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 Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F758 less often than its own record predicts
Versus expected share0.54×
0.54 times the national share — cited less often here than elsewhere.
Share of Hawaii citations0.34%
Of every deficiency written in Hawaii in 2025, this is the portion that was F758.
Hawaii0.34%
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 Hawaii surveyors wrote
F758 findings written in Hawaii, 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 interview and record review, the facility failed to manage and monitor the medication regimen for one of five residents sampled for unnecessary medications, by not implementing a physician ordered gradual dose reduction (GDR) for an antidepressant. This deficient practice does not protect residents from the possible side effects of overmedication and has the potential to affect other residents prescribed with psychotropic medications.
Findings include:
On 02/06/25 at 01:45 PM, a review of the Medication Regimen Review (MRR) for Resident (R) 18, dated 09/25/24, and done by the Consultant Pharmacist, recommended that R18's Citalopram 10mg be reviewed for an annual GDR versus clinical contraindication. …
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