483.35 - Nursing Services
#185 in National Citation Ranking
2 citations nationally (June 2025-June 2026)
Where a facility is unable to meet the licensed nurse and registered nurse coverage requirements, a State may waive them if the facility demonstrates it has been unable, despite diligent efforts including offering wages at the community prevailing rate, to recruit appropriate personnel; the State determines the waiver will not endanger the health or safety of residents; and a registered nurse or physician is obligated to respond immediately to telephone calls during any period when licensed nursing services are unavailable. A waiver is subject to annual State review.
Source: CMS State Operations Manual, Appendix PP | 42 CFR § 483.35