Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure as needed (PRN) psychotropic medications for 2 of 5 (Resident #45 and #46) sampled residents reviewed for unnecessary medications were limited to 14 days duration. The facility failed to obtain a physician's assessment or document rationale for continued use of the medication. The findings include: 1. Review of the facility policy titled, Medication-Psychotropic, dated 10/30/2023, revealed .Residents are not given psychotropic drugs unless the medication is necessary to treat a specific condition, as diagnosed and documented in the clinical record .PRN order for psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that… …
F758 citations in Tennessee
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
Tennessee cites F758 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee 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 Tennessee surveyors wrote
F758 findings written in Tennessee, 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.
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.99% | 0.60× |
| 2024 | 0.24% | 0.16× |
| 2025 | 0.58% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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