Based on record review and interview, the facility failed to ensure residents are not given drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record. Resident #5 was noted to be hospitalized at a geri psych unit 11/10/17-12/6/17. The Discharge List indicated to stop [MEDICATION NAME], and [MEDICATION NAME]. There was no documentation of the rationale to continue these medications. Review of Resident #5's Medication Administration Record [REDACTED]. There was one physician progress notes [REDACTED]. There was no documentation by the physician that indicated the medications were stopped by the hospital physician or why they were restarted. One of nine residents reviewed for medications. …
F758 citations in South Carolina
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
South Carolina cites F758 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in South Carolina 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 South Carolina surveyors wrote
F758 findings written in South Carolina, 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.
Based on observations, interview, record review, manufacturer ' s guidelines for medication use, and facility policy; the facility failed to ensure Resident (R)3 was free from unnecessary psychotropic medication Olanzapine (Zyprexa) for 1 of 1 resident reviewed for unnecessary medications. Specifically, an antipsychotic medication was used by the facility without proper medical rationale and proper indication for usage. Findings include: Review of the facility ' s policy titled Psychoactive Drug Monitoring last revised [DATE], revealed Residents who receive antidepressant, hypnotic, anti-anxiety, or anti-psychotic medications are monitored to evaluate the effectiveness of the medication. …
Based on interview, record review, and policy review, the facility failed to ensure psychotropic medication had target behaviors identified to enable medication efficacy monitoring for one of five residents (Resident (R) 29) reviewed for unnecessary medications from a total sample of 24. This failure had the potential to affect the ability for a physician to prescribe the lowest possible effective dose of psychoactive medication. Findings include: Review of the facility policy titled Medication Management: Psychotropic Drugs - Use of, revised 04/17/24, revealed, . The facility will monitor and document the resident's response to psychotropic medication for efficacy and adverse consequences. Monitoring will include: A. Symptoms/ behaviors / or side effects to be monitored. B. …
The short window
Recent years
| Year | Share of South Carolina citations | vs expected |
|---|---|---|
| 2023 | 2.36% | 1.43× |
| 2024 | 1.77% | 1.19× |
| 2025 | 0.32% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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