(a)

1. (1) Any medication required by a resident must be:

   1. (A) Self-administered by the resident; or
   2. (B) Administered by a licensed home health agency.

2. (2)

   1. (A) A facility and its staff shall not administer any medication, other than emergency or first aid measures.
   2. (B) “Emergency measures” means those necessary to prevent death or trauma until the resident can be transported to an appropriate medical facility.
   3. (C) “First aid measures” means those necessary immediately to relieve trauma or injury.

(b) A facility may provide training and minimal assistance or guidance to residents who self-administer medication, including, but not limited to:

1. (1) Reminding the resident of the time to take the medication; and
2. (2) Reading to the resident the medication regimen on the medication container.

(c) If a facility makes provision for administration of medication by a home health agency, the home health agency shall be responsible for:

1. (1) Planning, directing, and supervising the administration of medication to residents and assisting the resident in ordering medications;
2. (2) Reviewing each resident’s condition and medication regimen at regular intervals and documenting those reviews; and
3. (3) Providing appropriate instruction to residents in self-administration of medication and documenting those instructions.

(e) All medications shall be stored and safeguarded as follows:

1. (1) Medication shall be stored in a secure area, provided, however, that medications may be kept in the resident’s room in the sole discretion of the facility depending on the capabilities of the resident;
2. (2) Prescription medications shall be properly labeled in accordance with current applicable laws and rules;
3. (3) Nonprescription or over-the-counter medications must be individually labeled and kept in the original container if stored by the facility;
4. (4) Stock supplies of any medication are prohibited;
5. (5) Any medication that has been prescribed for but is no longer in use by a resident shall be destroyed or disposed of in accordance with state law if stored by the facility; and
6. (6) Under no circumstances will one (1) resident’s medication be shared with another resident.

(f)

1. (1) If the facility stores and supervises a resident’s medication, a notation shall be made on the individual record for each resident who refuses or is unable to self-administer his or her medications.
2. (2) The notation shall include the date, time, and dosage of medication that was not taken, and a notation that the resident's attending physician was notified within a reasonable amount of time.