Administration Category

Administration Category

Criteria in the administration category concern the overall administration and management of a nursing home. A facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident.





Efforts are made by the facility to resolve grievances the resident may have, including those with respect to the behavior of other residents.

42CFR 483.10(f)(2)


The facility provides medically related social services to residents.

42CFR 483.15(g)


The services provided or arranged by the facility are provided by qualified persons in accordance with each resident's written plan of care.

42CFR 483.20(d)(3)(ii)


The facility must ensure that the resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents.

42CFR 483.25(h)


The facility has sufficient nursing staff to provide nursing and related services that meet resident-identified needs.

42CFR 483.30


The facility provides physician services.

42CFR 483.40


The facility has established and maintains an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.

42CFR 483.65(a)


The facility ensures that all nurse aides meet competency evaluation requirements.

42CFR 483.75(e)(5)


The facility completes a performance review of every nurse aide at least once every twelve months and provides regular in-service education based on the outcome of these reviews.

42CFR 483.75(e)(8)


The facility has a medical director as the coordinator of medical care.

42CFR 483.75(i)


The facility ensures that resident and facility records are well maintained, complete, and accessible for review by regulatory agencies.

42CFR 483.75(l)(1)


A facility must maintain a quality assessment and assurance committee consisting of the director of nursing services; a physician designated by the facility; and at least 3 other members of the facility's staff.

The quality assessment and assurance committee meets at least quarterly to identify issues with respect to which quality assessment and assurance activities are necessary; and develops and implements appropriate plans of action to correct identified quality deficiencies.

A State or the Secretary may not require disclosure of the records of such committee except insofar as such disclosure is related to the compliance of such committee with the requirements of this section.

Good faith attempts by the committee to identify and correct quality deficiencies will not be used as a basis for sanctions.

42CFR 483.75(o)(1)