US · guidance
CMS SOM App. J, Tag W384
§483.460(l)(2) Clients who have been trained to self-administer drugs in accordance with
§483.460(k)(4) may have access to keys to their individual drug supply.
Guidance §483.460(l)(2)
Drugs that are self-administered do not have to be double locked. The purpose for the double
locking is to limit access to scheduled drugs. Since the client is generally the only one who has
access to his/her drug supply (with perhaps the exception of a licensed nurse or whoever has
overall responsibility for medication administration at the facility and a facility's Director of
Nursing Services, who may have access to all of the facility's drug supplies), there is no need to
further limit access.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
1875118864f80b5ef27656e22465493246f203ef107a09c206279463d8325403
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