Distribution of meds at memory care.

Medications are ordered for certain hours. Say 7 a.m. for insulin. 9 a.m. for a pill to be taken after breakfast. And of course in care you may be passing medications to 14 seniors in one cottage, and 14 in the next. So the 7 a.m. med may come at 7 a.m. or 7:10, or 7:15 or 7:20 and so on. It can take a good hour to pass the medications at 9 a.m. dependent on how many medications, how much difficulty watching to person who may pocket the medication, and so on.
Sometimes medications are ordered by the doctor as BID or TID, meaning twice daily or three times daily and they will be scheduled for 9 a.m. 12 noon, 9 pm or whatever.

If you are POA do know that most MCs will welcome your question regarding medication protocol for their particular facility and will welcome your input regarding your loved one.

Often there are notes, notations, additional care plan instructions for patients such as "Patient pockets meds to remove when you leave; check to be certain swallowed" or "crush and give with chocolate pudding" or "difficulty swallowing; be certain sitting straight up during administration any medications" and so on.

The same procedure is true for those hospitalized.

Yes, I would say that the exact time has to be recorded and initialed by the Nurse or medtech. No aide, unless certified to distribute meds, should be giving out meds. It should also show if meds were refused. This you could ask an Ombudsman because it would be a State requirement how records are kept. Med passes are not done exactly on time.

Take this concern to the admins of the facility and provide evidence for your concern. How do you know for a fact this is happening? Have you witnessed it? If you aren't satisfied with their response/solution, then take it to an ombudsman.