Nursing homes and other healthcare facilities must provide or arrange for specialized rehabilitative services, such as physical therapy, speech-language pathology, occupational therapy, respiratory therapy, and services for mental illness and intellectual disability, as required by the resident's comprehensive plan of care. The services must be provided by qualified personnel and must be coordinated with the resident's Preadmission Screening and Resident Review (PASARR). The intent of the regulation is to ensure that residents receive the necessary services to attain, maintain, or restore their highest practicable level of physical, mental, functional, and psycho-social well-being. Nursing homes and healthcare facilities must also take precautions to prevent infection, such as following infection control protocols, and ensure that ventilator equipment is operable in the event of a power failure. Nursing homes and healthcare facilities must also ensure that services are monitored for their effectiveness and that residents are not charged for any of these services.

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