Administration Category
     

  Criteria in the administration category concern the overall administration and management of a nursing home. A facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
  1. Efforts are made by the facility to resolve grievances the resident may have, including those with respect to the behavior of other residents. (42CFR 483.10(f) (2) F 166 )
  2. The facility must make the results of the most recent survey available for examination in a place readily accessible to residents and must post a notice of their availability. (42CFR 483.10(g) (1) F 167 )
  3. The facility provides medically related social services to residents. (42CFR 483.15(g) F 250 )
  4. The services provided or arranged by the facility must be provided by qualified persons in accordance with each resident's written plan of care. (42CFR 483.20(d) (3) (ii) F 282 )
  5. Removed on August 6, 2007 - Each resident receives adequate supervision and assistance devices to prevent accidents.
(42CFR 483.25(h) (2) F 324 )

Added on August 6, 2007 - The services provided or arranged by the facility must meet professional standards of quality.
(42CFR 483.20(k)(3)(i) F 281 )
  6. The facility has sufficient nursing staffing to provide nursing and related services that meet resident identified needs. (42CFR 483.30 F 353 )
  7. The facility provides physician services.
(42CFR 483.40 F 385 )
  8. The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. (42CFR 483.65(a) F 441 )
  9. The facility must ensure that all nurse aides meet competency evaluation requirements.
(42CFR 483.75(e) (5) F 496 )
  10. The facility must complete a performance review of every nurse aide at least once every twelve months and must provide regular in-service education based on the outcome of these reviews.
(42CFR 483.75(e) (8) F 497 )
  11. The facility has a medical director as the coordinator of medical care. (42CFR 483.75(i) F 501 )
  12. The facility ensures that resident and facility records are well maintained, complete, and accessible for review by regulatory agencies. (42CFR 483.75(l) (1) F 514 )
  13. Removed on November 1, 2008 - The facility maintains a quality assessment and assurance committee that develops and implements plans to correct quality deficiencies. (42CFR 483.75(o) (2) F 521 )

Added on November 1, 2008 - The facility maintains a quality assessment and assurance committee consisting of the director of nursing services; a physician designated by the facility; and at least 3 other members of the facility's staff that develops and implements plans to correct quality deficiencies (42CFR 483.75(o)(1) F 520 )
     

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