US · guidance
CMS SOM App. J, Tag W338
§483.460(c)(3)(v) Result in any necessary action (including referral to a physician to address
client health problems).
Guidance §483.460(c)(3)(v)
The nursing staff document that referrals are made in a timely manner, if indicated, for any
concerns identified. Nurses must ensure all concerns they identify are communicated and
addressed appropriately, including:
• Need is fully identified in assessment;
• Appropriate referrals are made;
• Revisions are made to IPP/Medical care plan; and
• Follow-up occurs to the new plan.
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
c3a80aa6913ebd9dd7f8ac700b610269ef83430cecf4eb0bdfb3e6dfaba85eda
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