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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F756 more often than its own record predicts
Versus expected share1.06×
1.06 times the share F756 takes of citations nationally.
Share of Virginia citations0.84%
Of every deficiency written in Virginia in 2025, this is the portion that was F756.
Virginia0.84%
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 Virginia surveyors wrote
F756 findings written in Virginia, 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, isolatedAugust 20, 2026
Based on interview, record review, and policy review, the facility failed to ensure the Consultant Pharmacist identified and reported a medication regimen irregularity for one of one sampled resident (R1) reviewed for unnecessary medications. R1 developed abnormal involuntary movements, including tremors and tongue-rolling movements, while receiving risperidone, an antipsychotic medication. Despite Abnormal Involuntary Movement Scale (AIMS) assessments documenting a change in condition, the Consultant Pharmacist did not make a recommendation or notify facility staff of a potential medication-related irregularity. …
B · No harm, potential for minimal, patternJune 30, 2021
Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to develop a policy for the monthly drug regimen reviews with times frames for the different steps in the process, in order to address recommendations from the pharmacist for four residents reviewed for medications, (Residents #22, #24, #45 and #77), in the survey sample of 38 residents.
The facility, Medication Monitoring policy failed to include any documentation regarding the timeframe that a pharmacy recommendation is required to be provided to the physician and acted upon by the physician. The policy did not meet regulatory requirements of specifying those time frames for the different steps. …
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