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 Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F758 more often than its own record predicts
Versus expected share1.74×
1.74 times the share F758 takes of citations nationally.
Share of Iowa citations1.10%
Of every deficiency written in Iowa in 2025, this is the portion that was F758.
Iowa1.10%
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 Iowa surveyors wrote
F758 findings written in Iowa, 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, isolatedOctober 19, 2021
Based on observation, record review, staff, physician, Pharmacist and family member interviews, the facility failed to provide a medication regimen free from unnecessary [CONDITION(S)] medications, administered [CONDITION(S)] medications without assessment and documentation of the need for the medication, which resulted in the resident's confusion, physical decline, repeated falls, and inability to participate in physician ordered skilled Physical and Occupational Therapy services for strengthening and return to independence for 1 of 9 resident records reviewed (Resident #3). …
D · No harm, potential for more than minimal, isolatedApril 24, 2025
Based on observation, interview, and record review, the facility failed to ensure documentation of targeted behaviors and behavioral monitoring for the use of an antipsychotic medication for one of five residents reviewed for unnecessary medications (Resident #54). The facility reported a census of 54 residents.
Findings include:
The Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was rarely to never understood, took antipsychotic medication, and had no hallucinations, delusions, or physical, verbal, or other behavioral symptoms not directed towards others.
Review of Resident #54's Baseline Care Plan dated 11/25/24 revealed the following per the psychotropic medication section: antianxiety and antipsychotic. …
B · No harm, potential for minimal, patternMarch 7, 2019
Based on clinical record review and staff interview the facility failed to address each [MEDICAL CONDITION] medication individually during a gradual dose reduction review for 1 of 5 residents reviewed (Resident #17). The facility reported a census of 57 residents.
Findings include:
The Minimum Data Set (MDS) assessment for Resident #17 dated 1/1/19, included [DIAGNOSES REDACTED]. The MDS documented the resident required extensive assistance of two for bed mobility and transfer, with a Brief Interview for Mental Status (BIMS) score of 5 (severe cognitive impairment)
The care plan updated 2/23/19, revealed a goal stating he will be on the appropriate medications and dosages. His primary physician will review medications on routine visits and as needed. …
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