Implementation of New Federal "Phase Two" Nursing Home Regulations

https://goo.gl/x8Eu9D

The new “Phase Two” requirements include, among other things:

  • Care Planning: A nursing facility must prepare a “baseline” care plan within 48 hours of a resident’s admission.  42 C.F.R. § 483.21(a).
     
  • Involuntary Discharge: If a facility attempts to discharge a resident based on a supposed inability to meet the resident’s needs, the facility must document the need that supposedly cannot be met, the facility’s attempts to meet that need, and services available at the receiving facility to meet the need.  42 C.F.R. § 483.15(c)(2)(i)(B).
     
  • Psychotropic Medication: Psychotropic medication should be used only to treat a specific, identified condition, and facilities should attempt dose reductions and behavioral interventions to reduce or discontinue use of the medication.  42 C.F.R. § 483.45(e).
     
  • Dentures: The facility must pay for replacement dentures when loss or damage of dentures was the facility’s fault.  42 C.F.R. § 483.55(a)(3).
     
  • Crime Reporting: The facility must ensure that any reasonable suspicion of a crime against a resident is reported to the survey agency and local law enforcement.  42 C.F.R. § 483.12(b)(5).


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