Table 4.

Assisted living facility medication administration and vaccination requirements specified in state regulations, by time period in which the legislation took effect, United States, 2012

Characteristics	1998–2012		1998–2007		2008–2012		p-value
	n=50	%	n=16	%	n=34	%
Medication Administration
Medication administration addressed by regulation
Oral medication administration allowed	29	(58%)	9	(56%)	20	(59%)	0.86
Intramuscular (IM) or subcutaneous (subQ)	19	(38%)	6	(38%)	13	(38%)	0.96
Staff allowed to administer IM/subQ injections:
Registered nurses	5	(26%)	1	(17%)	4	(31%)	1.00
Not specific on who can administer IM/subQ injections***	14	(68%)	5	(83%)	9	(62%)	0.60
Intravenous/parenteral (IV) addressed by regulation	3	(6%)	1	(6%)	2	(6%)	1.00
Staff allowed to administer IV medications:
Registered nurses	1	(33%)	0	(0%)	1	(50%)	1.00
Not specific on who can administer IV medications	2	(67%)	1	(100%)	1	(50%)	1.00
Vaccinations
Offered or required for staff: *
Influenza	4	(8%)	0	(0%)	4	(12%)	0.29
Other vaccinations**	5	(10%)	0	(0%)	5	(15%)	0.16
Any of the above vaccinations offered or required for staff	9	(18%)	0	(0%)	9	(26%)	0.04
Offered or required for residents: *
Influenza	12	(24%)	2	(13%)	10	(29%)	0.29
Pneumococcal	11	(22%)	2	(13%)	9	(26%)	0.47
Other vaccinations**	2	(4%)	0	(0%)	2	(6%)	1.00
Any of the above vaccinations offered or required for residents	15	(30%)	2	(13%)	13	(38%)	0.10

^*States could select more than one

^**Including but not limited to MMR, Varicella, and other vaccinations that are in accordance with CDC guidelines

^***Including self