Controlled Substance Tracker Template Editable Word Template | Instant Digital Download | For RCFE, ARF, Assisted Living & Residential Care Facilities Keep controlled medication documentation organized with the Controlled Substance Tracker Template from RCCS Digital Solutions by Rosenthal Community Care Services. This editable, one-page landscape template is designed to help residential care providers track controlled substance administration using a clear 60-to-1 count layout. It includes space for resident information, medication details, prescription information, dosage directions, date and time administered, dose given, and staff initials or signature. This form is ideal for care homes that need a simple, professional, and printable controlled substance count sheet for medication binders, resident files, pharmacy records, and facility documentation systems. What’s Included This Controlled Substance Tracker includes sections for: Resident name Date of birth Room number Allergies Medication name Prescription number Pharmacy Quantity filled Date received Dosage Frequency / directions Prescriber / physician 60-to-1 controlled substance count rows Date administered Time administered Dose given Staff initials / signature Great For RCFE facilities ARF facilities Assisted living homes Residential care homes Senior care facilities Adult residential facilities Medication documentation binders Controlled substance count sheets Narcotic count records Caregiver medication administration tracking Resident medication records Facility compliance organization Product Features Editable Word document Printable one-page landscape format 60-to-1 count layout Clean and professional design Easy to customize with your own facility logo or letterhead Simple medication count and administration tracking Designed for facility use Instant digital download No physical product will be shipped Important Disclaimer This template is provided for general operational and documentation support only. It does not replace licensing, legal, medical, pharmacy, or regulatory guidance. Facility operators are responsible for verifying compliance with applicable laws, regulations, physician orders, pharmacy instructions, and facility policies. Digital Download Only. No physical item will be shipped.
