Nursing Homes are Required to Perform Quality Assessment and Assurance
Nursing Homes are Required to Perform Quality Assessment and Assurance

Minnesota Quality Assessment and Assurance Rules

According to Minnesota Administrative Rule 4658.0070 QUALITY ASSESSMENT AND ASSURANCE COMMITTEE, a nursing home must maintain a quality assessment and assurance committee consisting of the administrator, the director of nursing services, the medical director or other physician designated by the medical director, and at least three other members of the nursing home’s staff, representing disciplines directly involved in resident care. The quality assessment and assurance committee must identify issues with respect to which quality assurance activities are necessary and develop and implement appropriate plans of action to correct identified quality deficiencies. The committee must address, at a minimum, incident and accident reporting, infection control, and medications and pharmacy services.

Under the federal regulations, the nursing home must:

• Have sufficient nursing staff. (42 CFR §483.30)

• Conduct initially a comprehensive and accurate assessment of each resident’s functional capacity. (42 CFR §483.20)

• Develop a comprehensive care plan for each resident. (42 CFR §483.20)

• Prevent the deterioration of a resident’s ability to bathe, dress, groom, transfer and ambulate, toilet, eat, and to communicate. (42 CFR §483.25)

• Provide, if a resident is unable to carry out activities of daily living, the necessary services to maintain good nutrition, grooming, and personal oral hygiene. (42 CFR §483.25)

• Ensure that residents receive proper treatment and assistive devices to maintain vision and hearing abilities. (42 CFR §483.25)

• Ensure that residents do not develop pressure sores and, if a resident has pressure sores, provide the necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing. (42 CFR §483.25)

• Provide appropriate treatment and services to incontinent residents to restore as much normal bladder functioning as possible. (42 CFR §483.25)

• Ensure that the resident receives adequate supervision and assistive devices to prevent accidents. (42 CFR §483.25)

• Maintain acceptable parameters of nutritional status. (42 CFR §483.25)

• Provide each resident with sufficient fluid intake to maintain proper hydration and health. (42 CFR §483.25)

• Ensure that residents are free of any significant medication errors. (42 CFR §483.25)

• Promote each resident’s quality of life. (42 CFR §483.15)

• Maintain dignity and respect of each resident. (42 CFR §483.15)

• Ensure that the resident has the right to choose activities, schedules, and health care. (42 CFR §483.40)

• Provide pharmaceutical services to meet the needs of each resident. (42 CFR §483.60)

• Be administered in a manner that enables it [the nursing home] to use its resources effectively and efficiently. (42 CFR §483.75)

• Maintain accurate, complete, and easily accessible clinical records on each resident. (42 CFR §483.75)

One of the best ways to check the past history of federal care deficiencies for a facility is to check the Medicare / Medicare CMS website called Nursing Home Compare

Common areas of cases I see include:  Falls from Beds, Hoyer Lifts and in the Bathroom; Sexual Abuse; Medication Errors and Others.  STOP ELDER ABUSE AND NEGLECT!

For more information about Minnesota nursing home quality assessment and assurance 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 @

Minnesota Quality Assessment and Assurance Regulations for Nursing Homes

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