Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.03.02 - SKILLED NURSING FACILITIES
Section 16.03.02.050 - LICENSURE

Universal Citation: ID Admin Code 16.03.02.050

Current through August 31, 2023

01. General Requirements. Before any person either directly or indirectly operates a facility, they must make an application for and receive a valid license for operation of the facility, and no resident must be admitted or cared for in a facility that is required under Idaho law to be licensed, until a license is obtained. (3-17-22)

a. The facility and all related buildings associated with the operation of the facility, as well as all records required under these rules, must be accessible at any reasonable time to authorized representatives of the Department for the purpose of inspection, with or without prior notice. (3-17-22)

b. Before any building is constructed or altered for use as a facility, written approval of construction or alteration of plans must be obtained from the Department. (3-17-22)

c. Information received by the licensing agency through filed reports, inspection, or as otherwise authorized under this law, must not be disclosed publicly in such a manner as to identify individual residents except in a proceeding involving the question of licensure. Public disclosure of information obtained by the licensing agency for the purposes of this law must be governed by rules, regulations, and minimum standards adopted by the Board. (3-17-22)

02. Application for an Initial License. In addition to obtaining prior approval of plans for construction or alterations, all persons planning the operation of a facility must provide a Department-approved application for an initial facility license at least three (3) months prior to the planned opening date with the following: (3-17-22)

a. Evidence of a request for a determination of applicability for Section 1122 (Social Security Act) regulatory review. (3-17-22)

b. A copy of the nursing home administrator's license with the application. (3-17-22)

c. A certificate of occupancy from the local building and fire authority. (3-17-22)

03. Issuance of License. Every facility must be designated by a distinctive name in applying for a license, and the name must not be changed without first notifying the Department in writing at least thirty (30) days prior to the date the proposed change in name is to be effective. (3-17-22)

a. Each license will be issued only for the premises and persons or governmental units named in the application and will not be transferable. (3-17-22)

b. Each license will specify the maximum allowable number of beds in each facility, which may not be exceeded, except on a time-limited emergency basis, and authorized by the Department. (3-17-22)

c. The facility license must be framed and posted so as to be visible to the general public. (3-17-22)

04. Expiration and Renewal of License. Each license to operate a facility must, unless sooner suspended or revoked, expire on the date designated on the license. Each application for renewal of a license must be submitted on a form prescribed by the Department and prior to the renewal of the license. (3-17-22)

05. Denial or Revocation of License. The Director may deny the issuance of a license or revoke any license when persuaded by a preponderance of the evidence that such conditions exist as to endanger the health or safety of any resident, or that the facility is not in substantial compliance with these rules and minimum standards. (3-17-22)

a. Additional causes for denial of a license may include the following: (3-17-22)
i. The applicant has willfully misrepresented or omitted information on the application or other documents pertinent to obtaining a license. (3-17-22)

ii. The applicant of the person proposed as the administrator has been guilty of fraud, gross negligence, abuse, assault, battery, or exploitation in relationship to the operation of a health facility. (3-17-22)

iii. The applicant or the person proposed as the administrator of the facility: (3-17-22)
(1) Has been denied or has had revoked any health facility license; or (3-17-22)

(2) Has been convicted of operating any health facility without a license; or (3-17-22)

(3) Has been enjoined from operating a health facility; or (3-17-22)

b. Additional causes for revocation of license. (3-17-22)
i. Any act adversely affecting the welfare of residents is being permitted, aided, performed, or abetted by the person or persons in charge of the facility. Such acts may include, but are not limited to, neglect, physical abuse, mental abuse, emotional abuse, violation of civil rights, or exploitation. (3-17-22)

ii. Any condition exists in the facility that endangers the health or safety of any resident. (3-17-22)

iii. The licensee has willfully misrepresented or omitted information on the application or other documents pertinent to obtaining a license. (3-17-22)

iv. The applicant or administrator has demonstrated lack of sound judgment in the operation or management of the skilled nursing facility. (3-17-22)

v. The facility lacks adequate staff to properly care for the number and type of residents residing at the facility. (3-17-22)

vi. The applicant or administrator of the facility: (3-17-22)
(1) Has been denied or has had revoked any health facility license; or (3-17-22)

(2) Has been convicted of operating any health facility without a license; or (3-17-22)

(3) Has been enjoined from operating a health facility or shelter home; or (3-17-22)

(4) Is directly under the control or influence of any person who has been subject to the proceedings in Subsection 050.05. (3-17-22)

06. Change of Ownership, Operator, or Lessee. When a change of a licensed facility's ownership, operator, or lessee is contemplated, the owner/operator must notify the Department at least thirty (30) days prior to the proposed date of change and new application submitted when there is a change of operator, ownership, or lessee. (3-17-22)

07. Penalty for Operating a Facility or Agency Without a License. Any person establishing, conducting, managing, or operating any facility or agency as defined, without a license, under Sections 39-1301 through 39-1314, Idaho Code, is guilty of a misdemeanor punishable by imprisonment in a county jail for a period of time not exceeding six (6) months, or by a fine not exceeding three hundred dollars ($300), or by both such fine and imprisonment, and each day of continuing violation constitutes a separate offense. In the event that the prosecuting attorney in the county where the alleged violation occurred fails or refuses to act within sixty (60) days of notification of the violation, the attorney general is authorized to prosecute any violations (Section 39-1312, Idaho Code). (3-17-22)

Disclaimer: These regulations may not be the most recent version. Idaho 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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