{"id":1638,"date":"2023-11-29T02:26:52","date_gmt":"2023-11-29T02:26:52","guid":{"rendered":"https:\/\/eldervoiceactionnetwork.com\/?page_id=1638"},"modified":"2024-06-17T16:16:42","modified_gmt":"2024-06-17T15:16:42","slug":"learn-the-system","status":"publish","type":"page","link":"https:\/\/eldervoiceactionnetwork.com\/index.php\/learn-the-system\/","title":{"rendered":"Learn the System"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1638\" class=\"elementor elementor-1638\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3355139b elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"3355139b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-57d3ed24\" data-id=\"57d3ed24\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-68f1143f elementor-widget elementor-widget-heading\" data-id=\"68f1143f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">Learn the System<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-beb0c11 e-flex e-con-boxed e-con e-parent\" data-id=\"beb0c11\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0fde302 e-flex e-con-boxed e-con e-child\" data-id=\"0fde302\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e9e513e elementor-widget elementor-widget-heading\" data-id=\"e9e513e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Click through the tabs below.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd6b131 e-n-tabs-mobile elementor-widget elementor-widget-n-tabs\" data-id=\"fd6b131\" data-element_type=\"widget\" data-settings=\"{&quot;horizontal_scroll&quot;:&quot;disable&quot;}\" data-widget_type=\"nested-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"e-n-tabs\" data-widget-number=\"265\" aria-label=\"Tabs. Open items with Enter or Space, close with Escape and navigate using the Arrow keys.\">\n\t\t\t<div class=\"e-n-tabs-heading\" role=\"tablist\">\n\t\t\t\t\t\t\t<button id=\"e-n-tabs-title-2651\" class=\"e-n-tab-title\" aria-selected=\"true\" data-tab-index=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"e-n-tab-content-2651\" style=\"--n-tabs-title-order: 1;\">\n\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\t\tNew Agendas\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t\t\t\t<button id=\"e-n-tabs-title-2652\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2652\" style=\"--n-tabs-title-order: 2;\">\n\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\t\tFacility Ratings\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t\t\t\t<button id=\"e-n-tabs-title-2653\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2653\" style=\"--n-tabs-title-order: 3;\">\n\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\t\tFacility Regulations\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t\t\t\t<button id=\"e-n-tabs-title-2654\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2654\" style=\"--n-tabs-title-order: 4;\">\n\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\t\tResident Rights\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t\t\t\t<button id=\"e-n-tabs-title-2655\" class=\"e-n-tab-title\" aria-selected=\"false\" data-tab-index=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"e-n-tab-content-2655\" style=\"--n-tabs-title-order: 5;\">\n\t\t\t\t<span class=\"e-n-tab-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t<span class=\"e-n-tab-title-text\">\n\t\t\t\t\tDischarges\/Transfers\t\t\t\t<\/span>\n\t\t\t<\/button>\n\t\t\t\t\t<\/div>\n\t\t\t<div class=\"e-n-tabs-content\">\n\t\t\t\t<div id=\"e-n-tab-content-2651\" role=\"tabpanel\" aria-labelledby=\"e-n-tabs-title-2651\" data-tab-index=\"1\" style=\"--n-tabs-title-order: 1;\" class=\"e-active elementor-element elementor-element-18ee02d e-con-full e-flex e-con e-child\" data-id=\"18ee02d\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-dc29a3f e-flex e-con-boxed e-con e-child\" data-id=\"dc29a3f\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5839b32 elementor-widget elementor-widget-spacer\" data-id=\"5839b32\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29ff4e4 elementor-widget elementor-widget-text-editor\" data-id=\"29ff4e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Under the Biden-Harris Administration several new initiatives have been created to help improve the quality of long-term care facilities in the United States. For the White House statement on these planned initiatives, please follow the <strong>link<\/strong>: <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/statements-releases\/2022\/10\/21\/fact-sheet-biden-harris-administration-announces-new-steps-to-improve-quality-of-nursing-homes\/\" target=\"_blank\" rel=\"noopener\">Fact Sheet on Steps to Improve Nursing Homes<\/a><\/p><p>\u00a0<\/p><ol><li>The US Department of Heath and Human Services put forth a proposal in September 2023 for improving staffing requirement minimums in long-term care facilities. Staffing has been an ongoing issue in the long-term care system and studies show it significantly contributes to quality