Long-Term Care Service
Consultant Pharmacist Reviews
A licensed pharmacist reviews every resident's regimen monthly — survey-ready and clinically rigorous.
Monthly medication regimen reviews by a licensed consultant pharmacist with documented recommendations.
What this looks like in practice
Federal and state regulations require monthly medication regimen reviews for residents in skilled nursing, and they're best practice for assisted living too. Our consultant pharmacist performs structured reviews looking for drug interactions, dose appropriateness for age and renal function, duplications, unnecessary medications, and indicators that a deprescribing conversation is warranted.
Findings are documented in a clinical note delivered to your medical director, with a copy in each resident's chart. We follow up to confirm whether recommendations are accepted, deferred, or declined — and document each outcome. Surveyors love seeing this loop closed.
We have particular focus on antipsychotic reduction (a CMS quality measure surveyors target heavily), PRN reviews, and high-risk medication monitoring (anticoagulants, opioids, sedatives in the elderly). These are the areas where most facility deficiencies occur.
What's included
- Monthly resident-level reviews
- Drug interaction & dose screening
- Antipsychotic reduction support
- Survey-ready documentation
Monthly
Per-resident review cadence
7 days
MD note turnaround
Quarterly
Facility-wide quality reports
What You Get
The benefits in detail.
Monthly Resident Reviews
Every resident, every month. Drug interactions, doses, duplications, and deprescribing opportunities flagged.
Clinical Notes to MD
Findings documented in a clinical note to your medical director. Recommendations tracked to outcome.
Antipsychotic Reduction
CMS quality measure focus. We track each resident's antipsychotic use and recommend tapers when clinically appropriate.
Survey-Ready Documentation
Every review, every recommendation, every outcome documented and indexed. Surveyors get what they ask for.
Who It's For
This is especially helpful for…
- Skilled nursing facilities (regulatory requirement)
- Assisted living facilities (best practice)
- Group homes serving complex populations
- Facilities preparing for survey
How It Works
Three simple steps.
Onboarding review
Initial review of every current resident — usually completed in the first 30 days, regardless of where they are in the standard cycle.
Monthly cycle
Each resident reviewed monthly thereafter, with findings sent to your MD and chart-noted within 7 days.
Quality reporting
Quarterly facility-wide trends, antipsychotic metrics, and high-risk medication summaries sent to your DON.
Common Questions
Frequently asked questions.
Is this required by regulation?
Yes for SNFs (CFR 483.45) and best practice for ALFs. The pharmacist must be licensed, the review must be monthly, and findings must be communicated to the MD.
Who is the consultant pharmacist?
Thao Nguyen, Pharm.D, RPh — our LTC pharmacist. She has dedicated consultant time and visits facility partners on a regular cadence.
How does the MD receive the recommendations?
Structured clinical note via fax, email, or your facility's preferred channel. Each recommendation has a one-line rationale and a yes/no/deferred response field for the MD to mark.
What's the cost?
Included in our LTC pharmacy partnership for skilled nursing and most assisted living. Group homes and specialty schools may have a separate consultant fee — quoted up front.
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