Nursing homes and other healthcare facilities must provide or obtain from an outside resource routine and emergency dental services for each resident, assist the resident in making appointments and arranging for transportation to and from the dental services location, promptly refer a resident with lost or damaged dentures within 3 business days and document extenuating circumstances that led to a delay, document what the facility did to ensure the resident could still eat and drink adequately while awaiting dental services, not charge a resident for the loss or damage of partial or full dentures determined to be the facility's responsibility, and assist residents who are eligible and wish to participate to apply for reimbursement of dental services as an incurred medical expense under the State plan. If a resident is unable to pay for dental services, the facility should attempt to find alternative funding sources or delivery systems. The facility should attempt to minimize the financial burden on the resident by finding the lowest cost or no cost transportation option to dental health care appointments. The facility must have a policy identifying those instances when the loss or damage of partial or full dentures is the facility’s responsibility. The process to review concerns are outlined in the Dental Care Area Pathway, including record review, observation, resident/resident representative interviews, and key elements of noncompliance. Nursing homes/healthcare facilities must ensure that they are meeting related regulatory requirements, such as person-centered care planning, resident assessment, and dental services, and must provide assistance to obtain dental services needed or requested by the resident or

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