Nursing homes and other healthcare facilities must provide or arrange for the provision of physician services 24 hours a day, in case of emergency. If the attending physician is unavailable, the facility should attempt to contact the physician covering for the attending physician before assuming the responsibility of contacting another physician. Facilities should also arrange for resident transportation to a hospital emergency room or other medical facility if the facility is unable to meet the particular medical need at the facility. The facility must also have a physician on-call for medical emergencies and respond promptly in emergency situations. If the facility fails to do so, they may face deficiencies classified from level 1 to level 4, ranging from minor negative impacts to immediate jeopardy to resident health and safety. Nursing homes and healthcare facilities must take these actions to ensure that their residents receive proper medical care in emergency situations.

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