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abuse administration adverse drug reactions adverse reactions antidepressants Antihypertensives antipsychotic antipsychotic drugs appropriate assess assistance benzodiazepines blood pressure California chemical restraints Columbia board consultant pharmacist decreased depression Dept DHHS digoxin District of Columbia dosage doses drug interactions drug storage Federal furosemide haloperidol Health and Long-Term home staff homes visited hospital Human Services inappropriate drug inspection justify Keys Amendment long-term care facilities LTC Ombudsman Mary Rose Oakar Maryland medical records mentally ill mittee monitoring needed nursing home nursing home residents Oakar Office Ohio older adults overmedication p.r.n. drugs patients percent pharmacy physicians prescribed prescription drugs problems psychoactive drugs psychoactive medications psychotropic regulations resi resident's residents of board residents receive residents were found Ron Wyden side effects standards Subcom Subcommittee on Health Subcommittee staff Supplemental Security Income survey taking tardive dyskinesia Texas tion tranquilizers unannounced visits unlicensed board vital signs Yes No Yes