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 Ohio. Pick another state for the same tag.
Against expectation — 2025
Ohio cites F758 less often than its own record predicts
Versus expected share0.64×
0.64 times the national share — cited less often here than elsewhere.
Share of Ohio citations0.40%
Of every deficiency written in Ohio in 2025, this is the portion that was F758.
Ohio0.40%
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 Ohio surveyors wrote
F758 findings written in Ohio, 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.
J · Immediate jeopardy, isolatedMarch 16, 2018
Based on medical record review, interview with staff, resident, resident's power of attorney, physician and pharmacist, observations, review of gradual dose reduction policy for [MEDICAL CONDITION] medication, drug regimen (including [MEDICAL CONDITION] drug requirements) policy, review of behavior management grid policy, behavior monthly flow record protocol and review of a self -reported incident the facility failed to ensure one resident (Resident #12), had a qualifying [DIAGNOSES REDACTED]. This resulted in Immediate Jeopardy when Resident #12's physician prescribed a [MEDICAL CONDITION] medication without a supporting [DIAGNOSES REDACTED]. …
Based on record review and interview the facility failed to adequately monitor and assess Resident #44 for adverse consequences following the initiation of the psychoactive medication, [MEDICATION(S)]. The facility also failed to provide an appropriate diagnosis for the use of the antipsychotic medication, [MEDICATION(S)] for Resident #46.
Actual harm occurred on 07/23/21 when Resident #44 sustained a fall resulting in a fractured arm (humerus) related to possible side effects of the new [MEDICATION(S)] medication being prescribed for the resident without proper monitoring and notification of the physician of the presence of adverse side effects prior to the resident's fall/fracture. …
D · No harm, potential for more than minimal, isolatedApril 28, 2025
Based on medical record review, review of pharmacy recommendations, staff interview, and policy review, the facility failed to ensure appropriate indications and/or diagnoses were in place for residents receiving antipsychotic medication. This affected one (#51) of five residents reviewed for unnecessary medications. The facility census was 55.
Findings Include:
Review of the medical record revealed Resident #51 was admitted to the facility on [DATE] with diagnoses that included urinary tract infection, anxiety disorder, and depression. There were no other mental health or behavioral related diagnoses present in the medical record. …
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