Okla. Admin. Code § 310:679-10-53

Current through Vol. 41, No. 19, June 17, 2024

Section 310:679-10-53 - [Effective until 9/14/2024] Serving as the Administrator-of-Record for two (2) or more licensed long-term care (nursing) facilities employing Certified Assistant Administrators

(a) The Administrator-of-Record must ensure all minimum requirements for individuals wishing to serve as a Certified Assistant Administrator (CAA) in this rule and the Nursing Home Care Act (see Title 63, Section 1-1943.1) are met prior to the delegation of duties and responsibilities to the CAA.

(b) The Administrator-of-Record shall delegate authority and responsibility to the CAA for all operational aspects of the facility for which they will be responsible.

(c) The Administrator-of-Record shall maintain a clear formal job description for the CAA, which will include duties and responsibilities.

(d) The Administrator-of-Record shall provide supervision, training and direction, and delegate duties and responsibilities which may safely be performed by the CAA.

(e) The licensed Administrator-of-Record, is legally responsible for the management and operation of the facility and shall maintain sufficient on-site presence in the facility to effectively supervise the CAA.

(f) The Administrator-of-Record shall ensure the CAA does not concurrently serve as CAA of more than one (1) long-term care facility.

(g) The Administrator-of-Record shall spend at least ten (10) hours per calendar week on-site in the facility, providing guidance and direction to the CAA. On-site supervisory visits shall not be more than ten (10) calendar days apart.

(h) An up-to-date family member and/or guardian contact list must be maintained by the Administrator-of-Record and be accessible to staff at all times. A written policy including, at a minimum, when, how, and by whom contact should be made must be provided to family members and/or guardian contacts of all residents. The policy must be posted in a conspicuous place within the facility.

(i) The Administrator-of-Record may not delegate any responsibilities or duties required by State or Federal law, statute, rule or regulation be performed by a licensed Administrator.

(j) Individuals may not serve as a CAA if:

(1) Their license has been suspended, revoked, or otherwise restricted by the Department; and/or

(2) The license holder has been sanctioned or formally excluded from participation in federally-funded health programs by the U.S. Department of Health and Human Services (DHHS) or the Office of Inspector General (OIG).

(k) The Administrator-of-record shall ensure that no individual serves as a CAA if the facility at which the Assistant Administrator is to serve is not one of two-or-more facilities at which the Administrator serves as the Administrator-of-Record, that have a total bed complement not to exceed one-hundred-twenty (120) occupied beds and that are located with a fifty (50) mile radius of each other.

Okla. Admin. Code § 310:679-10-53

Adopted by Oklahoma Register, Volume 41, Issue 4, November 1, 2023, eff. 11/1/2023, exp. 9/14/2024 (Emergency)