of care. To learn more about this proposal, please follow the link below<\/li><\/ol><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.hhs.gov\/about\/news\/2023\/09\/01\/hhs-proposes-minimum-staffing-standards-enhance-safety-quality-in-nursing-homes.html\" target=\"_blank\" rel=\"noopener\">HHS Minimum Staffing Standards Proposal<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><p>2. The Center for Medicaid and Medicare revised surveyor guidelines for long-term care facilities became effective in October 2022. This revision attempts to address deficiencies in staffing and training, infection prevention, infection control, visitation, cultural consideration of residents, arbitration agreements, resident rights, transfers, discharges and additional survey provisions. A brief overview can be found in the link below.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/justiceinaging.org\/wp-content\/uploads\/2022\/07\/Understanding-CMSs-New-NF-Guidance-Issue-Brief.pdf\" target=\"_blank\" rel=\"noopener\">Justice in Aging Survey Revisions<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><p style=\"padding-left: 40px;\">In September 2023, KFF released a review of new proposed staffing standards, discussing how many facilities meet these new requirements. Please refer to the below link in regard to this.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/what-share-of-nursing-facilities-might-meet-proposed-new-requirements-for-nursing-staff-hours\/\" target=\"_blank\" rel=\"noopener\">KFF Percentage of nursing facilities that meet new requirements<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-2652\" role=\"tabpanel\" aria-labelledby=\"e-n-tabs-title-2652\" data-tab-index=\"2\" style=\"--n-tabs-title-order: 2;\" class=\" elementor-element elementor-element-302a911 e-con-full e-flex e-con e-child\" data-id=\"302a911\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0388fda elementor-widget elementor-widget-text-editor\" data-id=\"0388fda\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00a0<\/p><p>Accurate long-term care facility ratings can be difficult to find. A <a href=\"https:\/\/www.nytimes.com\/2021\/12\/09\/business\/nursing-home-abuse-inspection.html\" target=\"_blank\" rel=\"noopener\">2021 investigation<\/a> conducted by <em>The <\/em><em>New York Times<\/em> found that over 2,700 dangerous incidents were not factored into the CMS Rating System. CMS has been working to attempt improvements to this rating system and has current plans of another update in April 2024.<\/p><p>\u00a0<\/p><p>When possible, it is best to visit a facility prior to transfer or admission. If you or the individual are in the hospital, ask hospital staff like nurses for their opinions. Nurses and physicians often see many residents from care facilities and may have insight from their experiences. If you visit facilities, try to ask any visitors you see about the facility.<\/p><p>\u00a0<\/p><p>Make observations of what is occurring at the facility when you visit, in addition to the state of residents you see.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be79d54 elementor-widget elementor-widget-spacer\" data-id=\"be79d54\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69489b6 elementor-widget elementor-widget-heading\" data-id=\"69489b6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>ProPublica<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67a660a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"67a660a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 08-11-2023 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-bottom:0;flex-grow:1;border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-left 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.elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3bc4f6e elementor-widget elementor-widget-spacer\" data-id=\"3bc4f6e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9da133 elementor-widget elementor-widget-text-editor\" data-id=\"e9da133\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"padding-left: 40px;\">ProPublica offers a nursing home inspect tool to search are review nursing home inspections and penalties to help individuals evaluate facilities and compare options<span style=\"font-style: inherit; font-weight: inherit; color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">.