To participate in medicare and medicaid nursing homes must comply with the federal requirements for long term care facilities under federal nursing home regulations nursing homes must have sufficient nursing staff 42 cfr 48330 conduct initially a comprehensive and accurate assessment of each residents functional capacity 42 cfr . Federal regulations require that each resident of a nursing home receive the necessary care and services to attain or maintain the highest possible physical and mental well being for residents who are unable to independently carry out activities of daily living they are entitled to receive the services needed to maintain good nutrition . Under the nursing home reform act of 1987 nursing homes are required to 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 the primary guideline for federal nursing home regulations is the nursing home . The federal government establishes the minimum guidelines for nursing home activities and shares this responsibility with state governments title 42 48315 of the us code of federal regulations cfr addresses the quality of life for nursing home residents the basic law requires nursing facilities also referred . The nursing home reform law issued in 1987 by the us government guarantees nursing home residents many rights designed to protect their individual dignity and the right of self determination the law also requires facilities provide activities and services that promote a high level of physical mental and psychosocial well being
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