Federal and Minnesota State Nursing Home Regulations

July 3rd, 2009

Federal

  • Health & Supportive Services 
    • OBRA Regulations (Requirements for Long Term Care Facilities) – 42 C.F.R. § 483, Subp. B
    • Requirements for, and Assuring Quality of Care in, Skilled Nursing Facilities (Medicare/Federal Funded; Social Security Act § 1819) – 42 U.S.C. 1395i-3
    • Requirements for Nursing Facilities (Medicaid/State Funded; Social Security Act § 1919) – 42 U.S.C. 1396r
  • Patient Rights
    • Americans with Disabilities Act of 1990 (ADA) & ADA Amendments Act of 2008 – 42 U.S.C. § 12101 et seq.
    • Rehabilitation Act of 1973, Section 504; 29 U.S.C. § 701 et seq.
    • Requirements Relating to Residents’ Rights (Medicare) – 42 U.S.C. § 1395i-3(c)
    • Requirements Relating to Residents’ Rights (Medicaid)– 42 U.S.C. § 1396r(c)
    • OBRA Regulations (Resident Rights) – 42 CFR § 483.10
  • Housing
    • Fair Housing Act (Prohibits Discriminatory Housing Practices Based on Disability and Other Factors) – 42 U.S.C. § 3604(f); 24 C.F.R. 100
  • Payment
    • Medicare (Health Insurance for Aged and Disabled) – 42 U.S.C. § 1395
    • Medicaid
      • State Plans for Medical Assistance – 42 U.S.C. § 1396a
      • Payment to States – 42 U.S.C. § 1396b

State

  • Health & Supportive Services
    • Nursing Homes – Minn. Stat. §§ 144A.01-.37; Minn. R. 4658 et al
    • Veteran’s Homes – Minn. Stat. §§ 198 et al; Minn. R. 9050 et al
    • Boarding Care Homes – Minn. Stat. §§ 144.50-144.56; Minn. R. 4655 et al
    • Home Care Licensure Law – Minn. Stat. § 144A.43-.48; Minn. R. 4668
    • Housing with Services Establishment Act – Minn. Stat. § 144D
    • Assisted Living Services – Minn. Stat. § 144G
    • Memory Care – Minn. Stat. §§ 144.6503; 144D.065; 144A.45, Subd. 5; and 245A.04, Subd. 12
    • Patient Rights
      • Assisted Living Bill of Rights Addendum– Minn. Stat. § 144A.441
      • Health Care Bill of Rights – Minn. Stat. § 144.651
      • Home Care Bill of Rights – Minn. Stat. § 144A.44
      • Hospice Bill of Rights – Minn. Stat. § 144A.751
      • Maltreatment of Minors Act – Minn. Stat. § 626.556
      • Minnesota Human Rights Act – Minn. Stat. § 363A
      • Vulnerable Adults Act – Minn. Stat. § 626.557 -.5573
      • Employee Regulation
        • Nurse Practice Act – Minn. Stat. §§ 148.171-148.285 
        • Criminal Background Study – Minn. Stat. §§ 144.057 & 245C et al
  • Advertising
    • Assisted Living Title Protection – Minn. Stat. § 144G.01-.02
    • Attorney General responsibility related to Prevention of Consumer Fraud – Minn. Stat. § 8.31
    • Consumer Fraud Act (Senior Citizens & Disabled Persons) – Minn. Stat. § 325F.71
    • Disclosure of Special Care Status for Memory Care – Minn. Stat. § 325F.72
    • False Statement in Advertisement – Minn. Stat. § 325F.67
    • Housing
      • Landlord Tenant Law – Minn. Stat. § 504B
      • Building and Fire Codes(See i.e. Construction Codes and Licensing – Minn. Stat. § 326B)
      • Common Interest Community and Cooperative Laws – Minn. Stat. § 515B
  • Payment
    • Medical Assistance for Needy Persons – Minn. Stat. § 256B

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.
If you or a loved one has suffered an injury or abuse in a nursing home or other care facility that serves the elderly in Minnesota, please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact attorney Kenneth LaBore, directly please send an email to klabore@prslegal.com, or call Ken at 612-767-7503.

Proper Wound Dressing Changes for Nursing Home Resident

July 3rd, 2009

One of the most common type of preventable injury to residents of nursing homes and other elder care facilities is pressure ulcers which I have blogged on in the past.   One of the ways to ensure proper healing once a wound has appeared is to clean the pressure ulcer and to change the dressing frequently.  I came across these YouTube video showing the correct way to change a pressure ulcer or other wound dressing:

 

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

 

If you or a loved one has suffered an injury or abuse in a nursing home or other care facility that serves the elderly in Minnesota, please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member.   To contact attorney Kenneth LaBore, directly please send an email to klabore@prslegal.com, or call Ken at 612-767-7503.

How to Safely Transfer a Nursing Home Resident

June 23rd, 2009

I was researching injuries during transfer and I came across these interesting training videos created for in service training of nursing home staff.  Many preventable injuries occur from improper transfer of nursing home residents.   Usually due to understaffing, lack of training or inadequate equipment.   Falls are one of the leading causes of death of the elderly and every effort should be made to avoid falling.   Falls also lead to other conditions such as bed sores from inactivity and in some cases pneumonia.

Transfer from Bed to Wheel Chair:

Transfer from Chair to Toilet:

 

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury or abuse in a nursing home or other care facility that serves the elderly in Minnesota , please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member.   To contact attorney Kenneth LaBore, directly please send an email to klabore@prslegal.com, or call Ken at 612-767-7503.

Proper Perineal Care in Hospitals and Nursing Homes

June 3rd, 2009

I saw an excellent video today on perineal washing and care in hospitals and nursing homes for both men and women.

I know from my own experience as an attorney that handles nursing home abuse and neglect cases, that many types of abuse and neglect, including falls can be greatly reduced by regular assessments and notice to a physician and family with any change in condition and through the use of additional safety interventions. The most common forms of neglect besides falls include, failure to provide proper nutrition and hydration, urinary tract infections, infectious disease, medication errors, failure to assist and supervise and others which also may lead to the increased risk of an elderly person sustaining serious injury or death from falls.

The importance of this basic care cannot be over stated. Without proper care a person is not only uncomfortable and at risk for urinary and other infections. Improper care can also lead to serious life threatening pressure ulcer, usually on the coccyx buttocks region.

The attached videos give advice on how to provide proper perineal care for men and women.

http://www.youtube.com/watch?v=xB8xnKVmG4I

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@prslegal.com, or call Ken at 612-767-7503.