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.
F756 in Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F756 less often than its own record predicts
Versus expected share0.67×
0.67 times the national share — cited less often here than elsewhere.
Share of Missouri citations0.53%
Of every deficiency written in Missouri in 2025, this is the portion that was F756.
Missouri0.53%
National0.79%
Share of all citations that were F756.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F756 findings written in Missouri, 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.
D · No harm, potential for more than minimal, isolatedMay 7, 2026
Based on interview and record review, the facility failed to ensure that the physician provided responses to pharmacist recommendations for three sampled residents (Residents #43, #33, and #4). The sample was 16. The census was 53.Review of the facility's Medication Regimen Review policy, effective August 2020, showed:-Purpose: -The consultant pharmacist performs a comprehensive review of each resident's medication regimen and clinical record at least monthly. The medication regimen review (MRR) includes evaluating the resident's response to medication therapy to determine that the resident maintains the highest practicable level of functioning and preventing or minimizing adverse consequences related to medication therapy. …
C · No harm, potential for minimal, widespreadNovember 9, 2023
Based on interview and record review, facility staff failed to keep records of the monthly Medication Regimen Review (MRR) conducted by the pharmacy and the recommendations of the resident's psychotropic gradual dose reduction (GDR's) signed by the physician with rational for four residents (Resident #6, #14, #15 and #41). The facility census was 49.
1. Review of the facility's policy titled, Medication Regimen Review, revised February 2020, showed staff were directed to do the following:
-Recommendations and apparent irregularities will be reported timely to ensure the safe and appropriate medication utilization to meet the individual needs of the residents;
-A hard copy of the recommendation will be addressed to the attending physician as part of the consultant's regular monthly report… …
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