<\/span><\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/projects.propublica.org\/nursing-homes\/\" target=\"_blank\" rel=\"noopener\">ProPublica Nursing Home Inspect Tool<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c57e86 elementor-widget elementor-widget-spacer\" data-id=\"9c57e86\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43d0ae3 elementor-widget elementor-widget-heading\" data-id=\"43d0ae3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Freedom of Information Service Center<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2860f7b elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2860f7b\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37b2983 elementor-widget elementor-widget-spacer\" data-id=\"37b2983\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10580bf elementor-widget elementor-widget-text-editor\" data-id=\"10580bf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"padding-left: 40px;\">The Freedom of Information Act (FOIA) enables you to file a CMS FOIA and FOIA\/Privacy Act request. Members of the public can request in-depth records of Medicare beneficiary claims and CMS agency reports of facilities. These reports provide more detailed reviews of facility quality reports and any complaints that have been filed.<\/p><p style=\"padding-left: 40px;\">For more information on this process, including contacts and forms, <strong>click the link<\/strong>: <a href=\"https:\/\/www.cms.gov\/medicare\/regulations-guidance\/legislation\/freedom-information-act-foia-service-center\" target=\"_blank\" rel=\"noopener\">FOIA Service Center<\/a><\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/foia-request.cms.gov\" target=\"_blank\" rel=\"noopener\">Request Medicare Beneficiary Claim Records<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.foia.gov\/request\/agency-component\/e07b59b9-db3b-4611-898d-23b42f7ead8d\/\" target=\"_blank\" rel=\"noopener\">Request CMS Agency Reports<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/medicaiddirectors.org\/who-we-are\/medicaid-directors\/\" target=\"_blank\" rel=\"noopener\">Find your state&#8217;s Medicaid Director(s)<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4894c3 elementor-widget elementor-widget-spacer\" data-id=\"b4894c3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b6e22d elementor-widget elementor-widget-heading\" data-id=\"5b6e22d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>CMS Rating System<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-517d71c elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"517d71c\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e9a765 elementor-widget elementor-widget-spacer\" data-id=\"3e9a765\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af05731 elementor-widget elementor-widget-text-editor\" data-id=\"af05731\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Care Compare is the CMS Five-Star Quality Rating System they provide, so the public can compare nursing homes.\u00a0<\/p><p style=\"padding-left: 40px;\"><strong style=\"font-style: inherit; color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">\u00a0<\/strong><\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong style=\"font-style: inherit; color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">Click the link<\/strong><span style=\"font-style: inherit; font-weight: inherit; color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">: <\/span><a style=\"font-style: inherit; font-weight: inherit;\" href=\"https:\/\/www.medicare.gov\/care-compare\/\" target=\"_blank\" rel=\"noopener\">Care Compare<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.ahcancal.org\/News-and-Communications\/Blog\/Pages\/CMS-Updates-Nursing-Home-Care-Compare-Staffing-and-Quality-Measures.aspx\" target=\"_blank\" rel=\"noopener\">Information on the 2024 CMS Rating System Update<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-2653\" role=\"tabpanel\" aria-labelledby=\"e-n-tabs-title-2653\" data-tab-index=\"3\" style=\"--n-tabs-title-order: 3;\" class=\" elementor-element elementor-element-5253411 e-flex e-con-boxed e-con e-child\" data-id=\"5253411\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fbfe8df elementor-widget elementor-widget-text-editor\" data-id=\"fbfe8df\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00a0<\/p><p>\u00a0<\/p><p>While there are state-specific regulations for facilities, there are also federal regulations and the national Nursing Home Reform Action of 1987.\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c556546 elementor-widget elementor-widget-heading\" data-id=\"c556546\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Code of Federal Regulations for Long-term Care Facilities<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b31f9d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1b31f9d\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c497af2 elementor-widget elementor-widget-spacer\" data-id=\"c497af2\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46d91b3 elementor-widget elementor-widget-text-editor\" data-id=\"46d91b3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The following are links to the requirements for states and long-term care facilities with a clickable index. Navigating through the index allows for effortless access to specific sections for detailed information.