Your HSR is your main point of contact regarding health and safety matters, so make sure you inform them of any concerns or safety issues. Having your HSR represent your work group can help because: 1  A HSR is likely to understand your views and concerns.
The State has the responsibility for certifying a skilled nursing facilityâs or nursing facilityâs compliance or noncompliance, except in the case of State-operated facilities. However, the Stateâs certification for a skilled nursing facility is subject to CMSâ approval.
If the patient desires private duty assistance in a nursing home or hospital, then all three qualify. (However, skilled nursing facilities and hospitals are only allowed to hire CNAâs and PCAâs as staff.) For basic care duties, such as bathing, dressing, and toileting, the HHA is fine.