On March 1, 2017, the NRC issued a Severity Level III violation to Botsford General Hospital for failure to implement 10 CFR 35.41(a)(2) that requires, in part, that, for any administration requiring a written directive, the licensee develop, implement, and maintain written procedures to provide high confidence that each administration is in accordance with the written directive. Specifically, as of July 10, 2014, the licensee's written procedures for such administrations did not contain sufficient information to assure that the proper treatment plan is loaded into the treatment system prior to administration. This failure in procedures was a contributing factor to a medical event involving patient treatment.