I believe this is an older post, but here's my $0.02. Jevity is not a medication by the idea of "concentrated pill/prescription/etc", but it is a Physician's order, and in most Nursing homes (with the unlimited regulations upon regulations) it is considered a medication for liability purposes. The OP has a complex situation. First of all, the facility should (and in my state is regulated to do so) sit with the familiy and care plan (as previously indicated) the safe administration of the enteral therapy by the family. Although the OP knows how to do it, he/she must be educated on the facility's procedure. If this is CARE PLANNED and DOCUMENTED by the nurse, that nurse is in compliance with in regulation (again, depends on state) and shouldn't have negative outcomes. You see, the problem is that once you go from home into a nursing home, you gain and lose some things. First, you gain the availability of a nurse 24 hours; You lose individual care. Many families believe by admitting their loved one into a facility that they are getting 1:1 care, and that is simply not the case. This facility that takes care of your mom appears to be missing a few things, as has been previously noted. Second, the nurse is now legally responsible for your mother's care. A previous poster said something along the lines of "if she can do it at home, she can do it there too in the facility" (sorry I didn't quote it and cant go back right now). The difference is the liability. Patients take their own pills at home, but once in a facility, that responsibility transfers to the nurse, which changes things. We have to protect our license. Finally, I think the major issue here isn't who does it or whose liscense is this or that, but it reeks of inexperienced nurses and a lack of knowledge on integrated nursing. I hope things have gotten better by now.