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 Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F758 less often than its own record predicts
Versus expected share0.28×
0.28 times the national share — cited less often here than elsewhere.
Share of Texas citations0.18%
Of every deficiency written in Texas in 2025, this is the portion that was F758.
Texas0.18%
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 Texas surveyors wrote
F758 findings written in Texas, 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.
J · Immediate jeopardy, isolatedOctober 3, 2024
Based on observation, interview, and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, the resident who used psychotropic drugs received gradual dose reduction and behavioral interventions, the medication was necessary to treat a specific condition as diagnosed and documented in the clinical records, and/or that PRN orders for psychotropic drugs were limited to 14 days unless the prescribing practitioner documented their rationale in the resident's medical records for 4 of 5 residents (Resident #34, Resident #53, Resident #22, and Resident #62) reviewed for unnecessary medications.
1. …
Based on interview and record review the facility failed to ensure residents who have not used [CONDITION(S)] drugs are not given these drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents reviewed (Resident #1)
1. The facility failed to try other interventions before placing Resident #1 on psychoactive medications.
2. The facility failed to identify adverse consequeses of the medications such as unplaned weight loss, decline in ADL fuctions, dehydration, subdued, sedated, lethargic, and mental status changes.
These failures could place residents at risk for receiving psychoactive medications instead of other interventions to reduce their behaviors. …
E · No harm, potential for more than minimal, patternMay 2, 2025
Based on interviews and record reviews the facility failed to ensure residents did not receive antipsychotic medications ordered as needed for longer than 14 days for 1 of 8 residents (Resident #24) reviewed for antipsychotic medication administration.
1.
Resident #24 was prescribed ziprasidone, an antipsychotic medication, as needed without an end date.
The deficient practices could place residents at risk for indefinitely receiving an antipsychotic medication.
The findings included:
A record review of Resident #24's admission record dated 5/2/2025 revealed an admission date of 1/31/2025 with diagnoses which included dementia (a term used to describe a group of symptoms affecting memory, thinking and social abilities which can interfere with activities of daily life) and anxiety. …
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