C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER G—STANDARDS AND CERTIFICATION › PART 483—REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES › Subpart B—Requirements for Long Term Care Facilities

42 C.F.R. § 483.65

Specialized rehabilitative services

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(a) Provision of services. If specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, respiratory therapy, and rehabilitative services for a mental disorder and intellectual disability or services of a lesser intensity as set forth at § 483.120(c), are required in the resident's comprehensive plan of care, the facility must—

(1) Provide the required services; or

(2) In accordance with § 483.70(f), obtain the required services from an outside resource that is a provider of specialized rehabilitative services and is not excluded from participating in any Federal or State health care programs pursuant to section 1128 and 1156 of the Act.

(b) Qualifications. Specialized rehabilitative services must be provided under the written order of a physician by qualified personnel.

[56 FR 48875, Sept. 26, 1991, as amended at 57 FR 43925, Sept. 23, 1992. Redesignated and amended at 81 FR 68861, 68865, Oct. 4, 2016; 89 FR 40999, May 10, 2024]
Notes of Decisions
Cited in 7 cases (1 in the last 5 years), 2003–2026 · leading case: Mtr. of Subpoena Duces Tecum to Jane Doe, 787 N.E.2d 618 (NY 2003).
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Mtr. of Subpoena Duces Tecum to Jane Doe, 787 N.E.2d 618 (NY 2003). “As to the former, nursing homes are required by federal and state regulations to establish an infection control program under which they maintain “a record of incidents and corrective actions related to infections” (42 CFR 483.65 [a] [3]; see also 10 NYCRR 415.”
Stenton Hall Nursing & Rehab. Ctr. v. Med. Prof'l Liab. Catastrophe Loss Fund, 829 A.2d 377 (Pa. Commw. Ct. 2003). · cites it 2× “1(a); 42 C.F.R. § 483.65 ) and pest control ( 42 C.”
Goda v. White Cliff Leasing P'ship, 62 Pa. D. & C.4th 476 (2003). “25 (c)(l) a facility must ensure that a resident who enters the facility without pressure sores does not develop pressure sores and under 42 C.F.R. §483.65 a facility must establish and maintain an infection control *485 program.”
Frantz v. HCR Manor Care Inc., 64 Pa. D. & C.4th 457 (2003). “25 (c)(l) a facility must ensure that a resident who enters the facility without pressure sores does not develop pressure sores and under 42 C.F.R. §483.65 a facility must establish and maintain an infection control program.”
Sea Island Comprehensive Healthcare Corp. v. U.S. Dep't of Health & Human Servs., 79 F. App'x 563 (4th Cir. 2003). · cites it 2× “An administrative law judge found that Hermina placed residents in immediate jeopardy by violating the infection control regulation, 42 C.F.R. § 483.65 . Immediate jeopardy is the most serious violation category.”
Barbourville Nursing Home v. United States Dep't of Health & Human Servs., 174 F. App'x 932 (6th Cir. 2006). “42 C.F.R. § 483.65 (a)(1)-®. CMS’s evidence that BNH’s violations warranted the imposition of immediate jeopardy CMPs was largely restricted to the surveyors’ observations and their conclusions.”
Sligo Creek Ctr. v. HHS (4th Cir. 2026). · cites it 3× “HHS concluded that: (1) the then-applicable version of 42 C.F.R. § 483.65 required petitioner to follow its internal infection control policy; and (2) petitioner violated the policy by failing to “proceed with evaluati[ng]” its residents with positive skin tests and negative…”
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