Medication Administration Record Software

Digital MAR that ensures every medication pass is documented, verified, and audit-ready.

Paper MARs lead to missed medications, illegible records, and failed audits. CareHub's digital MAR tracks every scheduled and PRN medication with real-time compliance monitoring and controlled medication count sheets.

Scheduled Medication Tracking

Track every medication pass with time, dose, route, and staff signature. Schedules auto-populate from physician orders so staff always document against an accurate, up-to-date medication list — eliminating the manual transcription errors that cause audit deficiencies.

Controlled Medication Counts

Shift-by-shift controlled substance count sheets with two-staff verification and automatic discrepancy alerts. Every count is timestamped, signed by both staff members, and stored in a tamper-evident log that satisfies Virginia DBHDS and pharmacy requirements for Schedule II–V medications.

PRN Documentation

Document PRN medications with reason for administration, dose given, route, time, and a required effectiveness follow-up within the regulatory window. CareHub prompts staff to complete the follow-up entry and flags overdue PRN documentation before the shift closes.

Missed Medication Alerts

Real-time notifications when a medication pass is approaching or overdue. Supervisors see a compliance gap dashboard across all individuals and sites — so missed doses are caught and addressed immediately rather than discovered during a licensing review.

Med Change Tracking

Complete history of medication changes, dosage adjustments, discontinued orders, and new prescriptions — each with a timestamp and staff or nurse signature. Physician order entries are versioned so the MAR always reflects the current order and prior orders remain accessible for audit.

Audit-Ready Reports

Generate MAR reports by individual, date range, medication, or site. Export PDF summaries formatted for DBHDS licensing reviews, pharmacy reconciliation visits, and internal quality improvement. Reports include pass times, staff signatures, controlled counts, and all PRN entries.

How It Works

1

Set Up Medication Profiles from Physician Orders

Enter physician orders once and CareHub builds the scheduled MAR automatically. Each medication is linked to the individual's facesheet with dose, route, frequency, and prescribing provider. Changes to orders create a new versioned entry so the audit trail is always complete.

2

Staff Document Each Pass in Real Time

At medication pass time, staff open the individual MAR, confirm each scheduled medication, and sign electronically. PRN administrations are entered with reason and dose. Controlled substances trigger the two-staff count sheet workflow automatically, requiring a co-signature before the pass is recorded.

3

Supervisors Monitor Compliance and Export Reports

The compliance dashboard shows pass completion rates, open discrepancies, overdue PRN follow-ups, and controlled count status across the entire organization in real time. When a licensing review or pharmacy reconciliation visit occurs, supervisors export formatted PDF reports in seconds — no paper MAR binders required.

Frequently Asked Questions

How does CareHub handle controlled medication counting for group homes?

CareHub's controlled medication count sheets require two-staff verification at each shift change. Both staff members sign the count electronically, confirming the quantity on hand matches the running total. If a discrepancy is detected — quantity doesn't match expected count — the system flags it immediately and notifies supervisors. Every count entry is timestamped and stored in a tamper-evident log, satisfying Virginia DBHDS requirements and the documentation standards expected during pharmacy consultant visits.

Can CareHub support pharmacy reconciliation for DD waiver group homes?

Yes. CareHub maintains a complete medication history for each individual, including fill dates, quantities received, administration records, and waste documentation for controlled substances. When a pharmacy consultant visits, supervisors can export a reconciliation report by individual or medication that shows every administration entry alongside the dispensing record. This eliminates the manual work of cross-referencing paper MARs against pharmacy printouts and reduces the risk of reconciliation discrepancies.

How are physician order changes tracked in the MAR?

Every physician order entry in CareHub is versioned. When a dose changes, a medication is discontinued, or a new prescription is added, the previous order is closed with a timestamp and the new order takes effect going forward. Staff administering medications always see the current active order, and auditors can view the complete order history including who entered the change and when. This supports DBHDS documentation requirements for medication order management in residential settings.

Does CareHub meet DBHDS documentation requirements for MAR in DD waiver group homes?

CareHub's MAR is designed specifically for DBHDS-licensed DD waiver residential providers operating under the Intellectual Disability (ID) Waiver and similar programs. The system captures all required MAR elements: individual identifier, medication name, dose, route, frequency, administering staff with electronic signature, administration time, and refusal or missed dose documentation. PRN medications include reason for administration and effectiveness follow-up. All records are timestamped, tamper-evident, and exportable as PDFs for licensing reviews, CHRIS-related documentation requests, and DBHDS audits.

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