[Code of Federal Regulations]
[Title 38, Volume 2]
[Revised as of July 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR51.180]

[Page 836]
 
            TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF
 
          CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS (CONTINUED)
 
PART 51--PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES--Table 
of Contents
 
                          Subpart D--Standards
 
Sec. 51.180  Pharmacy services.

    The facility management must provide routine and emergency drugs and 
biologicals to its residents, or obtain them under an agreement 
described in Sec. 51.210(h) of this part. The facility management must 
have a system for disseminating drug information to medical and nursing 
staff.
    (a) Procedures. The facility management must provide pharmaceutical 
services (including procedures that assure the accurate acquiring, 
receiving, dispensing, and administering of all drugs and biologicals) 
to meet the needs of each resident.
    (b) Service consultation. The facility management must employ or 
obtain the services of a pharmacist licensed in a State in which the 
facility is located or a VA pharmacist under VA contract who--
    (1) Provides consultation on all aspects of the provision of 
pharmacy services in the facility;
    (2) Establishes a system of records of receipt and disposition of 
all controlled drugs in sufficient detail to enable an accurate 
reconciliation; and
    (3) Determines that drug records are in order and that an account of 
all controlled drugs is maintained and periodically reconciled.
    (c) Drug regimen review. (1) The drug regimen of each resident must 
be reviewed at least once a month by a licensed pharmacist.
    (2) The pharmacist must report any irregularities to the primary 
physician and the director of nursing, and these reports must be acted 
upon.
    (d) Labeling of drugs and biologicals. Drugs and biologicals used in 
the facility management must be labeled in accordance with currently 
accepted professional principles, and include the appropriate accessory 
and cautionary instructions, and the expiration date when applicable.
    (e) Storage of drugs and biologicals. (1) In accordance with State 
and Federal laws, the facility management must store all drugs and 
biologicals in locked compartments under proper temperature controls, 
and permit only authorized personnel to have access to the keys.
    (2) The facility management must provide separately locked, 
permanently affixed compartments for storage of controlled drugs listed 
in Schedule II of the Comprehensive Drug Abuse Prevention and Control 
Act of 1976 and other drugs subject to abuse.

(Authority: 38 U.S.C. 101, 501, 1710, 1741-1743)