[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR483.5] [Page 497] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 483--REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table of Contents Subpart B--Requirements for Long Term Care Facilities Sec. 483.5 Definitions. For purposes of this subpart-- Facility means, a skilled nursing facility (SNF) or a nursing facility (NF) which meets the requirements of sections 1819 or 1919 (a), (b), (c), and (d) of the Act. ``Facility'' may include a distinct part of an institution specified in Sec. 440.40 of this chapter, but does not include an institution for the mentally retarded or persons with related conditions described in Sec. 440.150 of this chapter. For Medicare and Medicaid purposes (including eligibility, coverage, certification, and payment), the ``facility'' is always the entity which participates in the program, whether that entity is comprised of all of, or a distinct part of a larger institution. For Medicare, a SNF (see section 1819(a)(1)), and for Medicaid, a NF (see section 1919(a)(1)) may not be an institution for mental diseases as defined in Sec. 435.1009. [56 FR 48867, Sept. 26, 1991, as amended at 57 FR 43924, Sept. 23, 1992]