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§483.25 Quality of Care (Ftag 309)


States that "Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care."


The stated Intent of section: §483.25 is that the "facility must ensure that the resident obtains optimal improvement or does not deteriorate within the limits of a resident's right to refuse treatment, and within the limits of recognized pathology and the normal aging process."

Definitions: §483.25

"Highest practicable physical, mental, and psychosocial well-being" is defined as the highest possible level of functioning and well-being, limited by the individual's recognized pathology and normal aging process. Highest practicable is determined through the comprehensive resident assessment and by recognizing and competently and thoroughly addressing the physical, mental or psychosocial needs of the individual.

Compliance with F309, Quality of Care - The facility is in compliance with this requirement if staff:
o Recognized and assessed factors placing the resident at risk for specific conditions, causes, and/or problems;
o Defined and implemented interventions in accordance with resident needs, goals, and recognized standards of practice;
o Monitored and evaluated the resident's response to preventive efforts and treatment; and
o Revised the approaches as appropriate.

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