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 Missouri. Pick another state for the same tag.
Against expectation — 2025
Missouri cites F758 less often than its own record predicts
Versus expected share0.97×
0.97 times the national share — cited less often here than elsewhere.
Share of Missouri citations0.61%
Of every deficiency written in Missouri in 2025, this is the portion that was F758.
Missouri0.61%
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 Missouri surveyors wrote
F758 findings written in Missouri, 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 4, 2021
Based on observation, interview and record review, the facility failed to ensure gradual dose reductions (GDRs; the stepwise tapering of a medication to determine if symptoms, conditions, or risks can be managed by a lower dose or if the dose of medication can be discontinued) were attempted or the physician documented the rationale for not attempting a GDR on antipsychotic medications (medications that affects brain activities associated with mental processes and behavior) for two residents (Residents #59 and #91) of 56 sampled residents. The facility also failed to identify side effects of antipsychotic medication for sampled Resident #8. The facility census was 109. …
D · No harm, potential for more than minimal, isolatedApril 28, 2025
Based on interview and record review, the facility failed to ensure the physician/psychiatrist responded to the pharmacist's recommendation for gradual dose reductions of psychotropic medications in a timely manner for two sampled residents (Resident #31 and #128) out of 28 sampled residents. The facility census was 157 residents.
Review of the facility's Medication Regimen Review (MMR or Drug Regimen Review) policy and procedure, dated 6/26/24, showed the drug regimen of each resident is reviewed at least once per month by a licensed pharmacist and includes a review of the resident's medical chart.
-The MMR or Drug Regimen Review includes a review of the medical record in order to prevent, identify, report and resolve medication-related problems, medication errors or other irregularities. …
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