Based on observation, interviews, record review, and facility policy review, the facility failed to ensure that a resident received a Gradual Dose Reduction (GDR) as required for psychotropic medications. Specifically, the resident was prescribed Rexulti and Trileptal for behavioral health needs in April 2024 but had not undergone a GDR for over ten (10) months. Resident #45 exhibited excessive drowsiness, missing multiple meals, and significant weight loss exceeding 10 percent (%) over six (6) months for one (1) of sixteen (16) sampled residents (Resident #45) Cross Reference F580 and F692 Findings included: A review of the facility's policy titled Free From Unnecessary Psychotropic Concerns, revised September 2022, revealed, The facility will ensure based on the comprehensive assessment… …
F758 citations in Mississippi
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Mississippi cites F758 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Mississippi in 2025, this is the portion that was F758.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F758 findings written in Mississippi, 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.
Based on staff interview, record review, and facility policy review, the facility failed to ensure that as needed (PRN) medications with anticholinergic side effects were used only when clinically necessary and that the PRN medication had a completion time frame for one (1) of six (6) residents reviewed for psychotropic drug dosage reduction. (Resident #5) Findings include: Review of the facility's policy titled, Medication Therapy revised April 2007, revealed, .Each resident's medication regimen shall include only those medications necessary to treat existing conditions and address significant risks . …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 1.75% | 1.06× |
| 2024 | 1.11% | 0.74× |
| 2025 | 0.38% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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