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.”