Medication Management in Nursing Homes and Care Homes

Updated 30 October 2026 · Educational resource

Safe medication management is essential in nursing homes and care homes. Residents often take multiple medications, and errors can lead to serious harm. Facilities are expected to have systems for prescribing, dispensing, administering, and monitoring medicines.

Key elements of safe practice

• Accurate medication reconciliation on admission and after hospital stays
• Clear prescribing and administration records
• Trained staff who follow the rights of medication administration
• Regular review of medications by a physician or pharmacist to reduce unnecessary drugs
• Monitoring for side effects and interactions
• Secure storage and disposal of medicines

In the US, CMS surveyors review medication practices. In the UK, CQC inspectors examine medicines management as part of the “safe” domain. Families should ensure the facility has an up-to-date list of the resident’s medications and allergies and should report any new symptoms promptly.

Disclaimer: Medication decisions must be made by qualified prescribers. This page is educational only.

← Back to Information Centre · About this site · Editorial policy