The letter outlines the requirements for a governing body in nursing homes and healthcare facilities. The governing body must be legally responsible for establishing and implementing policies regarding the management and operations of the facility. The governing body must appoint an administrator who is licensed by the state, responsible for management of the facility, and accountable to the governing body. The governing body is also responsible for the Quality Assurance and Performance Improvement (QAPI) program. Facilities must determine a process and frequency for the administrator to report to the governing body, how the administrator is held accountable, and how the administrator and governing body are involved in the facility-wide assessment. The letter also outlines procedures for the entrance conference and interviews with the administrator and governing body. This letter will impact nursing homes and healthcare facilities by requiring them to have a governing body that is legally responsible for establishing and implementing policies, appointing an administrator, and being responsible for the QAPI program. Facilities must also determine a process and frequency for the administrator to report to the governing body, how the administrator is held accountable, and how the administrator and governing body are involved in the facility-wide assessment.

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