Level 1
Independent self-administration
Some residents manage their own medications. When their assessment supports it, they continue to do so, and the arrangement is documented in their care plan.
Medication Support & RN Delegation
Medication Support and RN-Delegated Care
Magnolia Senior Care supports residents with medication-related needs based on their individual assessments and care plans. When medication administration is required, appropriately qualified caregivers may perform specific medication tasks under authorization and delegation from a Registered Nurse, in accordance with Washington State requirements. Our team also coordinates with prescribing healthcare professionals and pharmacies as needed to support safe, consistent medication routines.
How it works
What families can expect.
Level 2
Medication assistance
For residents who can still direct their own medications but need help, caregivers may provide assistance allowed under Washington rules, such as reminders, opening containers, or handing a medication to the resident. The resident remains the person taking the medication.
Level 3
Medication administration
When a resident can no longer self-administer, medications must be given by a legally authorized practitioner, such as a licensed nurse, or by a caregiver acting under valid nurse delegation, unless another lawful arrangement applies. Caregivers do not make clinical medication decisions; prescription changes come from the resident's prescriber.
Nurse delegation
Specific, individual, and RN-approved
Nurse delegation is specific to one resident, one caregiver, and one authorized task. The delegating Registered Nurse decides whether a task is appropriate to delegate, and the caregiver must meet Washington's training, competency, documentation, and supervision requirements. Not every medication, injection, or nursing procedure can be delegated.
Coordination
Prescribers and pharmacies
Magnolia coordinates with prescribing healthcare professionals and pharmacies as needed, including refills and medication changes, and keeps families informed.
Washington references: WAC 388-76-10440, WAC 388-76-10455, WAC 246-840-910 through 246-840-970 (nurse delegation).
RN-Led Clinical Excellence + Family-Centered Care
The role of RN oversight
Sosena Mekuria, RN, provides RN oversight of residents' care plans, including medication-related needs. Delegation may be provided by a delegating RN as each resident's situation requires; it is not assumed that one nurse delegates every task. Registered Nurse visits are scheduled according to resident needs and each home's care arrangements. Trained caregivers provide 24-hour resident support, and Magnolia does not provide 24-hour on-site nursing.
Good to know
Limits and fit
If a resident needs a nursing task that cannot be delegated and the home cannot otherwise arrange it safely, a different setting may be needed. Medication support is set up individually and written into the resident's care plan.
At each home
Two homes, two clearly defined RN roles.
Burien, WA
Magnolia Senior Loving Care: RN-Owned & Operated
The Burien home is owned and operated by Sosena Mekuria, RN, who directly oversees care planning and daily operations there.
Visit the Burien home pageDes Moines, WA
Magnolia Senior Care of Highline: RN-Managed
The Des Moines home is RN-Managed: Sosena Mekuria, RN, provides RN management and oversight of care planning there.
Visit the Des Moines home pageQuestions families ask
Frequently asked questions
FAQ
Can any caregiver give my parent their medications?
No. When a resident needs medications administered, it must be done by a legally authorized practitioner or by a qualified caregiver acting under valid nurse delegation for that resident and task, unless another lawful arrangement applies.
FAQ
Can every nursing task be delegated?
No. Washington law limits which tasks can be delegated, and the delegating RN decides case by case whether delegation is appropriate.
FAQ
Who handles refills and medication changes?
Magnolia coordinates with the resident's prescribers and pharmacy as needed and keeps families informed. Prescription changes come from the prescriber.
Services are provided when appropriate for the individual resident, based on assessment, the negotiated care plan, and each home's ability to meet needs safely. This page is general information, not medical advice.
Free and no-obligation
Talk through your loved one's needs.
A free consultation is a calm way to ask questions, understand fit, and plan a tour of one or both homes.