Nursing homes/healthcare facilities are required to provide necessary respiratory care and services to residents who need it, according to professional standards of practice, the resident's care plan, and the resident's choice. This includes providing sufficient numbers of qualified professional staff, establishing resident care policies, and training staff in respiratory care. The facility must also determine their capability and capacity to provide the necessary respiratory care and services, and must develop policies and procedures according to professional standards of practice. These policies and procedures may include oxygen services, types of respiratory exercises, BiPAP/CPAP treatments, mechanical ventilation/tracheostomy care, emergency care, emergency interventions, and infection control measures. Nursing homes/healthcare facilities must also have sufficient numbers of trained, competent, qualified staff and must document the assessment and monitoring of the resident's respiratory condition. To ensure compliance with this letter, nursing homes/healthcare facilities must determine their capability and capacity to provide the necessary respiratory care and services, develop policies and procedures, have sufficient numbers of qualified personnel, and document the assessment and monitoring of the resident's respiratory condition.

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