Nursing Home Regulations Implementation Timeframe

Regulatory section

Implementation deadline

§ 483.1 Basis and scope

This entire section will be implemented in Phase 1.

§ 483.5 Definitions

This entire section will be implemented in Phase 1.

§ 483.10 Resident rights

The section will be implemented in Phase 1 with the following exception:

• (g)(4)(ii)–(v) Providing contact information for State and local advocacy organizations, Medicare and Medicaid eligibility information, Aging and Disability Resources Center and Medicaid Fraud Control Unit—Implemented in Phase 2.

§ 483.12 Freedom from abuse, neglect, and exploitation

This section will be implemented in Phase 1 with the following exceptions:

• (b)(4) Coordination with QAPI Plan—Implemented in Phase 3.

• (b)(5) Reporting crimes/1150B—Implemented in Phase 2.

§ 483.15 Admission, transfer, and discharge rights

This section will be implemented in Phase 1 with the following exceptions:

• (c)(2) Transfer/Discharge Documentation—Implemented in Phase 2.

§ 483.20 Resident assessment

This entire section will be implemented in Phase 1.

§ 483.21 Comprehensive person-centered care planning

This section will be implemented in Phase 1 with the following exceptions:

• (a) Baseline care plan—Implemented in Phase 2.

• (b)(3)(iii) Trauma informed care—Implemented in Phase 3.

§ 483.24 Quality of life

This entire section will be implemented in Phase 1.

§ 483.25 Quality of care

This section will be implemented in Phase 1 with the following exception:

• (m) Trauma-informed care—Implemented in Phase 3.

§ 483.30 Physician services

This entire section will be implemented in Phase 1.

§ 483.35 Nursing services

This section will be implemented in Phase 1 with the following exception:

• Specific usage of the Facility Assessment at § 483.70(e) in the determination of sufficient number and competencies for staff— Implemented in Phase 2.

§ 483.40 Behavioral health services

This section will be implemented in Phase 2 with the following exceptions:

• (a)(1) As related to residents with a history of trauma and/or post-traumatic stress disorder—Implemented in Phase 3.

• (b)(1), (b)(2), and (d) Comprehensive assessment and medically related social services—Implemented in Phase 1.

§ 483.45 Pharmacy services

This section will be implemented in Phase 1 with the following exceptions:

• (c)(2) Medical chart review—Implemented in Phase 2.

• (e) Psychotropic drugs—Implemented in Phase 2.

§ 483.50 Laboratory, radiology, and other diagnostic services

This entire section will be implemented in Phase 1.

§ 483.55 Dental services

This section will be implemented in Phase 1 with the following exceptions:

 • (a)(3) and (a)(5) Loss or damage of dentures and policy for referral—Implemented in Phase 2.

• (b)(3) and (b)(4) Referral for dental services regarding loss or damaged dentures—Implemented in Phase 2.

§ 483.60 Food and nutrition services

This section will be implemented in Phase 1 with the following exceptions:

• (a) As linked to Facility Assessment at § 483.70(e)—Implemented in Phase 2.

• (a)(1)(iv) Dietitians hired or contracted with prior to effective date—Built in implementation date of 5 years following effective date of the final rule.

• (a)(2)(i) Director of food & nutrition services designated to serve prior to effective—Built in implementation date of 5 years following the effective date of the final rule.

• (a)(2)(i) Dietitians designated to after the effective date—Built in implementation date of 1 year following the effective date of the final rule.

§ 483.65 Specialized rehabilitative services

This entire section will be implemented in Phase 1.

§ 483.70 Administration

This section will be implemented in Phase 1 with the following exceptions:

• (d)(3) Governing body responsibility of QAPI program—Implemented in Phase 3.

 • (e) Facility assessment—Implemented in Phase 2.

§ 483.75 Quality assurance and performance improvement

This section will be implemented in Phase 3 with the following exceptions:

• (a)(2) Initial QAPI Plan must be provided to State Agency Surveyor at annual survey—Implemented in Phase 2.

• (g)(1) QAA committee—All requirements of this section will be implemented in Phase 1 with the exception of subparagraph (iv), the addition of the ICPO, which will be implemented in Phase 3.

• (h) Disclosure of information—Implemented in Phase 1.

• (i) Sanctions—Implemented in Phase 1.

§ 483.80 Infection control

This section will be implemented in Phase 1 with the following exceptions:

• (a) As linked to Facility Assessment at § 483.70(e)—Implemented in Phase 2.

• (a)(3) Antibiotic stewardship—Implemented in Phase 2.

• (b) Infection preventionist (IP)—Implemented in Phase 3.

• (c) IP participation on QAA committee—Implemented in Phase 3.

§ 483.85 Compliance and ethics program

This entire section will be implemented in Phase 3.

§ 483.90 Physical environment

This section will be implemented in Phase 1 with the following exceptions:

• (f)(1) Call system from each resident’s bedside—Implemented in Phase 3.

• (h)(5) Policies regarding smoking—Implemented in Phase 2.

§ 483.95 Training requirements

This entire section will be implemented in Phase 3 with the following exceptions:

• (c) Abuse, neglect, and exploitation training—Implemented in Phase 1.

• (g)(1) Regarding in-service training, (g)(2) dementia management & abuse prevention training, (g)(4) care of the cognitively impaired—Implemented in Phase 1.

• (h) Training of feeding assistants—Implemented in Phase 1.