Medical direction in nursing facilities: New federal guidelines

Rebecca D. Elon

Research output: Contribution to journalReview article


In June 2005, the Centers for Medicare & Medicaid Services (CMS) released its revised regulations for nursing facility medical directors and guidance to state surveyors regarding enforcement of these regulations. This article describes the revised regulations and provides historical background on the role of the medical director. The role of federal regulation as a strategy to improve the quality of medical direction within U.S. nursing facilities is discussed. Suggestions for the medical director's response to the revised regulations are included. The article concludes with the observation that although regulations may be necessary, they are insufficient alone to achieve the desired goal of quality medical care for every nursing home resident.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalAnnals of Long-Term Care
Issue number10
StatePublished - Oct 1 2005

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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