cms long-term care center definition

  • Skilled Nursing Facility:  An institution (or a distinct part of an institution) which: is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care, or rehabilitation services for injured, disabled, or sick persons, and is not primarily for the care and treatment of mental diseases; has in effect a transfer agreement (meeting the requirements of §1861(1)) with one or more hospitals having agreements in effect under §1866; and meets the requirements for a SNF described in subsections (b), (c), and (d) of this section.
  • Nursing Facility: An institution (or a distinct part of an institution) which is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care, rehabilitation services for injured, disabled, or sick persons, or on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; has in effect a transfer agreement (meeting the requirements of §1861(1)) with one or more hospitals having agreements in effect under §1866; and meets the requirements for a NF described in subsections (b), (c), and (d) of this section.

 

accrediting organization(s)

The Joint Commission Logo


part 483 — requirements for states and long-term care facilities, Page: 172 (64030)

20. Add §483.73 to read as follows:

§483.73 Emergency Preparedness

The LTC center must comply with all applicable Federal, State, and local emergency preparedness requirements. The LTC center must establish and maintain an emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the elements below:

 

(a) The LTC center must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do all of the following:

  • (1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach, including missing residents.
  • (2) Include strategies for addressing emergency events identified by the risk assessment.
  • (3) Address resident population, including, but not limited to, persons at-risk; the type of services the LTC center has the ability to provide in an emergency; and continuity of operations, including delegations of authority and succession plans.
  • (4) Include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials’ efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the LTC center's efforts to contact such officials and, when applicable, its participation in collaborative and cooperative planning efforts.