CMS Manual System - Louisiana Department of Health and Hospitals

efore the resident may exercise that right. The interdisciplinary team must also
determine who will be responsible (the resident or the nursing staff) for storage and
documentation of the administration of drugs, as well as the location of the drug
administration (e.g., resident‘s room, nurses‘ station, or activities room). Appropriate
notation of these determinations should be placed in the resident‘s care plan.
The decision that a resident has the ability to self-administer medication(s) is subject to
periodic re-evaluation based on change in the resident‘s status. The facility may require
that drugs be administered by the nurse or medication aide, if allowed by State law, until
the care planning team has the opportunity to obtain information necessary to make an
assessment of the resident‘s ability to safely self-administer medications. If the resident
chooses to self-administer drugs, this decision should be made at least by the time the
care plan is completed within seven days after completion of the comprehensive
assessment.
Medication errors occurring with residents who self-administer drugs should not be
counted in the facility‘s medication error rate (see Guidelines for §483.25(m)), but should
call into question the judgment made by the facility in allowing self-administration for
those residents.
Probes: §483.10(n)
For residents selected for a comprehensive review or a focused review, as appropriate:
Does resident self-administer drugs? Which ones? How much? How often?
Does the care plan reflect self-administration?
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§483.10(o) Refusal of Certain Transfers
(1) An individual has the right to refuse a transfer to another room within the
institution, if the purpose of the transfer is to relocate--
(i) A resident of a SNF, from the distinct part of the institution that is a SNF to a
part of the institution that is not a SNF, or
(ii) A resident of a NF, from the distinct part of the institution that is a NF to a
distinct part of the institution that is a SNF.
(2) A resident’s exercise of the right to refuse transfer under paragraph (o)(1) of this
section does not affect the individual’s eligibility or entitlement to Medicare or
Medicaid benefits.