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.
The finding suggests that some patients are going into skilled-nursing facilities to receive end-of-life care, which is contrary to the mission of those facilities, says Dr. Katherine Aragon, one of the authors and a palliative-care physician for Lawrence (Mass.) General Hospital.