N.J. Admin. Code § 8:33H-1.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:33H-1.5 - Pediatric long-term care

(a) Because of their unique growth and development needs, children who require nursing facility placement should be able to receive care in an environment that is dedicated to addressing these needs. For this reason, the Department shall give consideration to approving separate and distinct pediatric long-term care units in areas where they are needed.

(b) Because there are so few children who require nursing facility placement in New Jersey, pediatric long-term care units should be planned and developed to serve a planning region as defined in 8:33H-1.2.

(c) The need for pediatric long-term care beds shall be determined in the following manner:

1. On a periodic basis (that is, at least once every five years), the Department shall conduct a survey of acute care hospitals, special hospitals, and other health care facilities at a particular point in time to identify all children who are medically ready for discharge and who require transfer to a pediatric long-term care facility. In addition, the number of children who are known to have been placed in long-term care facilities outside of New Jersey shall be counted;

2. The number of pediatric patients computed in (c)1 above shall be grouped according to their county and planning region of origin;

3. The projected rate of growth in the population under age 20 in each planning region shall be calculated using the most recent New Jersey Department of Labor population projections, covering the five year period from the time a Certificate of Need application is accepted for processing up to the target year. The number of patients in each planning region requiring pediatric long-term care shall then be adjusted (that is, multiplied) by the aforementioned, region-specific population growth rate. The latter product shall then be added to the number of patients requiring pediatric long-term care in the planning region;

4. The projected number of pediatric long-term care residents in each planning region requiring care as derived in (c)3 above, shall then be adjusted (that is, divided by a factor of .85) to allow for a projected occupancy rate of at least 85 percent.

N.J. Admin. Code § 8:33H-1.5

Amended by R.1993 d.671, effective 12/20/1993.
See: 25 New Jersey Register 3719(a), 25 New Jersey Register 6031(a).
Amended by R.2004 d.354, effective 9/20/2004.
See: 36 New Jersey Register 1641(a), 36 New Jersey Register 4306(a).
In (b), substituted "planning region as defined in N.J.A.C 8:33H-1.2" for "regional need. For this purpose, the region shall be a Local Advisory Board region"; in (c), substituted "five" for "two" in 1, "planning" for "LAB" in 2 and 3, substituted "residents" for "patients", and added "planning" preceding "region in 4.