Section 175-9-009 - SPECIFIC HOSPITAL REQUIREMENTSEach licensee must choose which type of hospital they wish to operate, with specific requirements as set out in the Health Care Facility Licensure Act and this chapter.
009.01CRITICAL ACCESS HOSPITAL REQUIREMENTS. A licensee of a critical access hospital must satisfy all of the elements of the Conditions for Participation for Critical Access Hospitals as set out in C.F.R § 485 Subpart F, and C.F.R. §485.625 on the effective date of this chapter. Critical access hospitals must: (A) Have 25 acute inpatient beds or less;(B) Ensure the average length of stay for acute inpatients does not exceed 96 hours;(C) Provide emergency services on a 24-hour basis;(D) Have a formal agreement with at least one licensee of an acute care hospital; and(E) Have formal agreements for: (i) Emergency and nonemergency transportation; and(ii) Back up medical and emergency services.009.02GENERAL ACUTE HOSPITAL REQUIREMENTS. Each licensee of a general acute hospital must satisfy all the elements of the Conditions of Participation for Hospitals as set out in 42 C.F.R § 482 and 42 C.F.R § 482.15 on the effective date of this chapter.009.03LONG-TERM CARE HOSPITAL REQUIREMENTS. Each long-term care hospital or distinct part of a hospital that provides the care and services of an intermediate care facility, a nursing facility or a skilled nursing facility must meet all requirements specified in 175 NAC 12 except the administrator is not required to hold a current nursing home administrator's license issued by the State of Nebraska.009.04PSYCHIATRIC OR MENTAL HOSPITAL REQUIREMENTS. Each licensee of a psychiatric or mental hospital must satisfy the Conditions of Participation for Psychiatric Hospitals as set out in 42 C.F.R § 482.60 through 482.62, and C.F.R. §482.15 on the effective date of this chapter.009.05REHABILITATION HOSPITAL REQUIREMENTS. Each licensee of a rehabilitation hospital must satisfy all the elements of the Conditions of Participation for Hospitals as set out in 42 C.F.R § 482, and C.F.R. §482.15 on the effective date of this chapter and the following:(A) The direction and supervision of all rehabilitation services is provided by a fulltime physician member of the medical staff who is trained in rehabilitation medicine;(B) Physical therapy, occupational therapy, speech pathology, and audiology, social work, psychological, and vocational services must be organized and supervised by qualified professional personnel credentialed in Nebraska when required and who have been approved by the licensee;(C) A written preadmission screening procedure is implemented to review each prospective patient's condition and medical history to determine whether the patient is likely to benefit significantly from an intensive inpatient rehabilitation program prior to accepting the patient for treatment;(D) A plan of treatment for each inpatient is established, implemented, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; and(E) There must be a multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment. Team conferences must be held at least every 2 weeks to determine the appropriateness of treatment.009.06RURAL EMERGENCY HOSPITAL REQUIREMENTS. A licensee of a rural emergency hospital must satisfy all of the elements of the Conditions for Participation for Rural Emergency Hospitals as set out in C.F.R §§485.500 to 485.546 on the effective date of this chapter.175 Neb. Admin. Code, ch. 9, § 009
Adopted effective 11/11/2023Amended effective 11/12/2023