US · guidance
CMS SOM App. J, Tag W184
§483.430(c)(3) There must be a responsible direct care staff person on duty on a 24 hour basis
(when clients are present) to respond to injuries and symptoms of illness, and to handle
emergencies, in each defined residential living unit housing- -
(i) Clients for whom a physician has not ordered a medical care plan;
(ii) Clients who are not aggressive, assaultive or security risks; and
(iii) Sixteen or fewer clients.
Guidance §483.430(c)(3)
At all times, there must be at least one staff person on-duty in the facility if even one client is
present. For purposes of this provision, “on duty” staff need not be awake during normal
sleeping hours, but do need to respond to injuries, illness, and emergencies promptly.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
d5b614c974733798aa39f5d3887950d434b8ce02918a9bf07f8279595d3d0b5c
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