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 New Hampshire. Pick another state for the same tag.
Against expectation — 2025
New Hampshire cites F758 more often than its own record predicts
Versus expected share1.14×
1.14 times the share F758 takes of citations nationally.
Share of New Hampshire citations0.72%
Of every deficiency written in New Hampshire in 2025, this is the portion that was F758.
New Hampshire0.72%
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 New Hampshire surveyors wrote
F758 findings written in New Hampshire, 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.
D · No harm, potential for more than minimal, isolatedMarch 13, 2025
Based on record review and interview, it was determined that the facility failed to ensure that PRN (as need) psychotropic drugs were limited to 14 days and document the rationale in the resident's medical record for extending PRN psychotropic drugs beyond 14 days for 1 of 6 residents reviewed for unnecessary medications in a final sample of 16 residents (Resident Identifier is #67).
Findings include:
Review on 3/13/25 of Resident #67's February 2025's Physician's Orders revealed the following physician's order written on 2/23/25 with a stop date of 2/26/25: 1. Lorazepam 2 mg/ml conc [concentrate] 0.25 ml [milliliters] (0.5 mg [milligram]) SL[sublingual] every 4 hrs [hours] PRN mild anxiety/agitation . 2. …
B · No harm, potential for minimal, patternDecember 7, 2021
Based on interview and record review, it was determined that the facility failed to ensure that residents who use [CONDITION(S)] drugs received behavioral interventions unless clinically contraindicated and based on resident's comprehensive assessment for 2 residents out of 6 residents reviewed for unnecessary medications (Resident #13 and #14); and the facility also failed to ensure that residents are not given [CONDITION(S)] drugs unless the medication is necessary to treat specific condition as diagnosed and documented in the clinical record for 1 resident out of 6 residents reviewed for unnecessary medications (Resident #13) in a final sample size of 11 residents. …
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