3. Resident #205 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement. During the record review performed on 04/29/25 at 2:00 PM, it was found that has physician ordered on 04/25/2025 at 8:10 PM Cymbalta 30 mg 1 tab PO Hour Sleep (HS). No evidence was found related of the justification for the use of this antidepressant in the physician progress notes. During the interview with the Director of Nursing (employee #1) on 04/29/2025 at 2:00 PM she stated that residents arrive with instructions and a prescription from their orthopedic surgeon to continue treatment at the facility. She states that the orthopedic surgeon prescribed Cymbalta for pain management, not as an antidepressant. …
F758 citations in Puerto Rico
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F758 more often than its own record predicts
7.92 times the share F758 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F758.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F758 findings written in Puerto Rico, 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.
What else Puerto Rico surveyors cite →
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