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How often does the medical director need to observe residents and facilities?

  1. At least monthly

  2. At least bimonthly

  3. At least quarterly

  4. At least semi-annually

The correct answer is: At least quarterly

The other options are incorrect because they suggest a frequency that is less than quarterly, which is not frequent enough for the medical director to accurately observe and assess the residents and facilities. Monthly (option A) would be too frequent and could potentially be burdensome for the medical director, while bimonthly (option B) and semi-annually (option D) would not provide enough oversight to ensure the quality of care. Quarterly observations strike a balance between being frequent enough to detect any issues and not being too burdensome for the medical director.