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US · guidance

CMS SOM App. J, Tag W346

§483.460(d)(4) If the facility utilizes only licensed practical or vocational nurses to provide

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

health services, it must have a formal arrangement with a registered nurse to be available for

verbal or onsite consultation to the licensed practical or vocational nurse.

Guidance §483.460(d)(4)

The facility must have written arrangements with a registered nurse (RN) to provide

consultation in those instances where LPNs/LVNs provide all the direct nursing care for the

clients. Verify that the agreement requires the RN to respond promptly to all calls from the

LPN/LVN and to come on-site to the facility if necessary. The facility must also ensure registered

nurse back-up when the primary registered nurse consultant is unavailable (vacations, etc.).

Review documentation in the client records to confirm that the LPNs/LVNs of the facility are

consulting the registered nurse consultant when indicated and that she/he responds promptly

to such calls.

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
06944e83381dea1c877073a7d36ea7d1bec291bed34deb352d1892a343dcdeee
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