This letter outlines the requirements for nursing homes and other healthcare facilities to provide colostomy, urostomy, and ileostomy care to residents in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. Nursing homes and healthcare facilities must observe and respond to any signs of the resident's discomfort about the ostomy or its care and ensure that the skin surrounding the ostomy is free of excoriation. If excoriation is present, they must document an onset and develop a plan to treat it. This letter will impact nursing homes and healthcare facilities by requiring them to provide this care and take additional steps to ensure the resident's comfort and health.

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