Long-Term Care Service
Regulatory Compliance
DPH, DEA, MA Board of Pharmacy, CMS — handled. Your facility doesn't need to keep them straight.
DPH, DEA, and state board requirements built into our workflow — survey-ready documentation included.
What this looks like in practice
Long-term care pharmacy operates at the intersection of multiple regulatory bodies, each with its own requirements: the Massachusetts Department of Public Health (facility licensure, controlled-substance handling), the DEA (CII–CV scheduling, destruction, and reconciliation), the Massachusetts Board of Pharmacy (pharmacy practice and dispensing), CMS (federal SNF requirements), and your individual facility's accreditor (TJC, CARF, etc.).
We've built our entire workflow around these requirements so you don't have to manage them separately. Controlled substance destruction follows DEA Form 41 protocols. Expired medications are returned with documentation. USP 800 hazardous drug procedures are followed for chemotherapy and other listed drugs. Recalls are caught by our system and communicated to your DON within 24 hours.
When surveyors arrive at your facility, they often want to talk to us too — and they get clean documentation, on time, every time. Our LTC partners consistently survey better on medication-management metrics than industry average.
What's included
- DPH, DEA, MA Board of Pharmacy
- Controlled substance destruction
- USP 800 hazardous drug procedures
- Recall and adverse-event coordination
24h
Recall communication SLA
Zero
Survey deficiencies attributable to us in 5+ years
Quarterly
Compliance audit cadence
What You Get
The benefits in detail.
Controlled Substance Compliance
CII–CV reconciliation, destruction (DEA Form 41), and reverse-distribution all handled by our pharmacy.
USP 800 Hazardous Drugs
Hazardous medication handling, packaging, and disposal follows USP 800 — surveyors increasingly look at this.
Recall Response
Our system flags recalled medications across all resident profiles. We communicate to your DON within 24 hours.
Survey Support
Our consultant pharmacist makes herself available during surveys to answer pharmacy-related questions on your behalf.
Who It's For
This is especially helpful for…
- Skilled nursing facilities (CMS / state-regulated)
- Group homes (DDS / DMH oversight)
- Facilities preparing for survey
- Operators upgrading existing pharmacy partnerships
How It Works
Three simple steps.
Compliance baseline
Initial audit of your current state vs DPH/DEA/CMS requirements. We document gaps and create a remediation plan.
Workflow integration
Our compliance procedures integrate into your med-pass routine. Quarterly audits keep things current.
Survey + ongoing oversight
Available during surveys, responsive to deficiencies, and proactive on regulatory changes.
Common Questions
Frequently asked questions.
Who handles the destruction of expired and unused medications?
We do. Quarterly pickup of expired medications, reverse distribution where applicable, and destruction with full DEA Form 41 documentation for controlled substances.
What if there's a survey deficiency related to medication?
We help you write the plan of correction and provide any pharmacy documentation surveyors request. We aim for zero medication-related deficiencies, but if one happens, we own it.
How do you handle USP 800?
Hazardous drugs are packaged separately with proper labeling, handled with required PPE, and disposed of per USP 800 standards. Most facilities don't need to think about it.
Are recalls always communicated?
Yes — our system cross-references active recalls against every resident's medication profile. Affected residents and your DON are notified within 24 hours of FDA recall posting.
Explore More
Other LTC services
Blister & Compliance Packaging
Pre-sorted blister packs and pouches organized by date and time, so caregivers can administer with confidence.
Free Local Delivery
Reliable on-schedule delivery to your facility — including STAT and after-hours runs.
eMAR Integration
Direct integration with leading electronic Medication Administration Record (eMAR) systems.