I haven't heard that self administration of medications is a requirement for Med A folks. However they tend to be the majority of A&O residents so it would make sense that they at least would be more likely to self administer, at least after nursing set up.
MDS 3.0 is all about resident interviews and choices, I've looked through the RAI manual over the past couple months and didn't see anything about self administration of meds in there so I don't know where the social worker's statement would come from.
I also just want to say you are not alone!!!
We are also accepting all kinds of train wrecks into the facility, just to fill beds. The hospitals are dumping their worst patients on us with just a few hours notice. What gets me is that most of the patients are kept in the hospital for 2 days "admitted" and 1 or more day(s) "observation" so when them come to the skilled nursing facility, Medicare won't pay due to no 3 day admission. So then on top of very ill patients we have stressed families trying to figure out how to pay, helping them to appeal or apply to MA.... It has been a difficult year....