[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR483.1] [Page 505-506] 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. 483.1 Basis and scope. Subpart A [Reserved] Subpart B_Requirements for Long Term Care Facilities Sec. 483.1 Basis and scope. 483.5 Definitions. 483.10 Resident rights. 483.12 Admission, transfer and discharge rights. 483.13 Resident behavior and facility practices. 483.15 Quality of life. 483.20 Resident assessment. 483.25 Quality of care. 483.30 Nursing services. 483.35 Dietary services. 483.40 Physician services. 483.45 Specialized rehabilitative services. 483.55 Dental services. 483.60 Pharmacy services. 483.65 Infection control. 483.70 Physical environment. 483.75 Administration. Subpart C_Preadmission Screening and Annual Review of Mentally Ill and Mentally Retarded Individuals 483.100 Basis. 483.102 Applicability and definitions. 483.104 State plan requirement. 483.106 Basic rule. 483.108 Relationship of PASARR to other Medicaid processes. 483.110 Out-of-State arrangements. 483.112 Preadmission screening of applicants for admission to NFs. 483.114 Annual review of NF residents. 483.116 Residents and applicants determined to require NF level of services. 483.118 Residents and applicants determined not to require NF level of services. 483.120 Specialized services. 483.122 FFP for NF services. 483.124 FFP for specialized services. 483.126 Appropriate placement. 483.128 PASARR evaluation criteria. 483.130 PASARR determination criteria. 483.132 Evaluating the need for NF services and NF level of care (PASARR/NF). 483.134 Evaluating whether an individual with mental illness requires specialized services (PASARR/MI). 483.136 Evaluating whether an individual with mental retardation requires specialized services (PASARR/MR). 483.138 Maintenance of services and availability of FFP. Subpart D_Requirements That Must Be Met by States and State Agencies: Nurse Aide Training and Competency Evaluation; and Paid Feeding Assistants 483.150 Statutory basis; Deemed meeting or waiver of requirements. 483.151 State review and approval of nurse aide training and competency evaluation programs and competency evaluation programs. 483.152 Requirements for approval of a nurse aide training and competency evaluation program. 483.154 Nurse aide competency evaluation. 483.156 Registry of nurse aides. 483.158 FFP for nurse aide training and competency evaluation. 483.160 Requirements for training of paid feeding assistants. Subpart E_Appeals of Discharges, Transfers, and Preadmission Screening and Annual Resident Review (PASARR) Determinations 483.200 Statutory basis. 483.202 Definitions. 483.204 Provision of a hearing and appeal system. 483.206 Transfers, discharges and relocations subject to appeal. Subpart F_Requirements That Must Be Met by States and State Agencies, Resident Assessment 483.315 Specification of resident assessment instrument. Subpart G_Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 483.350 Basis and scope. 483.352 Definitions. 483.354 General requirements for psychiatric residential treatment facilities. 483.356 Protection of residents. 483.358 Orders for the use of restraint or seclusion. 483.360 Consultation with treatment team physician. 483.362 Monitoring of the resident in and immediately after restraint. [[Page 506]] 483.364 Monitoring of the resident in and immediately after seclusion. 483.366 Notification of parent(s) or legal guardian(s). 483.368 Application of time out. 483.370 Postintervention debriefings. 483.372 Medical treatment for injuries resulting from an emergency safety intervention. 483.374 Facility reporting. 483.376 Education and training. Subpart H [Reserved] Subpart I_Conditions of Participation for Intermediate Care Facilities for the Mentally Retarded 483.400 Basis and purpose. 483.405 Relationship to other HHS regulations. 483.410 Condition of participation: Governing body and management. 483.420 Condition of participation: Client protections. 483.430 Condition of participation: Facility staffing. 483.440 Condition of participation: Active treatment services. 483.450 Condition of participation: Client behavior and facility practices. 483.460 Condition of participation: Health care services. 483.470 Condition of participation: Physical environment. 483.480 Condition of participation: Dietetic services. Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh). Subpart A [Reserved] Source: 54 FR 5359, Feb. 2, 1989, unless otherwise noted. (a) Statutory basis. (1) Sections 1819 (a), (b), (c), and (d) of the Act provide that-- (i) Skilled nursing facilities participating in Medicare must meet certain specified requirements; and (ii) The Secretary may impose additional requirements (see section 1819(d)(4)(B)) if they are necessary for the health and safety of individuals to whom services are furnished in the facilities. (2) Section 1861(l) of the Act requires the facility to have in effect a transfer agreement with a hospital. (3) Sections 1919 (a), (b), (c), and (d) of the Act provide that nursing facilities participating in Medicaid must meet certain specific requirements. (b) Scope. The provisions of this part contain the requirements that an institution must meet in order to qualify to participate as a SNF in the Medicare program, and as a nursing facility in the Medicaid program. They serve as the basis for survey activities for the purpose of determining whether a facility meets the requirements for participation in Medicare and Medicaid. [56 FR 48867, Sept. 26, 1991, as amended at 57 FR 43924, Sept. 23, 1992; 60 FR 50443, Sept. 29, 1995]