{"abstract":"This final rule will revise the requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. These changes are necessary to reflect the substantial advances that have been made over the past several years in the theory and practice of service delivery and safety. These revisions are also an integral part of our efforts to achieve broad-based improvements both in the quality of health care furnished through federal programs, and in patient safety, while at the same time reducing procedural burdens on providers.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/10/04/2016-23503.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":447,"title":42},{"chapter":null,"citation_url":null,"part":482,"title":42},{"chapter":null,"citation_url":null,"part":483,"title":42},{"chapter":null,"citation_url":null,"part":485,"title":42},{"chapter":null,"citation_url":null,"part":488,"title":42},{"chapter":null,"citation_url":null,"part":489,"title":42}],"citation":"81 FR 68688","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on November 28, 2016.","disposition_notes":null,"docket_ids":["CMS-3260-F"],"dockets":[],"document_number":"2016-23503","effective_on":"2016-11-28","end_page":68872,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/10/04/2016-23503.xml","html_url":"https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-23503?publication_date=2016-10-04","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-10-04/2016-23503/mods.xml","not_received_for_publication":null,"page_length":185,"page_views":{"count":250412,"last_updated":"2026-06-26 16:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-10-04/pdf/2016-23503.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-23503.pdf?1475097026","publication_date":"2016-10-04","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/10/04/2016-23503.txt","regulation_id_number_info":{"0938-AR61":{"issue":"201604","html_url":"https://www.federalregister.gov/regulations/0938-AR61/reform-of-requirements-for-long-term-care-facilities-cms-3260-f-","title":"Reform of Requirements for Long-Term Care Facilities (CMS-3260-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201604&RIN=0938-AR61&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR61"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS_FRDOC_0001","supporting_documents_count":0,"docket_id":"CMS_FRDOC_0001","regulation_id_number":null,"title":"Recently Posted CMS Rules and Notices.","checked_regulationsdotgov_at":"2016-10-24T06:00:17Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":68688,"subtype":null,"title":"Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities","toc_doc":"Reform of Requirements for Long-Term Care Facilities","toc_subject":"Medicare and Medicaid Programs:","topics":["Accounting","Administrative practice and procedure","Drugs","Grant programs-health","Health facilities","Health professions","Health records","Hospitals","Kidney diseases","Medicaid","Medical devices","Medicare","Nursing homes","Nutrition","Privacy","Reporting and recordkeeping requirements","Rural areas","Safety","X-rays"],"type":"Rule","volume":81}