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Regulatory Compliance

At MediTelecare™ , we are familiar with the regulations and guidelines nursing homes must abide by. Our commitment is to provide a quality of care that meets these restrictions and helps our clients remain in compliance with F-329 and other regulatory guidelines.

Our Departments of Psychiatry and Psychology follow strict Standard Operating Protocols in order to make sure your residents receive the highest level of care. These Standard Operating Protocols contain guidance on Gradual Dose Reduction, Frequency of care visits and Behavioral Therapy Approaches. Additionally, our Medication Managers (Psychiatrists and Nurse Practitioners) utilize a Prescribing Formulary specifically designed for geriatric and skilled nursing behavioral health residents.

For Compliance Issues or Inquiries, Email our Compliance Department at Compliance@meditelecare.com.

Regulatory Guidelines:


Nursing homes are under regulatory obligation to adhere to F-Tag guidelines, particularly F-329 – ‘Free from Unnecessary Drugs’. F-329 is perhaps the most important F-Tag against inappropriate antipsychotic use.
It requires the following:
“Residents who haven’t used antipsychotics are not given them unless antipsychotic drug therapy is necessary to treat a specific condition as diagnosed/documented in the clinical record.
Residents who use antipsychotics receive gradual dose reductions, and behavioral interventions (unless clinically contradicted) in an effort to discontinue these drugs.”


Another F-Tag, F-309, is ‘Necessary Care for Highest Practicable Well Being’. As the name implies, this rule requires that residents be provided with the highest quality physical, mental and psychosocial services to ensure patient well-being. It warns against the use of unnecessary drugs, stating that:
“Each resident’s drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used:
  • In excessive dose (including duplicate drug therapy)
  • For excessive duration
  • Without adequate monitoring
  • Without adequate indications for its use
  • In the presence of adverse consequences which indicate the dose should be reduced or discontinued; or
  • Any combinations of the reasons above.”
Based on a comprehensive assessment of a resident, F-309 also states that skilled nursing facilities must ensure that:
“Residents who have not used antipsychotic drugs are not given these drugs unless antipsychotic drug therapy is necessary to treat a specific condition as diagnosed and documented in the clinical record
Residents who use antipsychotic drugs receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs.”


Finally, F-222, the ‘Right to be Free from Chemical Restraints’, helps ensure that all residents are granted the right to freedom from any type of physical or chemical restraints – including antipsychotic medications – when those restraints are used for the purpose of discipline or convenience. Violation of this rule includes the administration of antipsychotic medication for any purpose other than as required to treat medical symptoms.
For more information about how we comply with regulations put forth in skilled nursing facilities, contact our office to speak with one of our helpful representatives.
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