Nursing Home Regulations

In order to receive Medicare and Medicaid funding, nursing homes must comply with the federal requirements for long term care facilities as prescribed in the U.S. Code of Federal Regulations (42 CFR Part 483).

Under the regulations, the nursing home must:

  • Promote each resident’s quality of life. (42 CFR § 483.15)
  • Maintain dignity and respect of each resident. (42 CFR § 483.15)
  • Conduct initially a comprehensive and accurate assessment of each resident’s functional capacity. (42 CFR § 483.20)
  • Develop a comprehensive care plan for each resident. (42 CFR § 483.20)
  • Prevent the deterioration of a resident’s ability to bathe, dress, groom, transfer and ambulate, toilet, eat and to communicate. (42 CFR § 483.25)
  • Provide, if a resident is unable to carry out activities of daily living, the necessary services to maintain good nutrition, grooming and personal oral hygiene. (42 CFR § 483.25)
  • Ensure that residents receive proper treatment and assistive devices to maintain vision and hearing abilities. (42 CFR § 483.25)
  • Ensure that residents do not develop pressure sores and, if a resident has pressure sores, provide the necessary treatment and services to promote healing, prevent infection and prevent new sores from developing. (42 CFR § 483.25)
  • Provide appropriate treatment and services to incontinent residents to restore as much normal bladder functioning as possible. (42 CFR § 483.25)
  • Maintain acceptable parameters of nutritional status. (42 CFR § 483.25)
  • Ensure that the resident receives adequate supervision and assistive devices to prevent accidents. (42 CFR § 483.25)
  • Provide each resident with sufficient fluid intake to maintain proper hydration and health. (42 CFR § 483.25)
  • Ensure that residents are free of any significant medication errors. (42 CFR § 483.25)
  • Have sufficient nursing staff. (42 CFR § 483.30)
  • Ensure that the resident has the right to choose activities, schedules and health care. (42 CFR § 483.40)
  • Provide pharmaceutical services to meet the needs of each resident. (42 CFR § 483.60)
  • Be administered in a manner that enables it [the nursing home] to use its resources effectively and efficiently. (42 CFR § 483.75)
  • Maintain accurate, complete, and easily accessible clinical records on each resident. (42 CFR § 483.75)