Administration

F0490 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . F0492 Operate and provide services according to Federal, State, and local laws and professional standards. F0493 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility F0494 Ensure that all full-time nurse aides employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. F0495 Ensure that all nurse aides who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. F0496 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation. F0497 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. F0498 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. F0499 Employ staff that are licensed, certified, or registered in accordance with state laws. F0500 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. F0501 Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. F0502 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. F0503 Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. F0504 Provide or obtain laboratory services only when ordered by the attending physician. F0505 Quickly tell the resident's doctor the results of laboratory tests. F0506 Help the resident with transportation to and from laboratory services outside of the facility. F0507 Keep complete, dated laboratory records in the resident's file. F0508 Give or get x-rays and other tests in a timely manner to meet the needs of residents. F0509 1) Give or get tests or x-rays that meet hospital requirements; or 2) to obtain an agreement for these services from an approved provider or supplier. F0510 Give or get x-rays or tests only when they are ordered by the attending physician. F0511 Tell the attending physician the results of x-rays and other tests, in a timely manner. F0512 Help the resident in making transportation arrangements to and from radiology services. F0513 Keep signed and dated reports of x-rays and other diagnostic services. F0514 Keep accurate, complete and organized clinical records on each resident that meet professional standards. F0515 Keep clinical records for an appropriate amount of time. F0516 Keep clinical record information safe. F0517 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. F0518 Train all employees on what to do in an emergency, and carry out unannounced staff drills. F0519 Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. F0520 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F0522 Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. F0523 Submit a timely, acceptable plan for facility closure, including notification of the appropriate entities and ensuring residents are transferred in a safe and orderly manner. F0524 Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. F0526 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0527 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0839 Employ staff that are licensed, certified, or registered in accordance with state laws. F0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. F0841 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0843 Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. F0844 Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. F0845 Submit a timely, acceptable plan for facility closure, including notification of the appropriate entities and ensuring residents are transferred in a safe and orderly manner. F0846 Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. F0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue. F0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0850 Hire a qualified full-time social worker in a facility with more than 120 beds. F0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.