Centers for Medicare & Medicaid Regulations related to LifeBio

Preventing citations and increasing referrals from hospitals and other care providers are goals of health care centers and nursing homes across the U.S. LifeBio works with communities to help them deeply know residents and meet regulatory requirements for person-centered care, activities, and dementia care.

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BACKGROUND

Centers for Medicare and Medicaid (CMS) regulations require person-centered care (483.5) to help residents make their own choices. The resident rights (483.10, F550) state the nursing home is required by CMS to treat residents with respect and dignity, maintain or enhance quality of life, and recognize individuality.

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COMPREHENSIVE PERSON-CENTERED CARE PLANNING  – 483.21 (F272/F636 -- F279/F656)

Know the resident’s strengths, goals, life history and preferences in additional to resident’s needs. Attain or maintain the “resident's highest practicable physical, mental, and psychosocial well-being.”

NOTE: F279 was cited 11,230 times in past 3 years nationally  Source: Squared Business Solutions

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ACTIVITIES - 483.24 (F248 / Revised F679)

An ongoing resident centered activities program that incorporates the resident’s interests, hobbies and cultural preferences which is integral to maintaining and/or improving a resident’s physical, mental, and psychosocial well-being and independence. To create opportunities for each resident to have a meaningful life by supporting his/her domains of wellness (security, autonomy, growth, connectedness, identity, joy and meaning).

NOTE: F248 was cited 2,379 times in past 3 years nationally. Source: Squared Business Solutions. 

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DEMENTIA  - Behavioral Health Services – 483.40 & 483.24 (F248 / Revised F679) 

Use individualized approaches for wellbeing and non-drug approaches to care. All residents have a need for engagement in meaningful activities. For residents with dementia, the lack of engaging activities can cause boredom, loneliness and frustration, resulting in distress and agitation. Activities must be individualized and customized based on the resident’s previous lifestyle (occupation, family, hobbies), preferences and comforts.