This letter outlines the requirements for nursing homes and other healthcare facilities to ensure that residents with limited range of motion and mobility maintain or improve their function and range of motion, unless it is demonstrably unavoidable due to their clinical condition. Facilities must assess and develop an individualized care plan based on professional standards of practice and provide by qualified, competent staff. The care plan must include specific interventions, exercises and/or therapy to maintain or improve the range of motion and mobility, or to prevent declines or further declines in the resident’s range of motion or mobility. Facilities must also provide necessary equipment and/or services necessary, adapting the environment to meet the needs of the resident, and use of equipment for bed mobility, walkers, canes, splints, braces or other rehabilitative equipment as prescribed by the attending practitioner and/or as allowed by state law. Nursing homes and healthcare facilities must take these new actions in order to ensure that residents maintain or improve their range of motion and mobility, or to prevent declines or further declines in the resident’s range of motion or mobility.

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