Nursing Home and Skilled Nursing Dental Services Requirements
Pursuant to federal regulations in 42 CFR § 483.55, dental services. The facility must assist residents in obtaining routine and 24-hour emergency dental care.
(a) Skilled nursing facilities. A facility (1) Must provide or obtain from an outside resource, in accordance with §483.70(g), routine and emergency dental care to meet the needs of each resident;
(2) May charge a Medicare resident an additional amount for routine and emergency dental care;
(3) Must have a policy identifying those circumstances when the loss or damage of dentures is the facility’s responsibility and may not charge a resident for the loss or damage of dentures determined in accordance with facility policy to be the facility’s responsibility;
(4) Must if necessary or if requested, assist the resident—
(i) In making appointments; and
(ii) By arranging for transportation to and from the dental services location; and
(5) Must promptly, within 3 days, refer residents with lost or damaged dentures for dental services. If a referral does not occur within 3 days, the facility must provide documentation of what they did to ensure the resident could still eat and drink adequately while awaiting dental services and the extenuating circumstances that led to the delay.
Federal Regulations for Dental for Nursing Facilities
(b) Nursing facilities. The facility (1) Must provide or obtain from an outside resource, in accordance with §483.70(g), the following dental care to meet the needs of each resident:
(i) Routine dental (to the extent covered under the State plan); and
(ii) Emergency dental;
(2) Must, if necessary or if requested, assist the resident—
(i) In making appointments; and
(ii) By arranging for transportation to and from the dental services locations;
(3) Must promptly, within 3 days, refer residents with lost or damaged dentures for dental services. If a referral does not occur within 3 days, the facility must provide documentation of what they did to ensure the resident could still eat and drink adequately while awaiting dental services and the extenuating circumstances that led to the delay;
(4) Must have a policy identifying those circumstances when the loss or damage of dentures is the facility’s responsibility and may not charge a resident for the loss or damage of dentures determined in accordance with facility policy to be the facility’s responsibility; and
(5) Must assist residents who are eligible and wish to participate to apply for reimbursement of dental as an incurred medical expense under the State plan.
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For more information about skilled nursing and nursing home requirements or other questions about elder abuse and neglect contact Nursing Home Neglect Attorney Kenneth LaBore for a free consultation at 612-743-9048 or by email at KLaBore@MNnursinghomeneglect.com.