16 Del. Admin. Code § 3230-8.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 3230-8.0 - Services to Residents

8.1 Medication Management

8.1.1 A Rest Residential Home shall establish and adhere to written medication policies and procedures which shall address:

8.1.1.1 Obtaining and refilling medication;

8.1.1.2 Storing and controlling medication;

8.1.1.3 Disposing of medication; and

8.1.1.4 Administration of medication, self-administration of medication and medication management by an adult family member/support person.

8.1.1.5 Provision for a quarterly pharmacy review conducted by a pharmacist which shall include:

8.1.1.5.1 Rest Residential Home with the development and implementation of medication-related policies and procedures;

8.1.1.5.2 Physical inspection of the medication storage areas;

8.1.1.5.3 Review of each resident's medication regimen with written reports noting any identified irregularities or areas of concern.

8.1.2 Each Rest Residential Home shall have a drug reference guide, with a copyright date no older than 2 years, available and accessible for use by employees.

8.1.3 Medication stored by the Rest Residential Home shall be stored and controlled as follows:

8.1.3.1 Medication shall be stored in a locked container, cabinet, or area that is only accessible to authorized personnel;

8.1.3.2 Medication that is not in locked storage shall not be left unattended and shall not be accessible to unauthorized personnel;

8.1.3.3 Medication shall be stored in the original labeled container;

8.1.3.4 A bathroom or laundry room shall not be used for medication storage unless it is kept in a locked container under the circumstances addressed in 8.1.4; and

8.1.3.5 All expired or discontinued medication, including those of deceased residents, shall be disposed of according to the Rest Residential Home's medication policies and procedures.

8.1.4 Residents who self-administer medication shall be provided with a lockable container or cabinet. This requirement does not apply to medications which are kept in the immediate control of the individual resident, such as in a pocket or in a purse. Facility policies must require that medications be secured in a locked container or in a locked room.

8.1.5 A separate medication log must be maintained for each resident documenting administration of medication by staff.

8.1.6 Within 30 days after a resident's admission the Rest Residential Home shall arrange for an on-site review by an RN of the resident's medication regime if he or she self-administers medication. The purpose of the on-site review is to assess the resident's cognitive and physical ability to self-administer medication or the need for staff administration of medication.

8.1.7 The Rest Residential Home shall ensure that the review required by section 8.1.6 is documented in the resident's records, including any recommendations given by the reviewer.

8.1.8 The Rest Residential Home shall arrange for an on-site medication review by a registered nurse, for residents who self-administer or staff administration of medication, to ensure that:

8.1.8.1 Medications are properly labeled, stored and maintained;

8.1.8.2 Each resident receives the medications that have been specifically prescribed in the manner that has been ordered;

8.1.8.3 The desired effect of each medication is achieved, and if not, that the appropriate authorized prescriber is so informed;

8.1.8.4 Any undesired side effects, adverse drug reactions, and medication errors are identified and reported to the appropriate authorized prescriber; and

8.1.8.5 Any unresolved discrepancy of controlled substances shall be reported to the Delaware Office of Narcotics and Dangerous Drugs.

8.2 Food Service

8.2.1 A minimum of three (3) meals shall be available and/or served in each twenty four (24) hour period.

8.2.2 The food served shall be suitably prepared and of sufficient quantity and quality to meet the nutritional needs of the residents.

8.2.3 Special diets served shall be, on the written prescription of the resident's physician.

8.2.4 A copy of the current week's menus regular and therapeutic shall be posted in the kitchen.

8.2.5 A copy of a recent diet manual shall be available for planning therapeutic menus and as a resource for physicians.

8.2.6 Menus showing food actually served each day shall be kept on file for three (3) months.

8.2.7 A Three (3) day supply of food for emergency feeding shall be on the premises.

16 Del. Admin. Code § 3230-8.0