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The Nursing Home Reform Act of 1987, specifies that a nursing
home "must provide services and activities to attain or maintain
the highest practicable physical, mental, and psychosocial well-being
of each resident" in accordance with a written plan of care.
To participate in the Medicare and Medicaid programs, nursing homes
must be in compliance with the federal requirements for long term
care as prescribed in the U.S. Code of Federal Regulations
(42 CFR Part 483). Under these regulations, the nursing home must:
Have sufficient nursing staff to provide nursing and related services
(42 CFR § 483.30).
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(42 CFR § 483.25).
Ensure that residents receive proper treatment to maintain vision
and hearing abilities (42 CFR § 483.25).
Ensure that residents do not develop bed sores (42 CFR § 483.25).
Provide appropriate treatment and services to incontinent residents
(42 CFR § 483.25).
Ensure that the resident receives adequate supervision and assistive
devices to prevent accidents (42 CFR § 483.25).
Ensure that residents are free of any significant medication errors
(42 CFR § 483.25).
Promote care for residents in a manner and in an environment that
maintains or enhances each resident's dignity (42 CFR § 483.15).
Ensure that the medical care of each resident is supervised by a
physician and must provide or arrange for the provision of physician
services 24 hours a day, in case of an emergency (42 CFR §
483.40).
Provide pharmaceutical services(42 CFR § 483.60).
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)
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)
Failing to comply with the requirements of 105 C.M.R. 150.015
may also constitite an unfair and/or deceptive acts and practices
in violation of Massachusetts G.L. c. 93A, § 2.
If you feel that you or your loved one has been injured as a result
of nursing home abuse please call 1-617-479-4300 or use
our free case evaluation form.
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