Code of Colorado Regulations
700 - Department of Regulatory Agencies
717 - Division of Professions and Occupations - State Board of Examiners of Nursing Home Administrators
3 CCR 717-1 - RULES AND REGULATIONS FOR NURSING HOME ADMINISTRATORS
Section 3 CCR 717-1.13 - STANDARDS OF PRACTICE

Universal Citation: 3 CO Code Regs 717-1 ยง 13

Current through Register Vol. 47, No. 17, September 10, 2024

This Rule is promulgated pursuant to sections 12-20-204 and 12-265-107(1)(a), C.R.S.

A. Pursuant to section 12-265-107(2)(a), C.R.S., the following requirements must be met by any individual who receives and retains a license or a temporary license as a nursing home administrator. The licensee must:

1. Comply with all local, state, and federal laws and regulations concerning the operation or reimbursement of nursing homes and/or nursing home administrators. The licensed nursing home administrator shall cooperate with any investigation of these regulatory bodies.

2. Exercise reasonable supervision over the activities of nursing home personnel.

3. Maintain a clean and safe environment to ensure the health, safety, and welfare of residents and staff in the licensee's facility.

4. Ensure a quality of care and quality of life that is consistent with the health and safety of the residents in the licensee's facility. This includes, but is not limited to, the promotion of care, related medical and other services provided by the facility to assist each resident to attain or maintain the highest practicable mental, physical, and psychosocial well-being to the extent it is consistent with the resident's wishes.

5. Protect resident rights as required by state and federal laws including, but not limited to, the protection against abuse, neglect, and other mistreatment.

6. Participate with the ownership, management, or facility governing board to plan, implement, and evaluate written policies and procedures to promote facility systems to function properly and ensure compliance with law and regulation.

7. Communicate and problem solve regularly with the governing body, department heads, facility staff, and residents to allocate resources properly. The nursing home administrator shall also foster effective communication and problem solving between management, staff, residents, family, community, and all parties involved to ensure appropriate management and operation of the facility and to provide for residents' rights, health, safety, and welfare.

8. Plan, implement, and evaluate an integrated financial program for the facility which ensures compliance with applicable laws and regulations; quality of care and life; and appropriate and accurate billing for services.

9. Possess and maintain the competencies necessary to effectively perform his/her responsibilities as a nursing home administrator through the following list of competencies, which is for illustrative purposes only and is not intended to be exhaustive:
a. Exercising ethical and professional decision making and judgment;

b. Assuming leadership in the facility;

c. Exemplifying an administrative philosophy congruent with the mission and goals of the organization as well as generally accepted standards;

d. Planning, organizing, and directing those responsibilities delegated to the administrator by the ownership, management, or governing board of the facility and inherent in the role of an administrator;

e. Abiding by and keeping confidential resident information; and

f. Keeping current with trends and industry standards of practice.

10. Take appropriate steps to avoid discrimination on basis of race, color, sex, religion, age, national origin, disability, marital status, ancestry, sexual orientation, or any other factor that may be discriminatory or not related to bona fide requirements of quality care.

11. Provide appropriate systems to account for and to protect residents' personal funds and property within the facility. It shall be a violation of this Rule to misappropriate resident or facility funds or property.

12. Disclose to the ownership, management, or facility governing board or other authority as may be appropriate, any actual or potential circumstance concerning the nursing home administrator that might reasonably be thought to create a conflict of interest or have an adverse impact on the facility or its residents.

13. Develop, participate, and monitor compliance of a functioning Quality Assurance Committee or its equivalent that evaluates and monitors the quality of resident care, residents' rights, and quality of life as required by Federal and State Regulations and generally accepted standards.

14. Adhere to the generally accepted standards of practice of a Colorado licensed nursing home administrator including, but not limited to, the development and implementation of policies and procedures to ensure the health and safety of the residents.

B. Any failure to meet these standards may result in disciplinary proceedings as set forth in section 12-265-113 and section 12-265-116, C.R.S.

(AMENDED ON JULY 29, 2009 AND EFFECTIVE ON AUGUST 30, 2009; AMENDED ON MARCH 7, 2012 AND EFFECTIVE APRIL 30, 2012; AMENDED ON JULY 11, 2012 AND EFFECTIVE SEPTEMBER 1, 2012; AMENDED ON JULY 17, 2013 AND EFFECTIVE AUGUST 30, 2013)

Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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