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 Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F758 less often than its own record predicts
Versus expected share0.89×
0.89 times the national share — cited less often here than elsewhere.
Share of Colorado citations0.56%
Of every deficiency written in Colorado in 2025, this is the portion that was F758.
Colorado0.56%
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 Colorado surveyors wrote
F758 findings written in Colorado, 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.
G · Actual harm, isolatedJuly 12, 2023
Based on observation, records review and interviews, the facility failed to adequately monitor the resident for unnecessary psychotropic medications needed to provide effective and person-centered care for three (#15, #89 and #26) of five residents reviewed for use of psychotropic medication out of 18 sample residents.
Record review revealed that Resident #15 had exit-seeking behaviors. The facility failed to obtain consent prior to increasing the administration of antipsychotic medication (Seroquel) and failed to ensure the antipsychotic medication administered was given to treat the resident's medical symptoms and not used for discipline or convenience. …
E · No harm, potential for more than minimal, patternApril 3, 2025
IV. Resident #10
A. Resident status
Resident #10, age [AGE], was admitted on [DATE]. According to the April 2025 CPO, diagnoses included Alzheimer's disease and encephalopathy (brain dysfunction that includes mental status changes and memory issues).
The 1/30/25 MDS assessment revealed the resident had severe cognitive impairments with a BIMS score of six out of 15. She required partial/moderate assistance with toileting and personal hygiene. She required supervision with transfers and was independent with eating and bed mobility.
The MDS assessment indicated she had symptoms of little interest or pleasure in doing things for 12 to 14 days and felt down and depressed seven to 11 days over the assessment look back period.
B. …
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