What is necessary for the facility to operate legally under its licensing?

For a nursing home facility to operate legally under its licensing, it is essential to have a comprehensive plan of operation. This plan outlines the facility's policies, procedures, and services, ensuring that all operational aspects are organized and compliant with state regulations and standards. It serves as a foundational document that encompasses the facility's mission, the scope of services provided, staffing requirements, quality assurance measures, and emergency plans. A well-developed plan of operation is critical for accreditation and is a requirement by regulatory bodies to ensure the safety and well-being of residents.

While an established code of ethics, a sufficient budget, and registered nursing staff are important for the overall functioning and quality of care within a nursing home, they do not directly relate to the legal licensing requirements. The plan of operation is specifically mandated to ensure that the facility adheres to the laws and regulations governing its operation, making it the key requirement for legal compliance in a nursing home setting.