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 Connecticut. Pick another state for the same tag.
Against expectation — 2025
Connecticut cites F758 less often than its own record predicts
Versus expected share0.79×
0.79 times the national share — cited less often here than elsewhere.
Share of Connecticut citations0.50%
Of every deficiency written in Connecticut in 2025, this is the portion that was F758.
Connecticut0.50%
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 Connecticut surveyors wrote
F758 findings written in Connecticut, 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, isolatedApril 30, 2025
Based on review of the clinical record, facility documentation, facility policy and interview for 2 of 5 residents, (Resident #1 and 32) reviewed for unnecessary medications, the facility failed to limit as needed (PRN) psychotropic drugs to 14 days without a rationale documented in the resident's medical record. The findings include:
1.
Resident #1's diagnoses included chronic respiratory failure, calorie malnutrition, pharyngoesophageal dysphagia, acute metabolic encephalopathy, Parkinson disease, seizure disorder, hypertension, atrial fibrillation, depression, anxiety, and chronic pain.
The physician's order dated 1/26/25 directed to administer Lorazepam (anti-anxiety) 0.5mg PRN for 30 days. …
B · No harm, potential for minimal, patternJuly 19, 2023
Based on clinical record reviews, review of facility documentation and interviews for one sampled resident (Residents #1) who exhibited inappropriate sexual behaviors, the facility failed to monitor target behaviors specific to antipsychotic medication use. The findings include:
Resident #1's diagnoses included bipolar disorder and anxiety.
The admission Minimum Data Set assessment dated [DATE] identified Resident #1 made reasonable and consistent decisions regarding tasks of daily living, exhibited verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others) and the behavior of this type occurred one (1) to three (3) days, required extensive two (2) person assistance with turning and repositioning when in bed, toilet use, was… …
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