Page:United States Statutes at Large Volume 101 Part 2.djvu/955

 PUBLIC LAW 100-203—DEC. 22, 1987 i, i h:

QUALITY ASSESSMENT AND ASSURANCE.—A skilled

nursing facility must maintain a quality assessment and assurance committee, consisting of the director of nursing services, a physician designated by the facility, and at least 3 other members of the facility's staff, which (i) meets at least quarterly to identify issues with respect to which quality assessment and assurance activities are necessary and (ii) develops and implements appropriate plans of action to correct identified quality deficiencies.

S u .>tf i
 * o

!;/ i

"(B)

101 STAT. 1330-161

"(2) SCOPE OF SERVICES AND ACTIVITIES UNDER PLAN OF CARE.—

A skilled nursing facility must provide services to attain or maintain the highest practicable physical, mental, and , psychosocial well-being of each resident, in accordance with a ,.; written plan of care which— "(A) describes the medical, nursing, and psychosocial needs of the resident and how such needs will be met; 3Q im. "(B) is initially prepared, with the participation to the extent practicable of the resident or the resident's family or legal representative, by a team which includes the resident's attending physician and a registered professional ionurse with responsibility for the resident; and after each assessment under paragraph (3). £ £ "(3) RESIDENTS' ASSESSMENT.— >• "(A) REQUIREMENT.—A skilled nursing facility must cons'i duct a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity, which vt' assessment— "(i) describes the resident's capability to perform ai' daily life functions and significant impairments in r: functional capacity; "(ii) is based on a uniform minimum data set speci^H5 fied by the Secretary under subsection (fK6)(A);
 * i"(C) is periodically reviewed and revised by such team

"(iii) in the case of a resident eligible for benefits under title XIX, uses an instrument which is specified by the State under subsection (e)(5); and "(iv) in the case of a resident eligible for benefits '...vjj under part A of this title, includes the identification of medical problems. "(B) CERTIFICATION.—

v.r ,^i y i
 * ij J

ytx /jv tja .

,>

"(i) IN GENERAL.—Each such assessment must be conducted or coordinated (with the appropriate participation of health professionals) by a registered professional nurse who signs and certifies the completion of the assessment. Each individual who completes a portion of such an assessment shall sign and certify as to the accuracy of that portion of the assessment. "(ii) PENALTY FOR FALSIFICATION.—

"(I) An individual who willfully and knowingly certifies under clause (i) a material and false statement in a resident assessment is subject to a civil money penalty of not more than $1,000 with respect to each assessment. "(II) An individual who willfully and knowingly causes another individual to certify under clause (i) a material and false statement in a resident assess-

