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The Centers for Medicare & Medicaid Services (CMS) published a major revision of federal nursing facility regulations on October 4, 2016, providing new and expanded requirements for nursing facilities that participate in Medicare or Medicaid.1 This was the first major revision since the regulations were issued more than 25 years before.
This article provides a comprehensive guide to the revised regulations, focusing on care planning and person-centered care; admission, transfer, and discharge procedures; grievance procedures; resident rights, choice, safety, and self-determination; staffing, medications, and quality of care; and protections from abuse, neglect, and exploitation.
The
article also discusses advocacy and enforcement
issues raised by the new rules
1 81 Fed. Reg. 68688 (Oct. 4, 2016).
and subsequent CMS rulemaking activities
under the administration of President
Donald Trump, which are likely to result
in modification of the rules.