Current through Register Vol. XLI, No. 50, December 13, 2024
Section 64-12-9 - Extended Care Unit and Nursing Facility9.1. General Requirement -- The extended care unit shall be located in a segregated, physically separated area of the hospital and shall include the usual complement of ancillary services required in the conventional care unit and meet the general rules and regulations for hospitals.9.2. Special Requirements -- Adequate space shall be provided for dining and recreation areas, special equipment storage, training toilets, showers, and bath facilities. Handrails, drinking fountains, lavatories, thresholds, and telephone alcoves shall be designed to meet the requirements of patients using crutches, walkers, and wheelchairs.9.3. Organization and Staffing. 9.3.1. The extended care unit shall be organized under the direction of a committee of the medical staff. Written policies shall be developed by professional personnel including at least one registered professional nurse.9.3.2. The Nursing service shall be under the direction of a registered professional nurse.9.3.3. A registered professional nurse shall be in charge of the extended care unit on each tour of duty with sufficient other personnel to assure adequate patient care.9.3.4. For all units with more than 60 resident beds, the hospital governing body shall appoint a qualified administrator who holds a current valid license or emergency permit issued by the West Virginia Nursing Home Administrators Licensing Board.9.3.5. The hospital shall appoint a physician licensed by the West Virginia Board of Medicine or the West Virginia Board of Osteopathy to serve as Medical Director for a unit with more than 60 resident beds. The hospital physician Medical Director may fulfill these responsibilities for any unit or facility with 60 or less resident beds.9.3.6. The hospital shall assign a registered professional nurse as the Director of Nursing, different from the hospital Director of Nursing, who shall be responsible for care provided in an extended care unit with more than 60 resident beds and shall ensure a sufficient number of personnel are available to provide adequate patient care.9.3.7. The unit may use the hospital pharmacy services to fulfill the pharmacy services requirements as defined in the Code of Federal Regulations, 42 CFR §483.60. No written agreement is required if the pharmacist is an employee of the hospital.9.3.8. The unit may use social workers employed by the hospital to provide services to unit patients: Provided, That at least one social worker shall be assigned responsibility only for social work services for any unit with more than 60 resident beds. The social worker shall have a license to practice social work in the state of West Virginia.9.4. Financial Rights and Responsibilities. 9.4.1. An extended care resident or his or her representative lawfully authorized to manage fiscal matters on behalf of the resident have the right to manage his or her own personal financial affairs.9.4.2. A hospital which manages or holds personal funds for extended care patients shall do so only upon written prior authorization of the patient or his or her representative lawfully authorized to manage fiscal matters on behalf of the patient, and shall hold the funds separately and in trust. Patient funds shall not be commingled with hospital operating or other funds.9.4.3. The hospital shall administer the funds on behalf of the resident in the manner directed by the depositor.9.4.4. The hospital shall render a true and complete account upon request to the depositor and at least quarterly to the resident on forms designated by the Director.9.4.5. Upon termination of the deposit, the hospital shall account to the depositor for all funds received, expended, and held on hand on forms specified by the Director.9.4.6. If the hospital manages or holds personal funds for extended care patients, it shall make provision for the protection, in the form of insurance or other means providing equivalent protection, of the funds from theft or other forms of loss in an amount equal to the hospital's average daily balance of patient funds handled within the hospital's preceding fiscal year. Hospitals which have not handled patient funds in the preceding year may use an estimated daily balance but shall update their estimate every three months based on actual experience until they have a full year on which to base an average.9.4.7. If emergency services are not included in the extended care per diem rate, the hospital shall inform the patient in writing at the time of admission or at the time this exclusion is adopted by the hospital.