State Operations Manual (Pub. 100-07), Ch. 2 § 2716
Special Survey of Pharmaceutical Service Requirements in SNFs,
2716 - Special Survey of Pharmaceutical Service Requirements in SNFs,
NFs, and ICFs/IID
(Rev. 91, Issued: 09-27-13, Effective: 09-27-13, Implementation: 09-27-13)
Appendix N describes the procedure(s) that must be applied when surveying a SNF/NF or
ICF/IID for errors in medication dosage, administration, and recording. When detecting
irregularities in pharmaceutical record keeping, the surveyor should begin a probe into the
matter immediately to determine if the errors go beyond record keeping to a more
extensive problem of medication preparation and administration. Surveyors should begin
a deeper probe of the flagged area. Also refer to the interpretive guidelines for ICFs/IID.
(See Appendix J.)