Deficiency tags › F0758
F0758
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.
Category: Pharmacy Service Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.
By state
"Share" is citations divided by the number of certified facilities in the state, so a value over 100% means more than one citation per facility on average.
| State | Citations | Share |
|---|---|---|
| California | 783 | 67% |
| Ohio | 381 | 41% |
| Illinois | 324 | 49% |
| Kansas | 263 | 89% |
| Missouri | 205 | 42% |
| Texas | 194 | 16% |
| Pennsylvania | 184 | 28% |
| Virginia | 166 | 57% |
| Michigan | 161 | 38% |
| Massachusetts | 143 | 42% |
| Washington | 142 | 74% |
| Oklahoma | 138 | 49% |
| Wisconsin | 136 | 42% |
| Minnesota | 132 | 39% |
| Indiana | 130 | 26% |
| Florida | 124 | 18% |
| New York | 117 | 20% |
| Maryland | 116 | 52% |
| Georgia | 92 | 26% |
| Iowa | 86 | 22% |
| Colorado | 80 | 38% |
| Nebraska | 75 | 42% |
| North Carolina | 67 | 16% |
| Connecticut | 66 | 35% |
| Oregon | 58 | 45% |
| Louisiana | 53 | 20% |
| New Jersey | 52 | 15% |
| West Virginia | 49 | 40% |
| Utah | 48 | 49% |
| Tennessee | 46 | 15% |
| New Mexico | 44 | 65% |
| Arizona | 37 | 26% |
| South Carolina | 37 | 20% |
| Mississippi | 34 | 17% |
| Wyoming | 30 | 83% |
| Nevada | 28 | 42% |
| Idaho | 28 | 35% |
| Alabama | 27 | 12% |
| Arkansas | 26 | 12% |
| Montana | 26 | 43% |
| Maine | 25 | 32% |
| Delaware | 21 | 48% |
| Kentucky | 20 | 7% |
| New Hampshire | 16 | 22% |
| Vermont | 15 | 45% |
| North Dakota | 12 | 17% |
| South Dakota | 11 | 11% |
| Hawaii | 11 | 26% |
| Rhode Island | 7 | 10% |
| District of Columbia | 3 | 18% |
| Alaska | 3 | 15% |
| Puerto Rico | 2 | 22% |
| Guam | 1 | 100% |
Most recent citations
Scope and severity letters (A–L)
Questions and answers
What does deficiency tag F0758 mean?
F0758 is cited when a nursing home fails to: 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. It falls under pharmacy service deficiencies in the CMS requirements for long-term care facilities.
How common is F0758?
5,075 citations at 4,222 facilities (29% of all certified nursing homes) over the three most recent survey cycles; 25 were at the actual-harm or immediate-jeopardy level.
Which states cite F0758 most?
California (783), Ohio (381), Illinois (324), Kansas (263), Missouri (205).