 21, 2025Eagle Crest Rapid RecoveryHouston, TX GStandard
September 16, 2025Bayou Pines Care CenterLa Marque, TX JComplaint
August 27, 2025Palomino PlaceMesquite, TX JComplaint
August 21, 2025New London Sub-Acute and NursingWaterford, CT HComplaint
July 20, 2025Lincoln Village HealthcareLincoln, IL GComplaint
July 14, 2025Ignite Medical Resort Norman, LLCNorman, OK JComplaint
July 3, 2025Viridian Wellness & RehabilitationArlington, TX KComplaint
May 28, 2025Riverside Nursing and Rehabilitation CenterAustin, TX GComplaint

Most recent F755 citations

InspectionHomeTownLetter
August 12, 2026Val Verde Nursing and Rehabilitation CenterDel Rio, TX D
August 12, 2026Good Samaritan Society - Mountain LakeMountain Lake, MN E
August 6, 2026The Estates at Roseville LLCRoseville, MN D
August 5, 2026Good Samaritan Society - PipestonePipestone, MN D
July 31, 2026Town and Country Nursing and Rehabilitation CenterBoerne, TX D
July 31, 2026Saint Mary's Villa Nursing HomMoscow, PA D
July 31, 2026Good Samaritan Society - JacksonJackson, MN D
July 31, 2026Vermont Healthcare CenterTorrance, CA D
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 30, 2026Cornerstone Gardens LLPTemple, TX D
July 30, 2026Ussery Roan Texas State Veterans HomeAmarillo, TX E
July 30, 2026Newport Subacute Healthcare CenterCosta Mesa, CA D
July 30, 2026Stoney Point Healthcare CenterChatsworth, CA D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY D
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX D
July 30, 2026Cridersville Nursing and RehabCridersville, OH D
July 30, 2026Laurel Health & Rehabilitation CenterLaurel, MT D
July 30, 2026Little Falls Care CenterLittle Falls, MN G
July 30, 2026Cedar Falls Health Care CenterCedar Falls, IA D
July 30, 2026Arbor Glen Care CenterGlendora, CA E
July 30, 2026Long Beach Healthcare CenterLong Beach, CA D
July 29, 2026Smithfield Manor Rehabilitation and Healthcare CenSmithfield, NC D
July 29, 2026Live OakShreveport, LA D
July 29, 2026River View Post AcuteModesto, CA D
July 28, 2026Hayward Health ServicesHayward, WI D

F755 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California2,040
Texas1,454
Illinois716
Ohio514
Pennsylvania404
New Jersey311
Wisconsin307
Indiana301
Florida252
Virginia230
Oklahoma227
Missouri222
Michigan158
Minnesota156
Maryland145
New York131
Louisiana122
North Carolina112
Kansas105
Iowa93
Washington85
Connecticut76
Georgia62
Massachusetts58
Alabama52
Arizona50
Utah47
Kentucky46
Oregon42
Tennessee42
Arkansas39
West Virginia39
Idaho36
Maine36
Nevada34
Hawaii28
South Dakota28
Montana26
South Carolina26
District of Columbia25
New Mexico25
Nebraska20
Delaware18
Mississippi15
Colorado13
Alaska12
New Hampshire12
Rhode Island10
Vermont10
Wyoming9
North Dakota2
Guam1

By inspection year: 2018 35, 2019 160, 2020 46, 2021 224, 2022 408, 2023 1,411, 2024 2,595, 2025 2,538, 2026 1,607.

Common questions

What is F755 in a nursing home inspection?
F755 is the federal requirement to "provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist". CMS files it under pharmacy service. A home cited under F755 did not meet that requirement at the inspection.
How often is F755 cited?
The CMS files as of September 1, 2026 list 9,024 F755 citations at 5,689 nursing homes, 2,223 of them in the 12 months to that date. 1.6% were rated as actual harm or immediate jeopardy.
Is a F755 citation serious?
It depends on the letter. Most F755 citations (98.0%) were rated as potential for more than minimal harm, D to F. 78 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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