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-G\/part-483\" target=\"_blank\" rel=\"noopener\">Code of Federal Regulations<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>:<a href=\"https:\/\/theconsumervoice.org\/uploads\/files\/issues\/Revised_Interpretive_Guidelines_with_Clickable_TOC.pdf\" target=\"_blank\" rel=\"noopener\"> PDF of Regulations provided by The National Consumer Voice<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cee364 elementor-widget elementor-widget-heading\" data-id=\"1cee364\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>The Federal Nursing Home Reform Act (NHRA) <\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15aa460 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"15aa460\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e6e040 elementor-widget elementor-widget-spacer\" data-id=\"4e6e040\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fff136 elementor-widget elementor-widget-text-editor\" data-id=\"1fff136\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The NHRA (also referred to as OBRA &#8217;87), is a reform act that enforces standards of provided care and resident rights. This reform states that facilities should promote residents&#8217; quality of life;\u00a0 resident health and quality of life should not decline due to care provided by the facility.\u00a0<\/p><p>\u00a0<\/p><p>Below are noteworthy excerpts of nursing home requirements put in place by the NHRA. (This is not a complete list):<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3a4784 elementor-widget elementor-widget-text-editor\" data-id=\"e3a4784\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ol><li>&#8220;<strong>Provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care<\/strong> which&#8211;<\/li><\/ol><p style=\"padding-left: 40px;\"><strong>(A)<\/strong> describes the medical, nursing, and psychosocial needs of the resident and how such needs will be met; is initially prepared with the participation to the extent practicable of the resident or the resident&#8217;s family or legal representative<\/p><p style=\"padding-left: 40px;\"><strong>(B)<\/strong> is initially prepared, with the participation to the extent practicable of the resident or the resident\u2019s family or legal representative, by a team which includes the resident\u2019s attending physician and a registered professional nurse with responsibility for the resident; and<\/p><p class=\"subpara\" style=\"padding-left: 40px;\"><strong>(C)<\/strong> is periodically reviewed and revised by such team after each assessment under paragraph (3)&#8221;<\/p><p>\u00a0<\/p><p>2. &#8220;<strong>A nursing facility must conduct a comprehensive, accurate, standardized, reproducible assessment of each resident\u2019s functional capacity, which assessment<\/strong>\u2014<\/p><p style=\"padding-left: 40px;\"><strong>(i)<\/strong> describes the resident\u2019s capability to perform daily life functions and significant impairments in functional capacity;<\/p><p style=\"padding-left: 40px;\"><strong>(ii)<\/strong> is based on a uniform minimum data set specified by the Secretary under subsection (f)(6)(A);<\/p><p class=\"clause\" style=\"padding-left: 40px;\"><strong>(iii)<\/strong> uses an instrument which is specified by the State under subsection (e)(5); and<\/p><p class=\"clause\" style=\"padding-left: 40px;\"><strong>(iv)<\/strong> includes the identification of medical problems.&#8221;<\/p><p>\u00a0<\/p><p>3.<span style=\"color: #000000;\"><strong> &#8220;Such an assessment must be conducted\u2014<\/strong><\/span><\/p><p style=\"padding-left: 40px;\"><strong>(I)<\/strong> promptly upon (but no later than not later than 14 days after the date of) admission for each individual admitted on or after October 1, 1990, and by not later than October 1, 1991, for each resident of the facility on that date;<\/p><p style=\"padding-left: 40px;\"><strong>(II)<\/strong> promptly after a significant change in the resident\u2019s physical or mental condition; and<\/p><p style=\"padding-left: 40px;\"><strong>(III)<\/strong> in no case less often than once every 12 months.<\/p><p style=\"padding-left: 40px;\"><span class=\"sc\"><strong>(ii)<\/strong> Resident review.\u2014<\/span>The nursing facility must examine each resident no less frequently than once every 3 months and, as appropriate, revise the resident\u2019s assessment to assure the continuing accuracy of the assessment.<\/p><p style=\"padding-left: 40px;\"><strong>(D)\u00a0<\/strong><span class=\"sc\">Use.\u2014<\/span>The results of such an assessment shall be used in developing, reviewing, and revising the resident\u2019s plan of care under paragraph (2).