W. Va. Code R. § 64-13-11

Current through Register Vol. XLI, No. 21, May 23, 2024

Section 64-13-11 - Laboratory, Radiology, and Other Diagnostic Services

11.1. Laboratory Services.

11.1.1. A nursing home shall provide or obtain laboratory services to meet the needs of its residents. The nursing home is responsible for the timeliness of the services.

11.1.2. If a nursing home provides its own laboratory services, the services shall meet the requirements in the federal regulation, 42 CFR Part 493.

11.1.3. If a nursing home arranges for outside laboratory services, the nursing home shall ensure that the laboratory services meet the requirements in the federal regulation, 42 CFR Part 493.

11.1.4. If a nursing home provides blood bank and transfusion services, the nursing home shall ensure that the services are federally certified in the appropriate specialties and sub-specialties of services in accordance with the requirements to which it is subject.

11.1.5. A nursing home shall:

11.1.5.a. Provide or obtain laboratory services only when ordered by a physician;

11.1.5.b. The facility must promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of laboratory results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders;

11.1.5.c. Assist the resident in making transportation arrangements to and from the source of service, if the resident needs assistance; and

11.1.5.d. File laboratory reports in the resident's clinical record that are dated and contain the name and address of the testing laboratory.

11.2. Radiology and Other Diagnostic Services.

11.2.1. A nursing home shall provide or obtain radiology and other diagnostic services to meet the needs of its residents. The nursing home is responsible for the timeliness of the services.

11.2.2. If a nursing home provides its own diagnostic services, the services shall meet the applicable licensing and certification requirements established for those services.

11.2.3. If a nursing home does not provide its own diagnostic services, it shall have an agreement to obtain these services from a provider or supplier that meets all applicable licensing and certification requirements established for those services.

11.2.4. A nursing home shall:

11.2.4.a. Provide or obtain radiology and other diagnostic services only when ordered by the attending physician;

11.2.4.b. Promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders;

11.2.4.c. Assist the resident in making transportation arrangements to and from the source of service, if the resident needs assistance; and

11.2.4.d. File in the resident's clinical record signed and dated reports of x-ray and other diagnostic services, with the name and address of the provider of the service.

W. Va. Code R. § 64-13-11