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F757: Ensure each resident’s drug regimen must be free from unnecessary drugs

F757 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure each resident’s drug regimen must be free from unnecessary drugs. It sits in CMS's pharmacy service category.

3,373citations in the CMS files
2,783homes cited at least once
725in the 12 months to September 2026
1.5%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). 15.7% of F757 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)23 (0.7%)
  • Actual harm (G, H, I)26 (0.8%)
  • Potential for more than minimal harm (D, E, F)3,321 (98.5%)
  • Potential for minimal harm (A, B, C)3 (0.1%)

By letter: B 2, C 1, D 2,838, E 482, F 1, G 26, J 17, K 6.

What inspectors wrote

Three recent F757 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 13, 2026, scope and severity DBased on interview and record review, the facility failed to ensure adequate monitoring was in place for 1 of 1 resident (R9) on a high-risk medication (i.e., a diuretic), reviewed for unnecessary medications.

St. Anthony Park Home Inc, Saint Paul, MN

Inspectors wrote, July 31, 2026, scope and severity DBased on medical record review and staff interview it was determined the facility failed to keep a resident's drug regimen free from unnecessary drugs by failing to follow physician ordered blood pressure parameters for administering blood pressure medications to a resident. This was evident for 1 (Resident #11) of 3 residents reviewed for unnecessary medications during a complaint survey.

Autumn Lake Healthcare at Glen Burnie, Glen Burnie, MD

Inspectors wrote, July 30, 2026, scope and severity DBased on clinical record review, review of facility policy, and staff interview, it was determined the facility failed to ensure that a psychotropic (medications that affect mood, behavior, or mental processes) medication was used in accordance with regulatory requirements by failing to implement and document non-pharmacological interventions, failing to document any behaviors, and failing to ensure appropriate duration and rationale for a psychotropic medication order for one of eight residents reviewed (Resident R90).

Mt Macrina Manor, Uniontown, PA

Most recent F757 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, 2026Laurel Health & Rehabilitation CenterLaurel, MT GComplaint
July 15, 2026Medilodge of GtcTraverse City, MI GComplaint
July 6, 2026Lions Rehab CenterCumberland, MD GComplaint
April 27, 2026Baptist Village, Inc.Waycross, GA JComplaint
April 23, 2026Careview Health and Rehab of MinocquaMinocqua, WI GComplaint
April 16, 2026Elevate Care NilesNiles, IL GComplaint
April 3, 2026NHC Healthcare - CharlestonCharleston, SC JStandard
March 26, 2026Napa Community Health CenterNapa, CA GComplaint
March 26, 2026Blackfeet Care CenterBrowning, MT JComplaint
March 17, 2026Rotary Senior LivingEagle Grove, IA JComplaint
January 27, 2026Upland Hills Nursing and RehabDodgeville, WI GStandard
December 24, 2025Bria of Elmwood ParkElmwood Park, IL GComplaint
November 20, 2025Continuing Healthcare at Forest HillSt. Clairsville, OH GComplaint
November 6, 2025Cascade Terrace Post AcutePortland, OR GComplaint
October 24, 2025Polaris Rehabilitation and Care CenterCheyenne, WY GComplaint
September 25, 2025Hurricane Health and RehabilitationHurricane, UT GStandard
July 30, 2025Avir at BryanBryan, TX KComplaint
July 14, 2025The Manor at SeagovilleSeagoville, TX KComplaint
June 23, 2025Gilroy Healthcare CenterGilroy, CA KStandard
June 5, 2025Magnolia RidgeGardendale, AL JComplaint
May 22, 2025Sunrise Skilled Nur & RehabVirden, IL JComplaint
April 3, 2025Monument Healthcare and Nursing CenterScottsbluff, NE GComplaint
February 18, 2025Prestige Care Center of FairfieldFairfield, IA JComplaint
February 11, 2025Altercare Newark South Inc.Newark, OH JComplaint
January 28, 2025Elmhurst Rehabilitation and Healthcare CenterProvidence, RI KComplaint
December 22, 2024Berkley West Healthcare CenterSanta Monica, CA KComplaint
October 10, 2024Keystone Ridge Post Acute Nursing and RehabilitatiOmaha, NE JComplaint
September 26, 2024Ridgecrest VillageDavenport, IA JStandard
June 28, 2024Oak Ridge Care CenterUnion Grove, WI JComplaint
June 26, 2024Sadie G. Mays Health & Rehabilitation CenterAtlanta, GA GComplaint
June 14, 2024Highland Pointe Health & Rehab CenterHighland Heights, OH JComplaint
May 31, 2024Senior Care Center - BrunswickBrunswick, GA GStandard
April 18, 2024Marietta Heights Post AcuteMarietta, OH GComplaint
April 9, 2024The Village of AckleyAckley, IA JStandard
March 4, 2024Arcadia Care KewaneeKewanee, IL JComplaint
February 29, 2024Brentwood Place TwoDallas, TX JComplaint
February 14, 2024Focused Care at Mount PleasantMount Pleasant, TX GComplaint
February 12, 2024French Prairie Nursing & Rehabilitation CenterWoodburn, OR GComplaint
January 3, 2024Atrium Nursing and RehabilitationXenia, OH JComplaint
December 4, 2023Muskingum Skilled Nursing & RehabilitationBeverly, OH GComplaint

