Do a search on google for Center for Medicare and Medicaid
and that will bring you to the web site that has the Federal Nursing Home regulations. However, please recognize that there are several different sets of regulations that nursing homes must comply with on a daily basis.
If your facility is certified to provide Medicare services, then the Federal goverment will inspect your facility at least every year. If your facility is certified to proivde services paid for by Medicaid then your facility will be surveyed under these regulations as well. Please remember that Medicare is a Federal program and is therefore surveyed under Federal guidelines. Medicaid is a Federally funded program that is State administered and therefore, Medicaid is surveyed under the guidance of the State inspection team. Then there is licensure and certification regulations. Each State has their own set of regulations that are generally referred to as Administrative Codes
. For example .... in Florida, the FAC is also known as the Florida Administrative Code. These regulations are chapters that define requirement for a nursing home to hold a licensure to operate in the State of operation.
Finally, most of the time the "State" refers to the insepction authority. When you are inspected by your State, the inspectors will actually survey your facility to ensure your facility is in compliance with all the applicable rules and regulations that govern the operation of your facility. The State inspectors mostly survey the facility for both State and Federal requirements. However, please note that there are times when the Federal government can and will send in their own team of Federal Inspectors to assess your facility's compliance with Medicare standards of participation.
Did I ask you why
you are working in a nursing home
..... oh, I digress
.... anyway, most new nurses need to read their State's regulations so you have an idea of what is expected of you. However, you can read the facility policy and procedure manuals and this will give you a reasonable idea of what you must do as a nurse to ensure that you are compliant. Also, as an RN in a nursing home, you will be responsible to ensure that your nursing assistants and other ancillary help are compliant as well. Rules that seem to be the biggest target are generally the following:
1. Resident's Privacy and Dignity
2. Resident right to make choices
3. Residents are free from abuse :angryfire
4. Infection Control Issues
5. Please lock your med cart when it is not attended.
6. The resident has a comprehensive resident assessment (MDS) and care plan that is completed within 14 days of admission (for the MDS) and 21 days from admission (for the care plan).
and the list goes on and on ..... if you have any more questions about this, I would suggest that you schedule an appointment with your Director of Nursing and ask her for resource information so you can learn the mirad of rules and regulations.
Bravo to you for asking. So many nurses that go into long term care do not even have a clue about the regulations and many of them do not bother to search out the information.
I am not just an RN, I am also a licensed nursing home administrator .... hope this helps!