PRN Psychotropic Order 14-Day Limit (Nursing Facility)
The 14-day limit on a PRN psychotropic order in a nursing facility (42 CFR 483.45(e)).
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- The PRN order is for
- An antipsychotic
- Date the PRN order started
- 2026-10-01
Result: The PRN order's last day is October 14, 2026.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- The PRN order is for
- Date the PRN order started (YYYY-MM-DD)
- Not an antipsychotic, whether an extension is documented
- The documented duration of the order
- Antipsychotic, date the prescriber examined the resident (YYYY-MM-DD)
How this is calculated
Citation
42 CFR 483.45(e)(3) to (5): PRN orders for psychotropic drugs are limited to 14 days; a longer order needs a documented rationale and duration; a PRN antipsychotic cannot be renewed unless the prescriber evaluates the resident. CMS State Operations Manual, Appendix PP, PRN Medication Use. Read the sources: 42 CFR 483.45 ↗, CMS Appendix PP ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.