&#8221;<\/p><p>\u00a0<\/p><p><strong>Here are a few facility requirements included in the NHRA (This is not a complete list):<\/strong><\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ol><li>Maintain staffing<\/li><li>Maintain clinical records<\/li><li>Provide proper treatment<\/li><li>Develop care plans for each resident<\/li><li>Provide sufficient nutrition and hygiene\u00a0<\/li><li>Provide sufficient quality care<\/li><\/ol><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef3ec49 elementor-widget elementor-widget-text-editor\" data-id=\"ef3ec49\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>:\u00a0<a href=\"https:\/\/www.nursinghomeabuse.org\/resources\/nursing-home-reform-act\/\" target=\"_blank\" rel=\"noopener\">Nursing Home Abuse OBRA &#8217;87 Overview<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>: <a href=\"https:\/\/theconsumervoice.org\/uploads\/files\/family-member\/Summary-History-Federal-_Nursing-Home-_Reform-Act_(3).pdf\" target=\"_blank\" rel=\"noopener\">National Consumer Voice OBRA &#8217;87 Overview<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>: <a href=\"https:\/\/www.ssa.gov\/OP_Home\/ssact\/title19\/1919.htm\" target=\"_blank\" rel=\"noopener\">NHRA requirements for nursing facilities provided by Social Security<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-2654\" role=\"tabpanel\" aria-labelledby=\"e-n-tabs-title-2654\" data-tab-index=\"4\" style=\"--n-tabs-title-order: 4;\" class=\" elementor-element elementor-element-47b4e60 e-con-full e-flex e-con e-child\" data-id=\"47b4e60\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53f78a3 elementor-widget elementor-widget-text-editor\" data-id=\"53f78a3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00a0<\/p><p>\u00a0<\/p><p>Residents of long-term care facilities have rights defined both by the state and the federal government.<\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-103b532 elementor-widget elementor-widget-heading\" data-id=\"103b532\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Resident Rights<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41fdcaf elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"41fdcaf\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48e8a3f elementor-widget elementor-widget-spacer\" data-id=\"48e8a3f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dd56f0 elementor-widget elementor-widget-text-editor\" data-id=\"5dd56f0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The following are brief excerpts from the <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-G\/part-483#483.10\" target=\"_blank\" rel=\"noopener\">Code of Federal Regulations concerning long-term care Resident Rights<\/a>:<\/p><p>\u00a0<\/p><p><strong>Residents have the right&#8230;<\/strong><\/p><ol><li style=\"list-style-type: none;\"><ol><li style=\"list-style-type: none;\"><ol><li>To freedom from abuse, neglect, and misappropriation of resident property<\/li><li>To be free of physical restraints<\/li><li>To refuse medication or other treatments (with exceptions)<\/li><li>To be self-determined and free to make their own choices<\/li><li>To a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility<\/li><li>To exercise his or her rights as a resident of the facility and as a citizen or resident of the United States<\/li><li>To be informed of, and participate in, his or her treatment\/care<\/li><li>To choose his or her attending physician<\/li><li>To be treated with respect and dignity<\/li><li>To organize and participate in resident groups in the facility<\/li><li>To participate in family groups<\/li><li>To have family member(s) or other resident representative(s) meet in the facility with the families or resident representative(s) of other residents in the facility<\/li><li>To participate in other activities, including social, religious, and community activities that do not interfere with the rights of other residents in the facility<\/li><li>To choose to or refuse to perform services for the facility and the facility must not require a resident to perform services for the facility<\/li><li>To manage his or her financial affairs. This includes the right to know, in advance, what charges a facility may impose against a resident&#8217;s personal fund<\/li><li>That the facility must not impose a charge against the personal funds of a resident for any item or service for which payment is made under Medicaid or Medicare (except for applicable deductible and coinsurance amounts)<\/li><li>To information and communication, to be informed of his or her rights and of all rules and regulations governing resident conduct and responsibilities during his or her stay in the facility<\/li><li>To access personal and medical records pertaining to him or herself<\/li><li>To personal privacy and confidentiality of his or her personal and medical records<\/li><li>To a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely<\/li><li>To voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal<\/li><li>To communicate with federal, state, or local officials, including, but not limited to, federal and state surveyors, other federal or state health department employees, including representatives of the Office of the State Long-Term Care Ombudsman, and any representative of the agency responsible for the protection and advocacy system for individuals with mental disorder (established under the Protection and Advocacy for Mentally Ill Individuals Act of 2000 (<a href=\"https:\/\/www.govinfo.gov\/link\/uscode\/42\/10801\" target=\"_blank\" rel=\"noopener noreferrer\">42 U.S.C. 10801<\/a> <em>et seq.