The Centers for Medicare & Medicaid Services (CMS) has revised its guidance to surveyors to clarify a nursing home’s obligation to provide Cardiopulmonary Resuscitation (CPR). The revised guidance states that CPR certified staff must be available at all times. Staff must maintain current CPR certification through a CPR provider whose training includes hands-on practice and in-person skills assessment; online-only certification is not acceptable. Prior to the arrival of emergency medical services (EMS), nursing homes must provide basic life support, including initiation of CPR, to a resident who experiences cardiac arrest in accordance with that resident’s advance directives or in the absence of advance directives or a Do Not Resuscitate (DNR) order.
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