F329 IV. DEFICIENCY CATEGORIZATION (Part IV, Appendix P) Once the team has completed its investigation, analyzed the data, reviewed the regulatory requirement, and identified any deficient practice(s) that demonstrate that noncompliance with the regulation at F329 exists, the team must determine the severity of each deficiency, based on the resultant harm or potential for harm to the resident. The key elements for severity determination for F329 are as follows: 1. Presence of potential or actual harm/negative outcome(s) due to a failure related to unnecessary medications. Examples of actual or potential harm/negative outcomes for F329 may include, but are not limited to: Potential for life-threatening toxicity from excessive dose or lack of indication for the use of • digoxin. Complications (such as diarrhea with life threatening fluid loss, nephrotoxicity, hearing loss, or • anaphylactic shock) from use of an antibiotic when no clear indication for use has been established or response to the use has not been monitored. Fractures or falls with injury resulting from the continuing use of medications (e.g., • hypnotics/sedatives, antipsychotics, antidepressants, antihypertensives) in the presence of
F329 IV. DEFICIENCY CATEGORIZATION (Part IV, Appendix P) Once the team has completed its investigation, analyzed the data, reviewed the regulatory requirement, and identified any deficient practice(s) that demonstrate that noncompliance with the regulation at F329 exists, the team must determine the severity of each deficiency, based on the resultant harm or potential for harm to the resident. The key elements for severity determination for F329 are as follows: 1. Presence of potential or actual harm/negative outcome(s) due to a failure related to unnecessary medications. Examples of actual or potential harm/negative outcomes for F329 may include, but are not limited to: • Potential for life-threatening toxicity from excessive dose or lack of indication for the use of digoxin. • Complications (such as diarrhea with life threatening fluid loss, nephrotoxicity, hearing loss, or anaphylactic shock) from use of an antibiotic when no clear indication for use has been established or response to the use has not been monitored. • Fractures or falls with injury resulting from the continuing use of medications (e.g., hypnotics/sedatives, antipsychotics, antidepressants, antihypertensives) in the presence of