005.01
NOTIFICATIONS. Notification requirements are shown below:
(A) An inpatient hospice facility must meet notification requirements at 175 NAC 1-005 (A), (B), (C)(i), (C)(ii), (D), (E), (F), (G)(i) through (G)(v), and must notify the Department in writing at least 30 working days before the facility would like to increase their license capacity, would like a change in the building, or would like a change in the usage of the building; and
(B) A hospice service providing care, treatment or services in the home of the consumer, must meet notification requirements at 175 NAC 1-005 (A), (D), (E), (G)(i), (G)(iii); must notify the Department in writing at least 30 working days before the hospice would like to add a county or add a multiple location; and must notify the Department in writing within 24 hours of a consumer's death which occurred while staff were present, or scheduled to be present, in the consumer's home to provide care, treatment, or services and the consumer's death was due to:
(i) Suicide;
(ii) A violent act;
(iii) Drowning; or
(iv) During or immediately after a restraint or seclusion was utilized.
005.02
EFFECTIVE DATE AND TERM OF LICENSE. A hospice license expires on June 30th of each year.
005.03
CHANGE OF OWNERSHIP. Change of ownership or for an inpatient hospice facility, a change of premises terminates the license. If there is a change of ownership and the inpatient hospice facility remains on the same premises and there are no changes to the hospie's daily operations or direct-care staff, the inspection in 175 NAC 1 and 175 NAC 16 is not required. If an inpatient hospice facility changes premises, it must pass the inspection specified in 175 NAC 1 and 175 NAC 16.
005.04
OCCUPANCY. An inpatient hospice facility must not serve more consumers at 1 time than the maximum occupancy for which the inpatient hospice facility is licensed.
005.05
MULTIPLE LOCATIONS. The parent hospice is responsible for all care, treatment, and services provided at the parent and multiple location offices. All deficient practices cited at any hospice multiple location office or parent location apply to all locations under the licensee's hospice license. A multiple location office is not required to independently meet licensure requirements but must meet supervision requirements for multiple location offices as shown below. A hospice must not have more than 2 multiple location offices per hospice license. Multiple location offices must:
(A) Be pre-approved by the Department before becoming operational;
(B) Provide the same full range of hospice services provided by the parent hospice issued the license within a portion of the total Department-approved geographic area served by the parent hospice;
(C) Be part of its parent hospice and share administration, supervision, and services;
(D) Be located no more than 120 miles from the parent hospice;
(E) Have onsite supervisory visits by the hospice administrator or the administrator's designated person of the parent hospice at least once a month with documentation of these supervisory visits being maintained at the parent hospice location;
(F) Maintain copies of all parent hospice policies, procedures and forms at each multiple location office;
(G) Maintain complete clinical records for all multiple location office consumer's care, treatment and services; and
(H) Maintain in the parent hospice for all consumers receiving services from multiple location offices the following:
(i) Consumer identifying information;
(ii) Name, address, and telephone number of the consumer's attending physician;
(iii) Consumer diagnoses;
(iv) The service being provided to the consumer; and
(v) The above information must be maintained until the complete clinical record is either stored at the parent hospice or can be destroyed.
