When a resident in long-term care exhibits distressed behaviors, the path forward should not begin with medication. This compelling conversation between registered nurse Deanna Fye and speech-language pathologist Sarah Reminga unveils critical insights into appropriate psychotropic medication use in skilled nursing facilities. The discussion centers on three core principles: comprehensive assessment, appropriate interventions, and avoiding chemical restraints. Rather than viewing behaviors as problems to be medicated, the experts reframe them as communication attempts from residents doing their best with diminishing abilities. Through captivating real-world examples, they demonstrate how simple, personalized approaches can replace pharmaceutical solutions—like the night wanderer whose lifetime third shift work schedule was accommodated rather than medicated, or the resident who found peace when given clean towels to fold. We explore the multidisciplinary nature of proper assessment, with contributions needed from everyone who interacts with residents daily. What prompts these behaviors? When do they occur? What happened moments before? These questions yield far more valuable information than medication charts and behavior logs. The experts also reference evidence-based techniques from dementia care specialist Teepa Snow, highlighting practical approaches like engaging residents at eye level and asking permission before interaction. CMS has intensified scrutiny of unnecessary psychotropic medication use through F-TAG 605. Facilities must demonstrate thorough assessment, appropriate interventions, and documentation of gradual dose reduction attempts when medications are used. The consequences of using these powerful drugs for staff convenience rather than resident need can be devastating. Ready to transform your approach to resident care? Contact Verity Consulting at verityteam.com for expert guidance on compliance with CMS regulations while providing dignified, person-centered care that truly addresses residents’ needs.