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Resident Rights42 CFR §483.10(c)(6)

F0554Resident Self-Administration of Drugs

F0554 governs a resident's right to self-administer medications if the interdisciplinary team has determined this is clinically safe, with appropriate documentation and ongoing reassessment.

Common Deficiency Examples

  • Self-administration approved without documented interdisciplinary team assessment
  • Self-administration not reassessed following a change in resident condition
  • Medications not stored safely to prevent access by other residents where self-administration is in place
  • Resident denied self-administration without a documented clinical rationale

What Your Plan of Correction Needs

F0554 PoCs should show the assessment and safety process behind any self-administration arrangement:

Gap identifiedmissing assessment, reassessment, or safety measure
Immediate actionassessment completed or arrangement adjusted for the resident in question
Systemic fixinterdisciplinary assessment and periodic reassessment process
Monitoring planperiodic review of active self-administration arrangements
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