This letter from CMS outlines the regulations for psychotropic drugs in nursing homes and other healthcare facilities. It states that psychotropic drugs should only be given to residents who have been diagnosed with a specific condition, and that PRN orders for psychotropic drugs should be limited to 14 days. It also states that if the PRN order is extended beyond 14 days, the attending physician or prescribing practitioner must document their rationale in the resident's medical record and indicate the duration of the PRN order. For anti-psychotic drugs, PRN orders are limited to 14 days and cannot be renewed without the attending physician or prescribing practitioner evaluating the resident for the appropriateness of the medication. Nursing homes and other healthcare facilities must take these regulations into account when prescribing psychotropic drugs and ensure that all orders are documented and appropriate.

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