CMS Pub. 100-02, ch. 2, § 40.2

In accordance with 42 CFR 412.27(d)(3) and 42 CFR 482.62(d), IPFs must have a

qualified director of psychiatric nursing services. In addition to the director of nursing,

there must be adequate numbers of registered nurses, licensed practical nurses, and

mental health workers to provide nursing care necessary under each patient’s active

treatment program and to maintain progress notes on each patient.

(1) The director of psychiatric nursing services must be a registered nurse who

has a master’s degree in psychiatric or mental health nursing, or its equivalent from a

school of nursing accredited by the National League for Nursing, or be qualified by

education and experience in the care of the mentally ill. The director must demonstrate

competence to participate in interdisciplinary formulation of individual treatment plans;

to give skilled nursing care and therapy; and to direct, monitor, and evaluate the nursing

care furnished.

(2) The staffing pattern must ensure the availability of a registered nurse 24 hours

each day. There must be adequate numbers of registered nurses, licensed practical

nurses, and mental health workers to provide the nursing care necessary

under each patient’s active treatment program.