Florida Skilled Nursing Services Policy Manual

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The Florida Skilled Nursing Service Policy Manual provides a comprehensive framework for the delivery of licensed nursing care to individuals with complex medical needs in home and community-based settings throughout the state of Florida. This manual is aligned with the regulatory requirements of the Florida Agency for Health Care Administration (AHCA), the Florida Department of Health (DOH), and incorporates applicable federal guidelines under the Centers for Medicare & Medicaid Services (CMS), including the Medicare Conditions of Participation (42 CFR Part 484), 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, nursing interventions (including wound care, ventilator and tracheostomy management, medication administration, and chronic disease monitoring), documentation and reporting standards, infection control protocols, staff licensure and continuing education, client rights, emergency preparedness, and quality assurance. It is designed to guide skilled nursing providers in delivering safe, person-centered, and evidence-based care that supports health, independence, and the prevention of unnecessary institutionalization. As both an operational and regulatory compliance resource, the Florida Skilled Nursing Services Policy Manual ensures that agencies and providers adhere to all applicable state and federal standards while maintaining the highest levels of clinical quality, safety, and professional integrity in the provision of skilled nursing services.