CMS Manual System - Louisiana Department of Health and Hospitals

§§483.13(c)(2) and (4). No State can override the obligation of the nursing home to
fulfill the requirements under §483.13(c), so long as the Medicare/Medicaid certification
is in place.
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§483.15 Quality of Life
A facility must care for its residents in a manner and in an environment that
promotes maintenance or enhancement of each resident’s quality of life.
Interpretive Guidelines §483.15
The intention of the quality of life requirements is to specify the facility‘s responsibilities
toward creating and sustaining an environment that humanizes and individualizes each
resident. Compliance decisions here are driven by the quality of life each resident
experiences.
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(Rev. 66, Issued: 10-01-10, Effective: 10-01-10 Implementation: 10-01-10)
§483.15(a) - Dignity
The facility must promote care for residents in a manner and in an environment
that maintains or enhances each resident’s dignity and respect in full recognition of
his or her individuality.
Interpretive Guidelines: §483.15(a)
―Dignity‖ means that in their interactions with residents, staff carries out activities that
assist the resident to maintain and enhance his/her self-esteem and self-worth. Some
examples include (but are not limited to):
Grooming residents as they wish to be groomed (e.g., hair combed and styled,
beards shaved/trimmed, nails clean and clipped);
Encouraging and assisting residents to dress in their own clothes appropriate
to the time of day and individual preferences rather than hospital-type gowns;
Assisting residents to attend activities of their own choosing;
Labeling each resident‘s clothing in a way that respects his or her dignity
(e.g., placing labeling on the inside of shoes and clothing);
Promoting resident independence and dignity in dining such as avoidance of: