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.
Technically there are differences between skilled nursing and nursing homes and it has to do with which entity regulates and certifies the facility, says Shukitis. Skilled nursing facilities are covered by Medicare (for a period of time), but nursing homes are not.