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In the World of Restorative Care, One Size Does Not Fit All

By Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA - January 22, 2020

In long term care, the importance and value of restorative nursing programs cannot be overstated. The residents can reap such wonderful benefits. The Omnibus Budget Reconciliation Act (OBRA) philosophy—of providing services to help residents maintain or attain their highest practicable level of physical, mental, and psychosocial well-being—is well served with restorative programming. What considerations should be foremost for a facility developing or implementing a restorative nursing program?


With an eye to federal regulatory compliance, we observe that numerous F-tags are potentially affected by restorative nursing. When delivered appropriately, restorative programming can be an important spoke in the wheel of a “successful survey.” Yet given the variety of regulatory topics that restorative activities can support, it’s important to get it right. To name just a few examples:

F552:  Right to Be Informed/Make Treatment Decisions

F676:  Activities of Daily Living (ADLs)/Maintain Abilities

F677:  ADL Care Provided for Dependent Residents

F684:  Quality of Care

F686:  Treatment/Services to Prevent/Heal Pressure Ulcers

F688:  Increase/Prevent Decrease in Range of Motion/Mobility

F689:  Free of Accident Hazards/Supervision/Devices

F690:  Bowel/Bladder Incontinence, Catheter, UTI

F692:  Nutrition/Hydration Status Maintenance

F725:  Sufficient Nursing Staff

F825:  Provide/Obtain Specialized Rehabilitative Services