This letter outlines the requirements for nursing homes and other healthcare facilities to provide pharmaceutical services to meet the needs of each resident. It requires the facility to employ or obtain the services of a licensed pharmacist to consult on all aspects of pharmaceutical services, establish a system of records for controlled drugs, and reconcile and account for all controlled drugs. It also outlines the definition of pharmaceutical services and the responsibilities of the pharmacist, such as collaborating with facility staff, developing medication-related documentation procedures, and using technology and other resources to provide consultation. This letter will require nursing homes and healthcare facilities to ensure they are providing pharmaceutical services that meet the needs of each resident, as well as ensuring the accuracy of medication records and the safe and effective use of medications.

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