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 Kentucky. Pick another state for the same tag.
Against expectation — 2024
Kentucky cites F758 less often than its own record predicts
Versus expected share0.40×
0.40 times the national share — cited less often here than elsewhere.
Share of Kentucky citations0.60%
Of every deficiency written in Kentucky in 2024, this is the portion that was F758.
Kentucky0.60%
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 Kentucky surveyors wrote
F758 findings written in Kentucky, 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, isolatedOctober 31, 2024
Based on observation, interview, record review, policy review, and review of the admission packet, the facility failed to ensure two out of five residents (Resident (R)78 and R131) reviewed for unnecessary medications with dementia diagnoses had medication regimens free of unnecessary psychotropic medications. Failures included lack of adequate indication and identification of behaviors warranting the use of antipsychotic medications; duplicate therapy, lack of explaining risks versus benefits prior to the initiation of the medications, and a lack of qualitative and quantitative monitoring of behaviors and side effects. …
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