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Resident's Rights

By Maureen Kroll, RN, MN, JD

At the time each resident is admitted to a skilled nursing facility which participates in the Medicare program the facility must have physician orders for the resident's immediate care.[1] Then, the resident's functional capacity must be determined in a comprehensive, accurate, standardized, reproducible assessment conducted by the facility. [2]

The assessment of the resident's functional capacity must describe the beneficiary's capability to perform daily life functions and significant impairment, must be based on uniform minimum data specified by the Secretary of Health and Human Services, and must use a state-specified instrument.[3]  At a minimum, the assessment must include information regarding the resident's medically defined conditions and prior medical history; medical status measurement; functional status; sensory and physical impairments; nutritional status and requirements; special treatments or procedures; psychosocial status; discharge potential; dental condition; activities potential; rehabilitation potential cognitive status; and drug therapy.[4]

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