Regulatory Section

Implementation Deadline

§483.1 Basis and scope.

Phase 1

§483.5 Definitions.        

Phase 1

§483.10 Resident rights.

Phase 1 except for:

-(g)(4)(ii) – (v) Providing contact information for State and local advocacy organizations, Medicare and Medicaid eligibility information, Aging and Disability Resources Center and Medicaid Fraud Control Unit —Phase 2

§483.12 Freedom from abuse, neglect and exploitation.

Phase 1 except for:

-(b)(4) Coordination with QAPI Plan—Phase 3

-(b)(5) Reporting crimes/1150B—Phase 2

§483.15 Admission, transfer, and discharge rights

Phase 1 except for:

-(c)(2) Transfer/Discharge Documentation—Phase 2.

§483.20 Resident assessment

Phase 1

§483.21 Comprehensive person-centered care planning.

Phase 1 except for:

-(a) Baseline care plan—Phase 2.

-(b)(3)(iii) Trauma informed care—Phase 3.

§483.24 Quality of life 

Phase 1

§483.25 Quality of care

Phase 1 except for:

-(m) Trauma-informed care—Implemented in Phase 3.

§483.30 Physician services     

Phase 1

§483.35 Nursing services

Phase 1 except for:

-Specific usage of the Facility Assessment at §483.70(e)in the determination of sufficient number and competencies for staff —Phase 2

§483.40 Behavioral health services     

Phase 2 except for:

-(a)(1)As related to residents with a history of trauma and/or post-traumatic stress disorder—Phase 3

-(b)(1), (b)(2), and (d) Comprehensive assessment and medically related social services--Phase 1

§483.45 Pharmacy services   

Phase 1 except for:

-(c)(2) Medical chart review—Phase 2

-(e) Psychotropic drugs—Phase 2

§483.50 Laboratory, radiology, and other diagnostic services

Phase 1

§483.55 Dental services

Phase 1 except for: 

-(a)(3) and (a)(5) Loss or damage of dentures and policy for referral—Phase 2

§483.60 Food and nutrition services

Phase 1 except for:

-(a) As linked to Facility Assessment at §483.70(e)—Phase 2

-(a)(1)(iv) Dietitians hired or contracted prior to effective date—5 years from the final rule effective date

-(a)(2)(i) Director of food & nutrition services designated to serve prior to effective—5 years from the final rule effective date

-(a)(2)(i) Dietitians designated to after the effective date—1 year from the final rule effective date

§483.65 Specialized rehabilitative services       

Phase 1

§483.70 Administration

Phase 1 except for:

-(d)(3) Governing body responsibility of QAPI program—Phase 3

-(e) Facility assessment—Phase 2

§483.75 QAPI

Phase 3 except for: 

-(a)(2) Initial QAPI Plan must be provided to State Agency Surveyor at annual survey—Phase 2.

-(g)(1) QAA committee—Phase 1 except for subparagraph (iv), the addition of the ICPO --Phase 3

-(h) Disclosure of information—Phase 1

-(i)Sanctions—Phase 1

§483.80 Infection control

Phase 1 except for:

-(a) As linked to Facility Assessment at §483.70(e)—Phase 2

-(a)(3) Antibiotic stewardship—Phase 2

-(b) Infection preventionist (IP)— Phase 3

-c) IP participation on QAA committee—Phase 3.

§483.85 Compliance and ethics program       

Phase 3

§483.90 Physical environment

Phase 1 except for

-(f)(1) Call system from each resident’s bedside— Phase 3.

-(h)(5) Policies regarding smoking—Phase 2

§483.95 Training requirements

Phase 3 except for:

-(c) Abuse, neglect, and exploitation training—Phase 1

-(g)(1) Regarding in-service training; (g)2) dementia management & abuse prevention training; (g)(4) care of the cognitively impaired—Phase 1

-(h) Training of feeding assistants—Phase 1