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 Louisiana. Pick another state for the same tag.
Against expectation — 2025
Louisiana cites F758 less often than its own record predicts
Versus expected share0.52×
0.52 times the national share — cited less often here than elsewhere.
Share of Louisiana citations0.33%
Of every deficiency written in Louisiana in 2025, this is the portion that was F758.
Louisiana0.33%
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 Louisiana surveyors wrote
F758 findings written in Louisiana, 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.
J · Immediate jeopardy, isolatedMarch 15, 2019
Based on interviews and record review, the facility failed to ensure that one (#4) of six residents (#1, #2, #3, #4, #5, and #6) reviewed for accidents did not receive a [MEDICAL CONDITION] medication prior to being evaluated by a physician and prior to determining the underlying cause of the resident's change in condition.
An Immediate Jeopardy occurred for Resident #4 on 01/16/2019 at 10:44 a.m., when Resident #4 was administered an injection of [MEDICATION NAME] 5mg/1ML prior to being evaluated by a physician and prior to determining the underlying cause for the resident's change in condition. Later in the day, on 01/16/2019 at approximately 12:00 p.m., the resident was found on the floor in his room. …
E · No harm, potential for more than minimal, patternApril 10, 2025
Based on record reviews and interviews the facility failed to ensure resident drug regimens were free of unnecessary medications for 1 (#117) of 5 (#10, #23, #90, #115, #117) residents reviewed for unnecessary medications. The facility failed to ensure monitoring of side effects and behaviors had been conducted on Resident #117 who received psychotropic medications.
Findings:
Review of Resident #117's medical record revealed Resident #117 was admitted on [DATE] with diagnoses that included, in part, malignant neoplasm of rectum and depression.
Review of Resident #117's April 2025 Physician Orders revealed the following:
An order dated 02/18/2025 for Amitriptyline HCL (hydrochloride) 25 mg (milligram) tablet give 1 tablet by mouth once daily. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction