42 CFR 488.301 - Definitions.
Title 42: Public HealthCHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) SUBCHAPTER G: STANDARDS AND CERTIFICATION PART 488: SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES Subpart E: Survey and Certification of Long-Term Care Facilities 488.301 - Definitions. As used in this subpart? Abbreviated standard survey means a survey other than a standard survey that gathers information primarily through resident-centered techniques on facility compliance with the requirements for participation. An abbreviated standard survey may be premised on complaints received; a change of ownership, management, or director of nursing; or other indicators of specific concern. Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Deficiency means a SNF's or NF's failure to meet a participation requirement specified in the Act or in part 483, subpart B of this chapter. Dually participating facility means a facility that has a provider agreement in both the Medicare and Medicaid programs. Extended survey means a survey that evaluates additional participation requirements subsequent to finding substandard quality of care during a standard survey. Facility means a SNF or NF, or a distinct part SNF or NF, in accordance with ? 483.5 of this chapter. Immediate family means husband or wife; natural or adoptive parent, child or sibling; stepparent, stepchild, stepbrother, or stepsister; father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law; grandparent or grandchild. Immediate jeopardy means a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. Misappropriation of resident property means the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident's belongings or money without the resident's consent. Neglect means failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness. Noncompliance means any deficiency that causes a facility to not be in substantial compliance. Nurse aide means an individual, as defined in ? 483.75(e)(1) of this chapter. Nursing facility (NF) means a Medicaid nursing facility. Paid feeding assistant means an individual who meets the requirements specified in ? 483.35(h)(2) of this chapter and who is paid to feed residents by a facility, or who is used under an arrangement with another agency or organization. Partial extended survey means a survey that evaluates additional participation requirements subsequent to finding substandard quality of care during an abbreviated standard survey. Skilled nursing facility (SNF) means a Medicare nursing facility. Standard survey means a periodic, resident-centered inspection which gathers information about the quality of service furnished in a facility to determine compliance with the requirements for participation. Substandard quality of care means one or more deficiencies related to participation requirements under ? 483.13, Resident behavior and facility practices, ? 483.15, Quality of life, or ? 483.25, Quality of care of this chapter, which constitute either immediate jeopardy to resident health or safety; a pattern of or widespread actual harm that is not immediate jeopardy; or a widespread potential for more than minimal harm, but less than immediate jeopardy, with no actual harm. Substantial compliance means a level of compliance with the requirements of participation such that any identified deficiencies pose no greater risk to resident health or safety than the potential for causing minimal harm. Validation survey means a survey conducted by the Secretary within 2 months following a standard survey, abbreviated standard survey, partial extended survey, or extended survey for the purpose of monitoring State survey agency performance. [59 FR 56238, Nov. 10, 1994, as amended at 68 FR 55539, Sept. 26, 2003]