I'm also an LPN student and spent a clinical day in an ALF this past week. Here's my journal entry from that day: "At (name of ALF redacted). Today was a real eye opener. Wow. What a hot mess that place is. Probably saw a dozen med errors today (possibly more, I quite counting after four) including dropped meds that were picked up and given (several times), meds left with residents to take at their leisure (again, several times), meds signed off as given before they were administered (all the time), meds signed off as given that weren't administered (a couple), no pain assessment/follow up assessment on pain meds, and the pièce de résistance - a cup o' meds left over from yesterday found in the top drawer of the med cart. I lost track of how many times I heard "you didn't see that." It was a great experience for "this is how it shouldn't be done" learning. I'm flabbergasted that this place is even doing business (and wonder how many more are out there doing the same thing or worse). Yikes.