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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F758 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of Virginia citations0.38%
Of every deficiency written in Virginia in 2025, this is the portion that was F758.
Virginia0.38%
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 Virginia surveyors wrote
F758 findings written in Virginia, 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.
D · No harm, potential for more than minimal, isolatedApril 16, 2025
Based on staff interview, facility document review, and clinical record review, the facility staff failed to monitor residents for the administration of unnecessary psychoactive medications for two of 19 residents in the survey sample, Residents #41 and #17.
The findings include:
1. For Resident #41 (R41) the facility staff failed to monitor for side effects for the use of Risperidone (1) and Sertraline (2).
A review of R41's clinical record revealed an order for Risperidone 0.5 mg (milligrams) daily and Sertraline 50 mg daily. …
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