New York Skilled Nursing Agency Policy Manual

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The New York Skilled Nursing Agency Policy Manual provides a comprehensive operational framework for agencies delivering skilled nursing services to individuals with acute, chronic, or complex medical needs across the State of New York. This manual aligns with the regulations established by the New York State Department of Health (NYSDOH) and complies with federal Medicare Conditions of Participation (42 CFR Part 484), as well as New York State Medicaid requirements and applicable Home and Community-Based Services (HCBS) Waiver programs. The manual includes policies and procedures governing agency licensure and certification, patient eligibility and intake, comprehensive clinical assessments, development and implementation of individualized care plans, administration of medications and treatments, wound care, post-acute rehabilitation, chronic disease management, infection prevention and control, interdisciplinary care coordination, staff licensure and continuing education, patient rights and protections, emergency preparedness, documentation and billing procedures, incident reporting, and quality assurance. It emphasizes high-quality, evidence-based nursing care delivered in the home or residential setting, promoting health stabilization, independence, and the prevention of unnecessary hospitalizations or institutional care. This manual serves as a foundational resource for skilled nursing providers in New York, ensuring the delivery of compliant, compassionate, and person-centered care that supports long-term wellness and quality of life.