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.
Step 2: Find out how skilled nursing facilities (SNFs) compare in. quality of care. Quality of care means doing the right thing, at the right time, in the. right way for the right person, and having the best possible results. SNFs are certified to make sure they meet certain federal health.