VA SB429

Nursing homes must notify residents, their families or legal representatives, and the Department of Health when required physician visits do not occur according to the federal visit schedule under 42 CFR § 483.30(c).

Licensed nursing homes must conduct comprehensive resident assessments covering 14 areas including medical history, physical and mental status, nutritional needs, cognitive status, and advance directives within 14 days of admission, after significant health changes, and at least annually.

Resident assessments must be reviewed at least every 92 days, coordinated by a registered nurse, and used to develop a comprehensive care plan within seven days of assessment completion.

The Department of Health must expand workforce capacity in the Office of Licensure and Certification, fill all open medical facilities inspector positions, establish a recruitment dashboard, and create a dedicated training manager position.

The State Health Commissioner must submit annual reports to the Governor and General Assembly beginning December 1 with recommendations for improving nursing home quality and oversight.