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 Rhode Island. Pick another state for the same tag.
Against expectation — 2024
Rhode Island cites F758 less often than its own record predicts
Versus expected share0.20×
0.20 times the national share — cited less often here than elsewhere.
Share of Rhode Island citations0.30%
Of every deficiency written in Rhode Island in 2024, this is the portion that was F758.
Rhode Island0.30%
National1.49%
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 Rhode Island surveyors wrote
F758 findings written in Rhode Island, 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, isolatedAugust 28, 2024
Based on record review and staff and resident interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary psychotropic drugs, for 1 of 6 residents reviewed, Resident ID #39. Additionally, the facility failed to ensure that a resident receives a gradual dose reduction (GDR; a process of slowly tapering off a medication to determine if symptoms, conditions, or risks can be managed with a lower dose or if the medication can be discontinued altogether) unless clinically contraindicated for 1 of 3 residents reviewed, Resident ID #45.
Findings are as follows:
1. …
E · No harm, potential for more than minimal, patternMay 8, 2024
Based on record review and staff interview, it has been determined that the facility failed to ensure a resident's drug regimen is free from unnecessary psychotropic drugs who have as needed psychotropic medication orders extending beyond 14 days, for 1 of 3 residents reviewed for unnecessary medication, Resident ID #8.
Findings are as follows:
Record review revealed the resident was admitted to the facility in January of 2021 with diagnoses including, but not limited to, dementia, anxiety and depression disorder. …
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