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Increased Protections for Nursing Home Residents Introduced in New Arizona Bills

February 24, 2023
Author: Martin J. Solomon
Nursing Home Residents Introduced in New Arizona Bills

Solomon & Relihan are actively engaged with the Arizona State Legislature to push important legislation forward that protects nursing home residents from neglect and abuse. Recently, State Representative Jennifer Longdon introduced two important bills to the Arizona State Legislature concerning nursing home practices and procedures. These bills are an important step forward in addressing two recurrent reasons abuse or neglect happens in nursing homes.

HB 2249: Certification Requirements for Nursing Home Medical Directors

Currently, Arizona law does not require specific training or certifications for Medical Directors of nursing homes. HB 2249 (short for “House Bill”) would establish specific certification requirements for anyone hired as Medical Director for any long-term care institution in the state. The main provisions of the bill include:

Why is HB 2249 important?

Medical Directors are responsible for overseeing the medical care provided in their nursing home, including coordinating physician care for residents, establishing clinical practices, ensuring quality medical care, educating staff, and assuring the rights of individual residents and staff are protected. Mistakes that Medical Directors make could result in medication errors, mistreatment of bedsores, poor infection control, or other neglect of medical issues.


Requiring certification for Medical Directors helps prevent abusive or neglectful practices in nursing homes that directly affect the health and safety of residents. Properly trained Medical Directors are better equipped to manage important medical care and ensure that proper practices and procedures are being followed.

HB 2250: Nursing Home Minimum Staffing Requirements

Being understaffed is one of the biggest reasons for abuse and neglect in nursing homes. HB 2250 outlines requirements for nursing home staff-to-resident ratios to help ensure that there is enough staff on each shift to give proper attention to each resident. The general staffing requirements include:

Why is HB 2250 important?

When nursing homes are understaffed, the quality of care provided to each resident is negatively affected. Understaffed facilities may accidentally or purposely skip some steps in care, including forgetting meals (resulting in malnutrition or dehydration), neglecting to move or rotate patients with mobility issues (resulting in bedsores), or being unavailable to assist patients to the bathroom or out of bed (resulting in falls). Overloaded staff may also rush through their duties and make mistakes when administering medication.

Requiring better staff-to-resident ratios on a state level will help nursing homes have the resources to provide more one-on-one, high-quality care to each resident. This minimizes the chance of making mistakes with medication, providing inadequate nutrition, or missing signs of other medical conditions.

Contact Your Representative

As these two important bills move through the Arizona State Legislature, our team at Solomon & Relihan encourages you to contact your representative to request their affirming vote. Your voice is important in speaking up for the vulnerable elderly population in nursing homes. 

Visit to find the contact information for your representative. Please help us continue to protect nursing home residents from abuse and neglect.

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