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 Guam. Pick another state for the same tag.
Against expectation — 2024
Guam cites F758 more often than its own record predicts
Versus expected share3.95×
3.95 times the share F758 takes of citations nationally.
Share of Guam citations5.88%
Of every deficiency written in Guam in 2024, this is the portion that was F758.
Guam5.88%
National1.49%
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 Guam surveyors wrote
F758 findings written in Guam, 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, isolatedSeptember 26, 2022
Based on observation, interview and record review the facility failed to adequately monitor Resident (R) 108's [CONDITION(S)] medication, 1 of 8 sampled residents. The facility did not identify specific behaviors and omitted monitoring for 7 out 21 shifts. This had the potential for R108 to receive an unnecessary medication, or dosage, and not reach her highest practicable well-being.
Findings:
Resident 108:
On 09/19/22 at 03:12 PM R108 was interviewed in her room. She was observed to be in bed, wearing a hospital gown. Her affect was flat throughout the 20-minute interview and she denied any concerns.
The medical record revealed R108 was admitted on [DATE]. …
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