Nursing homes and other healthcare facilities must designate a physician to serve as medical director and ensure they fulfill their responsibilities to effectively implement resident care policies and coordinate medical care. The medical director must be knowledgeable about current professional standards of practice in caring for long term care residents and be involved in administrative decisions, coordination of medical care, and development of educational programs. They must also provide feedback to physicians and other health care practitioners regarding their performance and practices, discuss and intervene (as appropriate) with a health care practitioner regarding medical care that is inconsistent with current standards of care, and assist in developing systems to monitor the performance of the health care practitioners. Noncompliance with this requirement can result in immediate jeopardy, actual harm, or potential harm citations. Nursing homes and other healthcare facilities must ensure their medical director fulfills their responsibilities to maintain the highest practicable physical, mental, and psychosocial well-being of their residents.

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