This letter from CMS outlines the requirements for drug regimen reviews in nursing homes and other healthcare facilities. The reviews must be conducted at least once a month by a licensed pharmacist, and must include a review of the resident's medical chart. The pharmacist must report any irregularities to the attending physician, medical director, and director of nursing, and these reports must be acted upon. The facility must also develop and maintain policies and procedures for the monthly drug regimen review. The intent of this requirement is to maintain the resident's highest practicable level of physical, mental, and psychosocial well-being, and prevent or minimize adverse consequences related to medication therapy. Nursing homes and other healthcare facilities must comply with this requirement in order to ensure the safety and well-being of their residents.

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