Licensure Reference Number 175 NAC 12-006.09(H) Based on record review and an interview, the facility failed to ensure an as needed psychotropic medication (work by altering brain chemistry) had a 14-day stop date as required for Resident 18. This affected 1 of 3 residents review for unnecessary medication use. The facility census was 85. Findings Are: A record review of the facility policy Use of Psychotropic Medication Guideline with a date implemented of 2023 revealed: -PRN orders for all psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record for a limited duration (i.e.14 days) -If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be… …
F758 citations in Nebraska
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
Nebraska cites F758 more often than its own record predicts
2.78 times the share F758 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F758 findings written in Nebraska, 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.
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 2.96% | 1.79× |
| 2024 | 3.34% | 2.24× |
| 2025 | 1.75% | 2.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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