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F756: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures

F756 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. It sits in CMS's pharmacy service category.

3,826citations in the CMS files
3,157homes cited at least once
659in the 12 months to September 2026
0.3%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). 6.5% of F756 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)9 (0.2%)
  • Actual harm (G, H, I)4 (0.1%)
  • Potential for more than minimal harm (D, E, F)3,795 (99.2%)
  • Potential for minimal harm (A, B, C)18 (0.5%)

By letter: B 5, C 13, D 2,816, E 911, F 68, G 4, J 7, K 1, L 1.

What inspectors wrote

Three recent F756 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity EBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide evidence medication regimen reviews (MRRs) were reviewed by the resident's attending physician monthly for three of five residents (Residents R2, R4 and R7).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, August 5, 2026, scope and severity DBased on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported when Resident (R) 1's blood glucose (the main sugar in your blood and your body's primary energy source) level was below the physician's ordered parameter and the physician ordered insulin (a hormone that lowers the level of glucose in the blood) was not held. The facility failed to ensure the CP identified and reported when R27's physician ordered parameters for blood pressure and/or pulse were not obtained and recorded prior to the administration of his ordered antihypertensive (a class of medication used to treat high blood pressure) medications.

Edwardsville Care and Rehab, Edwardsville, KS

Inspectors wrote, July 28, 2026, scope and severity DBased on record review, policy review, and staff interviews, it was determined that the facility failed to: (1) consistently maintain the required separate written reports of medication regimen review irregularities, and (2) ensure documentation was available to demonstrate that pharmacist-identified medication regimen review irregularities had been reviewed by the physician and that the physician had responded to those irregularities. This deficient practice was evident for 2 (Residents #2 and #5) of 5 residents reviewed for Medication Regimen Review during the facility's recertification survey.

Stella Maris, Inc., Timonium, MD

Most recent F756 citations at the harm or jeopardy level

Newest first, all 13 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
June 9, 2026Edgecombe Health Center by HarborviewTarboro, NC JStandard
September 3, 2025Care One at NewtonNewton, MA GComplaint
March 24, 2025St. Antoine ResidenceNorth Smithfield, RI JComplaint
January 28, 2025Elmhurst Rehabilitation and Healthcare CenterProvidence, RI JComplaint
December 17, 2024Litchford Falls Health and Rehabilitation CenterRaleigh, NC JComplaint
July 8, 2024St. Joseph Rehab & Nursing Care CenterDorchester, MA GComplaint
June 6, 2024Morris View Healthcare CenterMorristown, NJ GComplaint
April 26, 2024Rehabilitation Center at Sandalwood, theWheat Ridge, CO LStandard
February 29, 2024Life Care Center of ElizabethtonElizabethton, TN JComplaint
July 28, 2023Honey Grove Nursing CenterHoney Grove, TX GStandard
June 15, 2023Little Brook Nursing and Convalescent HomeCalifon, NJ KStandard
January 13, 2023Kuakini Geriatric Care, IncHonolulu, HI JStandard
November 8, 2022Heavener Nursing & RehabHeavener, OK JStandard

Most recent F756 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA E
August 5, 2026Edwardsville Care and RehabEdwardsville, KS D
July 31, 2026Centre Care Rehabilitation and Wellness ServicesBellefonte, PA D
July 30, 2026Saint Anne HomeGreensburg, PA D
July 29, 2026Aventura at PembrookeWest Chester, PA D
July 28, 2026Stella Maris, Inc.Timonium, MD D
July 24, 2026Sweden Valley ManorCoudersport, PA E
July 24, 2026Eden Nursing & Rehabilitation CenterBrackenridge, PA E
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA D
July 23, 2026Mountain Laurel Healthcare and Rehabilitation CtrClearfield, PA D
July 23, 2026Pine View Healthcare and Rehabilitation CenterBroomall, PA D
July 23, 2026Wapakoneta ManorWapakoneta, OH D
July 23, 2026Sanford Health & Rehabilitation CoSanford, NC D
July 22, 2026Locust Grove VillageLa Crosse, KS D
July 20, 2026Sanctuary WadsworthWadsworth, OH D
July 18, 2026John J Kane Regional Center-RoPittsburgh, PA D
July 17, 2026Dreier's Nursing Care CenterGlendale, CA D
July 17, 2026Autumn Lake Healthcare at HomewoodBaltimore, MD D
July 17, 2026Motion Picture and T.v. Hosp D/P SNFWoodland Hills, CA D
July 16, 2026Bridgeville Rehabilitation & Care CenterBridgeville, PA E
July 16, 2026Cedars of Lebanon Care CenterLebanon, OH D
July 15, 2026Canterbury CenterShepherdstown, WV E
July 15, 2026Midtown Oaks Health & Rehab CenterAltoona, PA E
July 14, 2026Heritage Health Care CenterOakwood Village, OH D
July 14, 2026Complete Care at HagerstownHagerstown, MD D

F756 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
California502
Ohio355
Kansas289
Pennsylvania258
Maryland176
Michigan167
Massachusetts138
Florida133
Virginia133
New York128
Missouri126
New Jersey123
Oklahoma103
North Carolina91
Minnesota90
Texas89
West Virginia77
Connecticut75
Indiana71
Washington66
Illinois60
Oregon53
Wisconsin50
New Mexico48
Louisiana35
Nebraska32
Utah32
Delaware29
Rhode Island25
Tennessee24
District of Columbia23
Maine19
Hawaii18
Iowa17
Idaho16
Arizona14
Georgia14
Colorado13
Vermont13
Arkansas12
New Hampshire12
Kentucky11
Montana11
Nevada11
South Carolina11
Mississippi7
Wyoming7
Puerto Rico5
Alaska4
Alabama4
North Dakota3
South Dakota3

By inspection year: 2017 1, 2018 19, 2019 142, 2020 45, 2021 194, 2022 389, 2023 711, 2024 987, 2025 857, 2026 481.

Common questions

What is F756 in a nursing home inspection?
F756 is the federal requirement to "ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures". CMS files it under pharmacy service. A home cited under F756 did not meet that requirement at the inspection.
How often is F756 cited?
The CMS files as of September 1, 2026 list 3,826 F756 citations at 3,157 nursing homes, 659 of them in the 12 months to that date. 0.3% were rated as actual harm or immediate jeopardy.
Is a F756 citation serious?
It depends on the letter. Most F756 citations (99.2%) were rated as potential for more than minimal harm, D to F. 9 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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