<\/em>), regarding any matter, whether or not subject to arbitration or any other type of judicial or regulatory action<\/li><\/ol><\/li><\/ol><\/li><\/ol><p>\u00a0<\/p><p>For the complete list and details of long-term care facility Resident Rights, please follow this link and utilize the clickable index.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-G\/part-483#483.10\" target=\"_blank\" rel=\"noopener\">Code of Federal Regulations Long-term Care Facility Requirements<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><p>\u00a0<\/p><p>For additional shortened factsheets on Resident rights, please refer to the following.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/theconsumervoice.org\/uploads\/files\/long-term-care-recipient\/CV_NHrights_factsheet_final.pdf\" target=\"_blank\" rel=\"noopener\">The Consumer Voice Resident Rights\u00a0<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><span style=\"color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5); font-weight: bold;\">Click the link<\/span><span style=\"color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">:<\/span><span style=\"color: var( --e-global-color-4f499e8 ); background-color: var(--ast-global-color-5);\">\u00a0<\/span>\u00a0<a href=\"https:\/\/ltcombudsman.org\/issues\/residents-rights\" target=\"_blank\" rel=\"noopener\">The Consumer Voice Resident Rights Additional Webpage and Accessibility\u00a0<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/downloads.cms.gov\/medicare\/your_resident_rights_and_protections_section.pdf\" target=\"_blank\" rel=\"noopener\">CMS Resident Rights Nursing Home Factsheet<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-999c4b5 elementor-widget elementor-widget-spacer\" data-id=\"999c4b5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9d2656 elementor-widget elementor-widget-heading\" data-id=\"c9d2656\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>The Federal Nursing Home Reform Act (NHRA) <\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a444198 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"a444198\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24bcceb elementor-widget elementor-widget-text-editor\" data-id=\"24bcceb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The NHRA (also referred to as OBRA &#8217;87), is a reform act that enforces standards of provided care and resident rights. This reform states that facilities should promote residents&#8217; quality of life; resident health and quality of life should not decline due to care provided by the facility. These rights are briefly reviewed above and are further reviewed in the following links.<\/p><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de80639 elementor-widget elementor-widget-text-editor\" data-id=\"de80639\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>:\u00a0<a href=\"https:\/\/www.nursinghomeabuse.org\/resources\/nursing-home-reform-act\/\" target=\"_blank\" rel=\"noopener\">Nursing Home Abuse OBRA &#8217;87 Overview<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>: <a href=\"https:\/\/theconsumervoice.org\/uploads\/files\/family-member\/Summary-History-Federal-_Nursing-Home-_Reform-Act_(3).pdf\" target=\"_blank\" rel=\"noopener\">National Consumer Voice OBRA &#8217;87 Overview<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li style=\"font-size: 20px; font-style: normal; font-weight: 400; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif;\"><strong>Click the link<\/strong>: <a href=\"https:\/\/www.ssa.gov\/OP_Home\/ssact\/title19\/1919.htm\" target=\"_blank\" rel=\"noopener\">NHRA requirements for nursing facilities provided by Social Security<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div id=\"e-n-tab-content-2655\" role=\"tabpanel\" aria-labelledby=\"e-n-tabs-title-2655\" data-tab-index=\"5\" style=\"--n-tabs-title-order: 5;\" class=\" elementor-element elementor-element-cdd79e9 e-flex e-con-boxed e-con e-child\" data-id=\"cdd79e9\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-16c2fd0 e-flex e-con-boxed e-con e-child\" data-id=\"16c2fd0\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ef594c elementor-widget elementor-widget-heading\" data-id=\"0ef594c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Discharges, Transfers, and Room Changes<\/b><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e05795a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e05795a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dddacd6 elementor-widget elementor-widget-text-editor\" data-id=\"dddacd6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>1.<strong> Room\/roommate changes<\/strong><\/p><p>\u00a0<\/p><p style=\"padding-left: 40px;\">Facilities are required by law to provide residents written notice before changing their room or roommate. In some states this is a 10-30 day notice requirement.