The operating organization for each long-term care facility must include as part of its compliance and ethics program an effective way to communicate the program's standards, policies, and procedures.
Compliance and ethics program means, with respect to a facility, a program of the operating organization that—
(1) Has been reasonably designed, implemented, and enforced so that it is likely to be effective in preventing and detecting criminal, civil, and administrative violations under the Act and in promoting quality of care; and
(2) Includes, at a minimum, the required components specified in paragraph (c) of this section.
Compliance and ethics. The operating organization for each facility must include as part of its compliance and ethics program, as set forth at § 483.85—
(1) An effective way to communicate that program's standards, policies, and procedures through a training program or in another practical manner which explains the requirements under the program.
(2) Annual training if the operating organization operates five or more facilities.
