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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F758 more often than its own record predicts
Versus expected share1.09×
1.09 times the share F758 takes of citations nationally.
Share of Michigan citations0.69%
Of every deficiency written in Michigan in 2025, this is the portion that was F758.
Michigan0.69%
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 Michigan surveyors wrote
F758 findings written in Michigan, 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.
L · Immediate jeopardy, widespreadFebruary 3, 2022
Based on interview and record review, the facility failed to obtain consent for the use of a [CONDITION(S)] medication prior to the administration of the medication, failed to attempt a Gradual Dose Reduction (GDR), failed to monitor vital signs and adverse effects, and failed to routinely assess/address concerns in behavior meetings for 9 residents (R2, R19, R30, R41, R22, R23, R40, R16, and R3) reviewed for [CONDITION(S)] medications, resulting in an Immediate Jeopardy beginning on 12/06/21 when it was identified that there was no system in place to monitor residents receiving antipsychotic medications, resulting in the high likelihood for serious harm, serious injury and/or death. …
Based on observation, interview, and record review, the facility failed to address medication interactions in 1 of 5 residents reviewed for medication review (Resident #61), resulting in unnecessary medication and weight loss. Findings include:
Resident #61 (R61)
On [DATE] at 10:23 AM, R61 was observed sitting in a recliner chair with his feet up.
R61's admission Minimum Data Set (MDS), with assessment reference date (ARD) of [DATE], introduced the Brief interview for Mental Status (BIMS), a short performance-based cognitive screener for nursing home (NH) residents, was 03 (scale ,[DATE] Severe impairment). The same assessment indicated R61 did not have any verbal, physical or other behaviors; and did not wander during the look-back period. …
D · No harm, potential for more than minimal, isolatedApril 29, 2025
Based on observation, interview and record review, the facility failed to obtain informed consents for psychotropic medications for one resident (Resident #43) of 5 residents reviewed for unnecessary medications, resulting in a lack of informed consent prior to initiation and administration of psychoactive medications.
Findings include:
Record review of the facility 'Behavior and Psychotropic Medication Management Meeting Guideline' policy/procedure dated 11/28/2017 revealed the purpose was to assure appropriate team interaction to provide timely, resident-specific interventions. Process #2. …
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