Psychotropic drugs · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F758 in Arkansas. Pick another state for the same tag.
Against expectation — 2025
Arkansas cites F758 more often than its own record predicts
Versus expected share1.15×
1.15 times the share F758 takes of citations nationally.
Share of Arkansas citations0.72%
Of every deficiency written in Arkansas in 2025, this is the portion that was F758.
Arkansas0.72%
National0.63%
Share of all citations that were F758.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F758 findings written in Arkansas, 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, isolatedFebruary 6, 2025
Based on record review, interview, and facility policy review, the facility failed to ensure gradual psychotropic (antipsychotic) dose reductions were addressed and (anti-anxiety) dose reductions (GDR) were attempted in the absence of a physician's documented evaluation of the specific risks versus benefits of continuing the as needed (PRN) medication past 14 days and a documented explanation as to why a dose reduction attempt would be contraindicated, in order to ascertain the smallest effective dose and minimize the potential for adverse drug effects for 1 (Resident # 11) of 5 residents reviewed for unnecessary medications. …
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