Most recent F757 citations

InspectionHomeTownLetter
August 13, 2026St. Anthony Park Home IncSaint Paul, MN D
August 5, 2026Edwardsville Care and RehabEdwardsville, KS D
July 31, 2026Autumn Lake Healthcare at Glen BurnieGlen Burnie, MD D
July 30, 2026Spring Creek Healthcare CenterSalt Lake City, UT E
July 30, 2026Mt Macrina ManorUniontown, PA D
July 30, 2026Laurel Health & Rehabilitation CenterLaurel, MT G
July 30, 2026Martin Luther Care CenterBloomington, MN D
July 29, 2026Live OakShreveport, LA E
July 28, 2026Eastgate Health Care CenterCincinnati, OH D
July 28, 2026Arma Operator, LLCArma, KS D
July 24, 2026Salem Transitional CareSalem, OR D
July 23, 2026The Highlands Guest Care CenterDallas, TX D
July 23, 2026Pine View Healthcare and Rehabilitation CenterBroomall, PA D
July 23, 2026La Grande Post Acute RehabLa Grande, OR D
July 23, 2026Riverside Landing Nursing and RehabilitationMcConnelsville, OH D
July 23, 2026Aspen Park of CascadiaMoscow, ID D
July 22, 2026Colfax Nursing and Rehab, LLCColfax, LA D
July 21, 2026Patapsco HealthcareRandallstown, MD D
July 20, 2026Princeton Manor Healthcare Center, LLCOakland, CA D
July 17, 2026Coronado at Stone OakSan Antonio, TX D
July 17, 2026Alhambra Hospital Med Ctr Dp/SNFAlhambra, CA D
July 17, 2026The Gardens Healthcare CenterNorthridge, CA D
July 17, 2026Autumn Lake Healthcare at HomewoodBaltimore, MD D
July 16, 2026Orchards Skilled NursingRancho Mission Viejo, CA D
July 16, 2026Stoney Point Healthcare CenterChatsworth, CA D

F757 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
California506
Ohio354
Kansas252
Maryland191
Indiana155
Florida139
Texas122
Washington113
Virginia112
Wisconsin112
Pennsylvania97
Michigan85
Minnesota76
Louisiana72
Utah71
Massachusetts70
Arizona66
Nebraska64
Oregon63
North Carolina61
Illinois55
Oklahoma51
New Jersey44
New York42
Rhode Island35
Idaho33
Nevada29
New Mexico25
Connecticut24
Missouri24
Iowa23
West Virginia22
Tennessee21
Maine18
Mississippi18
Delaware17
Georgia13
Hawaii13
Colorado12
Arkansas10
Montana9
Alaska8
South Carolina8
Alabama7
District of Columbia7
New Hampshire6
North Dakota5
Puerto Rico4
Wyoming4
Kentucky2
Vermont2
South Dakota1

By inspection year: 2018 27, 2019 103, 2020 42, 2021 126, 2022 248, 2023 587, 2024 846, 2025 862, 2026 532.

Common questions

What is F757 in a nursing home inspection?
F757 is the federal requirement to "ensure each resident’s drug regimen must be free from unnecessary drugs". CMS files it under pharmacy service. A home cited under F757 did not meet that requirement at the inspection.
How often is F757 cited?
The CMS files as of September 1, 2026 list 3,373 F757 citations at 2,783 nursing homes, 725 of them in the 12 months to that date. 1.5% were rated as actual harm or immediate jeopardy.
Is a F757 citation serious?
It depends on the letter. Most F757 citations (98.5%) were rated as potential for more than minimal harm, D to F. 23 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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