42 CFR §483.30

Extracted obligations

• A physician must personally approve in writing a recommendation that an individual be admitted to a facility. · admissions · 99%
• Each resident must remain under the care of a physician at all times. · physician services · 99%
• A physician, physician assistant, nurse practitioner, or clinical nurse specialist must provide orders for the resident's immediate care and needs upon admission. · physician services · 97%
• The facility must ensure that the medical care of each resident is supervised by a physician. · physician supervision · 99%
• The facility must ensure that another physician supervises the medical care of residents when their attending physician is unavailable. · physician supervision · 99%
• At each required visit, the physician must review the resident's total program of care, including medications and treatments. · physician visits · 99%
• At each required visit, the physician must write, sign, and date progress notes. · physician visits · 99%
• The physician must sign and date all orders, except that influenza and pneumococcal vaccines may be administered per physician-approved facility policy after an assessment for contraindications. · physician orders · 99%
• The resident must be seen by a physician at least once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter. · physician visits · 99%
• A physician visit is considered timely if it occurs not later than 10 days after the date the visit was required. · physician visits · 98%
• Except where alternating visits are permitted in SNFs or where a State option applies in NFs, all required physician visits must be made by the physician personally. · physician visits · 98%
• In SNFs, after the initial visit, required physician visits may at the physician's option alternate between personal visits by the physician and visits by a physician assistant, nurse practitioner, or clinical nurse specialist acting under physician supervision and within their state-defined scope of practice. · physician delegation · 97%
• The facility must provide or arrange for the provision of physician services 24 hours a day in case of an emergency. · emergency physician availability · 99%
• In SNFs, a physician may delegate tasks to a physician assistant, nurse practitioner, or clinical nurse specialist only if that person meets the applicable definition, is acting within state-defined scope of practice, and is under the supervision of the physician. · physician delegation · 98%
• A resident's attending physician may delegate the task of writing dietary orders to a qualified dietitian or other clinically qualified nutrition professional who is acting within state-defined scope of practice and under the supervision of the physician. · physician delegation · 98%
• A resident's attending physician may delegate the task of writing therapy orders to a qualified therapist who is acting within state-defined scope of practice and under the supervision of the physician. · physician delegation · 98%
• A physician may not delegate a task when regulations specify the physician must perform it personally, or when delegation is prohibited under state law or the facility's own policies. · physician delegation · 99%
• In NFs, at the option of the State, any required physician task (including tasks specified to be performed personally by the physician) may also be satisfied when performed by a nurse practitioner, clinical nurse specialist, or physician assistant who is not an employee of the facility but is working in collaboration with a physician. · physician delegation · 97%