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 Dakota. Pick another state for the same tag.
Against expectation — 2025
North Dakota cites F758 less often than its own record predicts
Versus expected share0.88×
0.88 times the national share — cited less often here than elsewhere.
Share of North Dakota citations0.55%
Of every deficiency written in North Dakota in 2025, this is the portion that was F758.
North Dakota0.55%
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 Dakota surveyors wrote
F758 findings written in North Dakota, 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, isolatedApril 3, 2025
Based on record review, review of facility policy and staff interview, the facility failed to ensure medication orders include a rationale and duration for the use of an as needed (PRN) psychotropic medication for 1 of 1 sampled resident (Resident #37) who received PRN psychotropic medications. Failure to ensure PRN psychotropic medication orders are limited to 14 days and document a rationale for continued use places residents at risk for receiving unnecessary medications and experiencing adverse consequences related to their use.
Findings include:
Review of the facility policy titled Psychotropic Medications occurred on 04/03/25. This policy, dated December 2024, stated, . PRN orders for psychotropic drugs are limited to 14 days. …
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