(1) All medications required by a resident in a personal care home shall be self-administered by the
resident except when a resident, although generally capable of self-administration, requires
administration of oral or topical medication by or under supervision of a functionally literate staff person,
through arrangements made by the resident or the home. Injectable medications may only be self-administered
or administered by an appropriately licensed person with the following exceptions:
(a) Administration of epinephrine under established medical protocol to residents with a known
anaphylactic reaction; and
(b) Administration of insulin under established medical protocol by a staff person provided that the
resident’s personal physician has designated a staff person or persons who have been trained and are
qualified to administer the insulin to that particular resident. A statement from the resident’s physician
certifying which staff person or persons have been trained must be maintained in the resident’s file.
(2) Responsibility for initial acquisition and refilling of prescribed medications shall be specifically
assigned in the admission agreement to either the resident, representative or legal surrogate, if any, or
the administrator or on-site manager.
(3) A resident who is not capable of independent self-administration of medication may be assisted and
supervised in self-administration by staff to the following extent:
(a) He or she may be reminded of the time to take medication;
(b) The medication regimen as indicated on the container label may be read to him or her;
(c) The dosage he or she self-administers may be checked according to the container label; and (d) He
or she may be physically assisted in pouring or otherwise taking medication.
(4) Storage of Medications:
(a) Medications shall be stored under lock and key at all times whether kept by a resident or kept by the
home for the resident, except when required to be kept by a resident on his or her person due to need for
frequent or emergency use, as determined by the resident’s physician, or when closely attended by a staff
(b) Medication kept by a resident may be stored in the resident’s bedroom, in a locked cabinet or other
locked storage container. Single occupancy bedrooms which are kept locked at all times are acceptable.
Duplicate keys shall be available to the resident and the administrator, on-site manager or designated
(5) Medications shall be kept in original containers with original label intact.
(6) Medications shall be properly labeled and handled in accordance with current applicable laws and