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 corresponds to the federal standard: 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.. When a surveyor finds that a facility is not meeting this standard, they cite the tag and assign a scope/severity letter (A–L) describing how widespread the issue is and how much harm it caused.

• Level 4 — Immediate jeopardy 6
• Level 3 — Actual harm 22
• Level 2 — No actual harm, potential for more than minimal 5,980
• Level 1 — Potential for minimal harm 4