Appendix PP Regulatory Updates - 2025 On-Demand Workshop-F727 RN 8 Hrs/7 days/Week, Full Time DON

Video Transcription

Video Summary

The Appendix PP Regulatory Updates 2025 focus on F-727, which mandates nursing homes to have a registered nurse (RN) present for at least 8 consecutive hours daily, 7 days a week, and to employ a full-time Director of Nursing (D-O-N). The D-O-N may serve as charge nurse only if the facility has 60 or fewer residents. Updates emphasize the RN’s expanded role in resident assessments and care plan development. Facilities must assess if more than 8 hours of RN coverage is needed based on resident acuity. Surveyors use Payroll-Based Journal (PBJ) data to verify compliance and investigate staffing concerns, issuing citations for noncompliance with severity based on harm caused. Facilities are encouraged to review policies, train staff responsible for scheduling, and audit PBJ data to ensure accuracy. The Sufficient and Competent Nurse Staffing Critical Element Pathway guides compliance reviews. Additional resources are offered by APACN to support facilities in meeting these updated regulatory requirements.

Keywords

Appendix PP 2025

F-727 nursing home regulation

registered nurse staffing

Director of Nursing requirements

Payroll-Based Journal compliance