Please describe the requirement that an operator follow the strictest standard between federal, state, and local guidelines?
Providers are required to comply with all applicable federal, state, and local laws and regulations. Where standards differ, the facility must comply with the strictest standard. For Skilled Nursing Facilities and Intermediate Care Facilities, the Engineering Unit in the Section for Long-Term Care Regulation will review plans for compliance with standards required for participation in the Medicare or Medicaid programs as well as state standards. The provider must work directly with local authorities to assure compliance with local laws and regulations.
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