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 Oklahoma. Pick another state for the same tag.
Against expectation — 2025
Oklahoma cites F758 more often than its own record predicts
Versus expected share1.91×
1.91 times the share F758 takes of citations nationally.
Share of Oklahoma citations1.20%
Of every deficiency written in Oklahoma in 2025, this is the portion that was F758.
Oklahoma1.20%
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 Oklahoma surveyors wrote
F758 findings written in Oklahoma, 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, isolatedJuly 19, 2024
Based on record review and interview, the facility failed to review medications for a gradual dose reduction for four (#14, 33, 40, and #41) of five sampled residents reviewed for unnecessary medications.
The DON identified 14 residents were on psychotropics medications in the facility.
Findings:
The Baptist Village Communities Psychotropic Medication Policy and Procedure, dated 02/20/24, read in part, Residents who receive psychotropic medications will receive gradual dose reductions and behavioral interventions unless clinically contraindicated with the intention to decrease or discontinue the use of the psychotropic medication whenever safe and possible.
1. …
D · No harm, potential for more than minimal, isolatedApril 28, 2025
Based on record review and interview, the facility failed to ensure a PRN order for an anti-psychotic drug was limited to 14 days for 1 (#92) of 5 sampled residents reviewed for unnecessary medications.
The DON identified 177 residents resided in the facility.
Findings:
A policy titled PSYCHOTROPIC MANAGEMENT GUIDELINES, dated 07/26/23, read in part, PRN medications will be ordered for no longer than 14 days.
Resident #92's order summary report, dated 04/2025, showed the resident had diagnoses which included senile degeneration of the brain and unspecified psychosis not due to a substance or known physiological condition. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction