I have worked with elderly patients as a personal care provider and certified nursing assistant. I spent some time working in an assisted living facility when I first started out. The resident assistants at my level were all certified to administer medications.
We worked under the direction of nurses, but a lot of the management of medication relied on our accuracy and reporting. We were responsible for getting each of our residents the right medication at the right time.
All medications given were logged into the computer. Any narcotics were additionally signed for. We also counted and verified the controlled substances at each shift as part of the medication management process.
As resident assistants, we tended to spend a lot more time with each resident than the nurses were able to. We were often the eyes and ears, looking out for possible problems. Proper medication management plays a huge role in a care facility.