This letter from F566 explains the requirements for nursing homes and other healthcare facilities regarding services performed by residents. The letter outlines the need to document the resident's need or desire for work in the plan of care and states that the plan must specify the nature of the services performed and whether they are voluntary or paid. It also states that the compensation for paid services must be at or above prevailing rates. The letter also provides guidance on how the facility should discuss the resident's request to work or perform services and outlines the procedures they should follow. The letter also provides examples of noncompliance. This letter will impact nursing homes and other healthcare facilities by requiring them to document the resident's need or desire for work in the plan of care and to specify the nature of the services performed and whether they are voluntary or paid. They must also ensure that the compensation for paid services is at or above prevailing rates. Additionally, the facility must discuss the resident's request to work or perform services and follow the procedures outlined in the letter. Failure to comply with these requirements may result in noncompliance.

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