Current through Vol. 24-24, January 15, 2025
Section R. 330.11011 - Substandard quality of care (SQC)Rule 11011.
(1) If a nursing facility is cited for SQC, then, together with other remedies, the state medicaid agency shall apply the following additional remedies: (a) Request the state survey agency to notify the attending physicians of residents identified during the survey process as having been affected by the SQC or by the deficient findings.(b) Request the state survey agency to notify the state nursing home administrators licensure board of all findings of SQC.(c) Request the state survey agency to revoke approval of the nurse aide training program.(d) In the event of substandard quality of care, the state medicaid agency may assess a daily civil money penalty.(2) If a nursing facility fails to correct the SQC by the ninetieth day, then, in addition to other appropriate remedies, the state medicaid agency shall deny payment for all new medicaid admissions.(3) If a nursing facility fails to correct the SQC by the one hundred and eightieth day, then, in addition to other remedies, the state medicaid agency shall terminate the provider agreement.(4) If a nursing facility has been found to have provided SQC on the last 3 consecutive standard surveys, then, together with other remedies, the state medicaid agency shall deny payment for new medicaid admissions and apply state monitoring.Mich. Admin. Code R. 330.11011