42 CFR §456.610

1. (a)The medical evaluation, any required social and psychological evaluations, and the plan of care are complete and current; the plan of care and, where required, the plan of rehabilitation are followed; and all ordered services, including dietary orders, are provided and properly recorded;
2. (b)The attending physician reviews prescribed medications—
   1. (1)At least every 30 days in psychiatric facilities, and mental hospitals; and
   2. (2)At least quarterly in ICFs;
3. (c)Tests or observations of each beneficiary indicated by his medication regimen are made at appropriate times and properly recorded;
4. (d)Physician, nurse, and other professional progress notes are made as required and appear to be consistent with the observed condition of the beneficiary;
5. (e)The beneficiary receives adequate services, based on such observations as—
   1. (1)Cleanliness;
   2. (2)Absence of bedsores;
   3. (3)Absence of signs of malnutrition or dehydration; and
   4. (4)Apparent maintenance of maximum physical, mental, and psychosocial funtion;
6. (f)In an ICF, the beneficiary receives adequate rehabilitative services, as evidenced by—
   1. (1)A planned program of activities to prevent regression; and
   2. (2)Progress toward meeting objectives of the plan of care;
7. (g)The beneficiary needs any service that is not furnished by the facility or through arrangements with others; and
8. (h)The beneficiary needs continued placement in the facility or there is an appropriate plan to transfer the beneficiary to an alternate method of care.