Current through Reg. 50, No. 187; September 24, 2024
Any facility intending to provide limited nursing services
must obtain a license from the agency.
(1) NURSING SERVICES. In addition to any
nursing service permitted under a standard license pursuant to Section
429.255, F.S., a facility with a
limited nursing services license may provide nursing care to residents who do
not require 24-hour nursing supervision and to residents who do require 24-hour
nursing care and are enrolled in hospice.
(2) RESIDENT CARE STANDARDS.
(a) A resident receiving limited nursing
services in a facility holding only a standard and limited nursing services
license must meet the admission and continued residency criteria specified in
Rule 59A-36.006, F.A.C.
(b) In accordance with Rule
59A-36.010, F.A.C., the facility
must employ sufficient and qualified staff to meet the needs of residents
requiring limited nursing services based on the number of such residents and
the type of nursing service to be provided.
(c) Limited nursing services may only be
provided as authorized by a health care practitioner's order, a copy of which
must be maintained in the resident's file.
(d) Facilities licensed to provide limited
nursing services must employ or contract with a nurse(s) who must be available
to provide such services as needed by residents. The facility's employed or
contracted nurse must coordinate with third party nursing services providers to
ensure resident care is provided in a safe and consistent manner. The facility
must maintain documentation of the qualifications of nurses providing limited
nursing services in the facility's personnel files.
(e) The facility must ensure that nursing
services are conducted and supervised in accordance with Chapter 464, F.S., and
the prevailing standard of practice in the nursing
community.
(3) RECORDS.
(a) A record of all residents receiving
limited nursing services and the type of services provided must be maintained
at the facility.
(b) Nursing
progress notes must be maintained for each resident who receives limited
nursing services from facility staff.
(c) A nursing assessment conducted at least
monthly must be maintained on each resident who receives a limited nursing
service.
(4) This rule is
in effect for five years from its effective date.
Rulemaking Authority 429.41 FS. Law Implemented 429.07,
429.255, 429.26, 429.41 FS.
New 9-30-92, Formerly 10A-5.031, Amended 10-30-95,
10-17-99, 7-30-06, 3-13-14, 5-10-18, Formerly
58A-5.031, Amended
10-7-21.
