Nursing homes and other healthcare facilities must ensure that their residents are free of any medication errors. Medication errors are defined as the preparation or administration of medications or biologicals which is not in accordance with the prescriber’s order, manufacturer’s specifications, or accepted professional standards. Significant medication errors are those which cause the resident discomfort or jeopardize their health and safety. The surveyor can observe medication errors during a medication administration observation and through other evidence, such as changes in the resident’s condition or reports from family members. Significant medication errors should be cited at F760, and any medication error rate of 5% or greater should be cited at F759. Examples of significant and non-significant medication errors, such as omissions, unauthorized medications, wrong dose, wrong route of administration, wrong dosage form, and wrong medication or time, are provided. Nursing homes and other healthcare facilities must take measures to ensure that medication errors are avoided, such as following manufacturers' instructions and accepted professional standards.

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