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What does it mean that an operator should follow the strictest standards among federal, state, and local guidelines and regulations?

Providers are required to comply with all applicable federal, state, and local laws and regulations. If these standards differ, the provider must comply with the most restrictive standard. Plans for skilled nursing and intermediate care homes may be reviewed to ensure compliance with the federal standards required for participation in Medicare or Medicaid programs, in addition to state standards. The long-term care provider must work directly with their local jurisdiction to assure compliance with local laws and regulations.

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