Full compliance to <797> has been elusive for many facilities, despite this regulation having been on the books since 2008. There is no small irony in the fact that the proposed update to the regulation appears to have inspired a renewed effort at compliance, resulting in the first time that a majority (57%) report being in full compliance with the currently applicable chapter. And yet, a full 43% of facilities have yet to achieve that same milestone. While the 2008 version of <797> remains the guiding document for the time being, it is clear that required compliance to a revised version is in the offing. With just under one-quarter of facilities (24%) confident in their compliance to the 2019 revised chapter, pharmacy still has much work to do.