D.C. Mun. Regs. tit. 22, r. 22-B4104

Current through Register Vol. 71, No. 52, December 27, 2024

Rule 22-B4104 - REVIEW OF PROPOSALS: BEDS

4104.1

No person shall increase, decrease, or redistribute among health service categories the bed capacity of a HCF by ten percent (10%) or ten (10) beds, whichever is less, in any two (2) year period.

4104.2

The distribution of bed types shall use the following categories:

(a) Medical-surgical;

(b) Coronary care;

(c) Obstetrics-gynecology;

(d) Obstetrics-gynecology;

(e) Normal nursery and neonatal intermediate care;

(f) Neonatal Intensive care;

(g) Pediatrics;

(h) Alcoholism, chemical dependency;

(i) Rehabilitation;

(j) Extended acute long-term care;

(k) Medical-surgical or skilled nursing;

(l) SNF;

(m) ICF; and

(n) Skilled nursing or intermediate care (swing in a facility licensed as both a SNF and ICF).

4104.3

A person may lawfully close a bed without obtaining a CON under the following circumstances:

(a) A HCF has not staffed or otherwise held the bed ready for immediate use by patients for twelve (12) consecutive months; and

(b) The bed, when taken together with the sum of all other beds closed and opened does not represent a net change of more than ten (10) beds or ten percent (10%) of the total number of beds authorized in the HCF or particular service during the twenty-four (24) month period preceding the closure.

4104.4

The date on which the HCF removes the last patient from a recognized unit shall begin the consecutive twelve (12) month period under Subsection 4104.3(a) for every bed in the unit proposed for closure.

4104.5

Reopening one (1) or more beds by re-staffing it and otherwise holding it ready for immediate use, while at the same time removing staff and otherwise removing the same or a similar number of other beds of the same general type from immediate use by patients shall not constitute the beginning of another consecutive twelve (12) month period.

4104.6

Rotating short-term suspensions of individual beds or units shall not be used to circumvent the consecutive twelve (12) month period specified in Subsection 4104.3(a).

D.C. Mun. Regs. tit. 22, r. 22-B4104

Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014)

Authority: § 22 of the Health Services Planning Program Re-establishment Act of 1996 (Act), effective April 9, 1997 (D.C. Law 11-191; D.C. Official Code § 44-421 (2012 Repl.)).