Medical services

1. The facility shall have a licensed physician who is specified as the medical director or a medical staff organized under bylaws and rules approved by and responsible to the governing body. The medical director or medical staff shall be responsible for the quality of all medical care provided to residents and for the ethical and professional practices of its members. 2. The duties and responsibilities of the medical director or medical staff must be delineated in a formal agreement with the governing body. 3. The medical director or medical staff shall be involved in the development of written medical staff policies which are approved by the governing body, which delineate the responsibilities of licensed health care practitioners. 4. The medical director or a member of the medical staff shall participate in the quality improvement and infection control program meetings.