Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.1 - Certificate of Need
Rule 37.106.139 - ANNUAL REPORTS BY LONG-TERM CARE FACILITIES
Universal Citation: MT Admin Rules 37.106.139
Current through Register Vol. 18, September 20, 2024
(1) Every long-term care facility shall submit an annual report to the department on a form provided by the department by the deadline specified on the form. The annual report must be signed by the facility administrator and must include whichever of the following information is requested on the form:
(a) the facility's
reporting period, and whether the facility was in operation for a full 12
months at the end of the reporting period;
(b) a discussion of the organizational
aspects of the facility, including the following information:
(i) the type of organization or entity
responsible for the day-to-day operation of the facility (e.g., state, county,
city, federal, hospital district, church related, nonprofit corporation,
individual, partnership, business corporation);
(ii) whether the controlling organization
leases the physical plant from another organization. If so, the name and type
of organization that owns the plant;
(iii) any changes in the ownership, board of
directors or articles of incorporation of the facility during the past year;
(iv) the name of the current
chairman of the board of directors of the facility;
(v) if the controlling organization has
placed responsibility for the administration of the facility with another
organization, the name and type of organization that manages the facility. A
copy of the latest management agreement must be provided;
(vi) if the facility is operated as a part of
a multi-facility system (e.g., medical center, chain of hospitals owned by a
religious order, etc.) the name and address of the parent organization;
(c) utilization
information, including:
(i) licensed bed
capacity (skilled and intermediate);
(ii) whether the facility is certified for
medicare or medicaid;
(iii) number
of beds currently set up and staffed;
(iv) total patient census on first day of
reporting period; total admissions, discharges, patient deaths, and
patient-days of service during the reporting period;
(v) patient census on last day of reporting
period, broken down by sex and age categories;
(d) financial data, including:
(i) total annual operating expenses (payroll
and non- payroll);
(ii) closing
date of financial statement;
(iii)
sources of operating revenue, indicating percent received from medicare,
medicaid, private pay, insurance, grants, contributions, and other;
(e) staff information, including
number and classification of full and part-time medical personnel, as required
on the survey form;
(f) patient
origin data, including patients' counties of residence, and number of
admissions from state institutions and from out-of-state;
(g) name of person to contact should the
department have any questions regarding the information on the report.
(2) Any facility failing to timely report such information to the department may be subject to corrective action.
AUTH: 2-4-201, 50-5-103, 50-5-302, MCA; IMP: 50-5-106, 50-5-302, MCA
Disclaimer: These regulations may not be the most recent version. Montana 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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