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 North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F758 less often than its own record predicts
Versus expected share0.76×
0.76 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.48%
Of every deficiency written in North Carolina in 2025, this is the portion that was F758.
North Carolina0.48%
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 North Carolina surveyors wrote
F758 findings written in North Carolina, 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, isolatedJune 18, 2020
Based on record review, Physician and staff interview, the facility failed to have an adequate indication for the use of the as needed (PRN) [MEDICAL CONDITION] medication, failed to try non-pharmacological intervention prior to administering a PRN [MEDICAL CONDITION] medication and failed to identify the use of the [MEDICAL CONDITION] medications as a possible cause of the falls, sleepiness and decreased po (per Orem) intake for 1 of 3 sampled residents reviewed for unnecessary medication (Resident #1). Resident #1 was administered [MEDICATION NAME] (a drug used to reverse opioid overdose) due to increased lethargy and was sent to the hospital due to unresponsiveness. …
D · No harm, potential for more than minimal, isolatedMay 7, 2025
Based on record reviews, staff and Physician Assistant interviews, the facility failed to ensure an as needed (PRN) psychotropic medication, Lorazepam, prescribed for anxiety had a stop date 14 days or less for 1 or 5 residents (Resident #17) reviewed for unnecessary medications.
Findings included:
Resident #17 was admitted to the facility on [DATE] with diagnoses which included anxiety.
A Physician's order dated 1/07/25 read in part for Lorazepam (antianxiety medication) 0.5 milligrams (mg) by mouth every 12 hours as needed for anxiety. …
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