This regulation requires nursing facility administrators and governing bodies to manage facility resources—including budget, staff, and supplies—effectively and efficiently to achieve the highest practicable well-being for each resident. Surveyors may cite this tag when administrative actions, inactions, or decisions contributed to deficient practices, but must document how administration knew or should have known of the deficiency. The tag applies broadly to all aspects of facility administration, not solely to the administrator role.
View official sourceF835 (Rev. 173, Issued: 11-22-17, Effective: 11-28-17, Implementation: 11-28-17) §483.70 Administration. A facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. GUIDANCE §483.70 Resources include but are not limited to a facility’s operating budget, staff, supplies, or other services necessary to provide for the needs of residents. PROCEDURES §483.70 Cite this tag if the actions, inactions, or decisions in administering the facility contributed to deficient practice(s). The facility’s administration is not limited to the administrator and may also include the facility’s governing body, management company, and/or others identified by the facility as part of the facility administration. The investigation must demonstrate how the administration knew or should have known of the deficient practice and how the lack of administration involvement contributed to the deficient practice found. When citing this F835, it is not acceptable to simply reiterate the non-compliance from any other associated tags and then refer to this tag. Surveyors must document how the administration knew or should have known of the deficient practice and taken action(s) as appropriate.