Based on record review and interview, the facility's pharmacist failed to report medication irregularities to the attending physician, the facility's medical director, and director of nursing during monthly drug regimen reviews for 1 Resident (#5), out of 1 resident reviewed for unnecessary medications.Specifically, the pharmacist failed to recommend a gradual dose reduction (GDR - a tapering of a dose to determine if symptoms or conditions could be managed by a lower dose, or if the dose or medication could be discontinued) for an antipsychotic medication (a psychotropic medication primarily used to treat psychosis, including delusions, hallucinations, disorganized thinking or speech, and inappropriate behavior) when no GDR had been attempted, and no documentation indicating a clinical… …
F756 citations in Alaska
Drug regimen review · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F756 more often than its own record predicts
1.34 times the share F756 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F756.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F756 findings written in Alaska, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and facility policy review the facility failed to develop and maintain policies and procedures for the monthly drug regimen review (DRR) that included: 1) steps of reporting to the Medical Director and Director of Nursing (DON) when the pharmacist identifies an irregularity; 2) times frames for the different steps in the process; and 3) steps the pharmacist must take when he/she identifies an irregularity that requires urgent action. This failed practice placed all residents (based on a census of 17) at risk for a delay in medication management. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2024 | 1.55% | 1.91× |
| 2025 | 1.06% | 1.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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