California Skilled Nursing Services Policy Manual
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The California Skilled Nursing Services Policy Manual provides a comprehensive framework for the delivery of skilled nursing care to individuals with complex medical needs in home and community-based settings across the state of California. This manual aligns with regulatory requirements set forth by the California Department of Public Health (CDPH), the California Department of Health Care Services (DHCS), and the Centers for Medicare & Medicaid Services (CMS). It also incorporates applicable federal guidelines, including the Medicare Conditions of Participation (42 CFR Part 484), the Health Insurance Portability and Accountability Act (HIPAA), and Medicaid Home and Community-Based Services (HCBS) Waiver programs. The manual outlines detailed policies and procedures related to service eligibility, clinical assessments, individualized care planning, skilled nursing interventions such as wound care, medication management, monitoring of chronic conditions, and vital signs, as well as staff licensure and continuing education requirements. It also covers documentation and reporting standards, infection control protocols, client rights, emergency preparedness, and quality assurance practices. Skilled nursing services are designed to support individuals in their homes while preventing unnecessary hospitalizations or institutionalization. As both a compliance and operational resource, the California Skilled Nursing Services Policy Manual ensures that providers deliver safe, effective, and person-centered care in accordance with all applicable state and federal regulations, promoting clinical excellence, patient safety, and high-quality outcomes.