rules and regulations for assisted living facilities level ii - Arkansas ...

the resident;
2. A larger sterile or disposable container may be provided to the
resident if needed to prevent spillage. The containers shall not be
shared by residents.
3. The resident may be reminded of the time to take the medication
and be observed to ensure that the resident follows the directions
on the container;
4. Facility staff may assist residents in the management of their
medications by:
a. taking the medication in its container from the area where it is
stored and handing the container with the medication in it to the
resident.
b. In the presence of the resident, facility staff may remove the
container cap or loosen the packaging. If the resident is physically
impaired but cognitively able (has awareness with perception,
reasoning, intuition and memory), facility staff, upon request by or
with the consent of the resident, may assist the resident in
removing oral medication from the container and in taking the
medication.
c. If the resident is physically unable to place a dose of oral
medication in his or her mouth without spilling or dropping it,
facility staff may place the dose of medication in another container
and place that container to the mouth of the resident;
703.1.7 Changes in dosage or schedule of the medication shall be made only upon
the authorization of the resident’s physician or advance practice nurse.
This regulation is not applicable to residents who manage their own
medications.
703.2 Medication Storage
703.2.1 All medications stored for residents by the facility must be stored in a
locked area or a locked medication cart labeled with the resident’s name.
Provided, however, that if the resident administers his or her own
medication, the resident shall have access to his or her medication.
703.2.2 Medications may be kept in the residents’ apartments or units. Prior to a
resident being permitted to keep medications in his or her apartment or
unit, the facility shall:
a. Assess the resident to determine the resident’s understanding of,
and ability to follow, the instructions on the prescription or label,
and the understanding of and ability to follow storage requirements
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Assisted Living Facilities Level II R. 08/01/11