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US · guidance

CMS SOM App. J, Tag W339

§483.460(c)(4) Other nursing care as prescribed by the physician or as identified by client

activein force · 2026-07-22 – presentas-observed

needs; and

Guidance §483.460(c)(4)

Nursing interventions are implemented as indicated by the needs of the client and consistent

with either standard nursing practice principles or orders from the attending physician. Health

and wellness are actively promoted, problems are attended to before they negatively impact

the client’s health and wellness, and steps are taken to prevent the recurrence of such problems

while responding promptly to client's needs.

Client health care complaints that are reported either directly by the client or by the direct care

staff are addressed promptly by the nursing staff. Client health care complaints and response by

nursing staff are documented in the client’s record.

§483.460(c)(5) Implementing with other members of the interdisciplinary team, appropriate

protective and preventive health measures that include, but are not limited to- -

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
94df8ecc0949f393ea737f69aae93bbf3b288c5a6f873669832e672173154849
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