This comprehensive guide assists long term care personnel in complying with the Omnibus Budget Reconciliation Act (OBRA) rules governing long term care facilities. Each section deals with a particular set of OBRA requirements, including an exact copy of each requirement and interpretive guidelines as published in the State Operations Manual of the Health Care Financing Administration. Audit tools facilitate the evaluation of care and services, drawing attention to deficiencies and aiding in the development of an action plan to correct them.