1. 201.2. Requirements. Federal nursing home regulations (42 CFR 483 Subpart B etc.) are now “incorporated by reference” into the state licensing regulations, so that even private pay nursing facilities in Pennsylvania which don’t accept Medicare or Medicaid are now subject to all federal nursing home regulations, though they can apply for an exception.
2. 211.2. Medical director. Must be licensed as physicians in Pennsylvania and must complete at least four hours annually of CME pertinent to medical direction or PALTC medicine. Note this would be included in, not addition to, currently mandated state CME hours. The exact content judged pertinent is not defined, but attending a spring or fall PMDA meeting would certainly entirely satisfy this requirement. Continuing Medical Education documentation should be placed in the medical director’s personnel file at the facility along with the written agreement between the physician/medical director and facility. Specific MD/DO initial visit requirements are eliminated and left unclear but allude to a continued 14-day window for the initial comprehensive assessment at/by the facility. (As opposed to federal regulations which stipulate physician visits once every 30 days for the first 90 days etc.).
3. 211.7. Physician assistants and certified registered nurse practitioners. Lists of APP’s and supervising physicians must be posted plainly at the facility at every nursing station, along with a notice explaining the definitions of the terms physician assistant and CRNP; and copies of APP and supervising physicians’ licenses must be kept on file at the facility.
4. 211.3. Verbal and telephone orders (TVO’s). Must be signed within 48-72 hours. Comment: Since providers are not in the facility every day or even every week, this would be difficult to achieve without an electronic system.
5. 201.22. Prevention, control, and surveillance of tuberculosis (TB). Tuberculosis screening and control plans and protocols must exist for patients and staff, following CDC Guidelines.
6. 201.29. Resident Rights. Experimental research or treatment may not be carried out in a nursing facility without the Department of Health’s approval including IRB review and informed consent. Experimental research is defined as development, testing, or use of a treatment/drug/therapy that has not yet been approved by the FDA or medical community as effective and conforming to safe medical practice.
7. 211.12: Nursing services. 2.87 hours direct resident care for each resident effective July 1, 2023 and 3.2 hours direct resident care for each resident effective July 1, 2024, for each 24-hour period when totaled for the entire facility.

• Audio synced to slides for most 60 and 90-minute sessions delivered during the conference
• Ability to download session handouts

• The Online Core Curriculum is the first part of the Core Curriculum, covering 22 critical areas impacting PALTC leadership and management.
• The Core Synthesis is comprised of dynamic lectures, spirited role plays, case-based discussion, and small group breakouts.