<\/p><p>\u00a0<\/p><p>2. <strong>Transfers\/discharges<\/strong><\/p><p>\u00a0<\/p><p style=\"padding-left: 40px;\">Facilities must provide a 30-day written notice of any plans to discharge or transfer residents and the written notice must include why they are transferring\/discharging, the date of anticipated action, the right of the resident to appeal this action, information on how the resident can file an appeal, the location of discharge\/transfer and ombudsman contact information. Residents also have the right to appeal any transfer or discharge. During the time of their pending appeal, residents are not legally allowed to be discharged or transferred.\u00a0 For more information on how to appeal a transfer or a discharge, please follow the link below.\u00a0<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/theconsumervoice.org\/issues\/other-issues-and-resources\/transfer-discharge\" target=\"_blank\" rel=\"noopener\">The Consumer Voice Nursing Home Discharge Fact Sheet<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><p>\u00a0<\/p><p>3. <strong>Hospital Discharge Appeal<\/strong><\/p><p>\u00a0<\/p><p style=\"padding-left: 40px;\">You have the right to appeal your discharge from the hospital. Talk with physicians and care staff at the hospital about your concerns and then file an appeal. Individuals cannot be discharged during the appeals process.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: Medicare<a href=\"https:\/\/www.medicare.gov\/claims-appeals\/your-right-to-a-fast-appeal\/getting-a-fast-appeal-in-a-hospital\" target=\"_blank\" rel=\"noopener\"> Hospital Appeals Process<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/www.hhs.gov\/guidance\/sites\/default\/files\/hhs-guidance-documents\/2012241010-xv-im_notice_cms10065_2020_v508.pdf\" target=\"_blank\" rel=\"noopener\">Appeals Form<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><p>\u00a0<\/p><p>4. <strong>Bed Holds at Facilities for Out-of-Facility Hospital Stays<\/strong><\/p><p>\u00a0<\/p><p style=\"padding-left: 40px;\">State bed hold periods vary. This can also be referred to as &#8220;therapeutic leave&#8221; and Medicare\/Medicaid will cover the facility bed hold costs during a specified time period.<\/p><p>\u00a0<\/p><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link<\/strong>: <a href=\"https:\/\/ltcombudsman.org\/uploads\/files\/support\/BedHoldPolicy_by_State_2019.pdf\" target=\"_blank\" rel=\"noopener\">Bed Hold Periods by State<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><ul><li style=\"list-style-type: none;\"><ul><li style=\"list-style-type: none;\"><ul><li><strong>Click the link: <a href=\"https:\/\/www.medicareinteractive.org\/get-answers\/medicare-covered-services\/skilled-nursing-facility-snf-services\/returning-to-a-snf-after-leaving\" target=\"_blank\" rel=\"noopener\">Returning to SNF After Leaving<\/a><\/strong><\/li><\/ul><\/li><\/ul><\/li><\/ul><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c5b6670 e-flex e-con-boxed e-con e-parent\" data-id=\"c5b6670\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ff5c690 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ff5c690\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-013db08 e-flex e-con-boxed e-con e-parent\" data-id=\"013db08\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\" data-core-v316-plus=\"true\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-460e875 elementor-widget elementor-widget-text-editor\" data-id=\"460e875\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-style: inherit; font-weight: inherit; color: #000000; font-family: 'Noto Serif Tibetan', sans-serif; background-color: var(--ast-global-color-5);\">This website serves solely as a supplementary and educational resource. It does not offer direct advice or recommendations for individual situations. Additional research should be conducted, and official and professional guidance sought. Federal, state, and local services should always be consulted for appropriate assistance and guidance. Additionally, professional health, legal, and government services should always be consulted, as this website does not serve as a substitute for them. While efforts are made to provide accurate and up-to-date information, this website cannot guarantee the accuracy or currency of the content. It is encouraged that users verify information with relevant authorities or professionals. Please note that if you or someone you know is in <strong>imminent danger, call 911<\/strong>.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Learn the System Click through the tabs below. New Agendas Facility Ratings Facility Regulations Resident Rights Discharges\/Transfers Under the Biden-Harris Administration several new initiatives have been created to help improve the quality of long-term care facilities in the United States. 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