Current through Register No. 40, October 3, 2024
(a)
Each nursing home shall have a medical director who is a licensed physician in
the state of New Hampshire.
(b)
Each nursing home shall have a full time, onsite administrator who:
(1) Is licensed pursuant to
RSA
151-A:2; and
(2) Shall be responsible for the daily
management and operation of the nursing home including:
a. Management and fiscal matters;
b. The employment and termination of managers
and personnel necessary for the efficient operation of the nursing
home;
c. The designation of an
onsite alternate, in writing, who shall be responsible for the daily management
and operation of the nursing home in the absence of the administrator;
d. Ensuring development and
implementation of nursing home policies and procedures on:
1. Patient's rights as required by
RSA
151:20;
2. Advanced directives and DNR orders as
required by RSA 137-J;
3. Discharge
planning as required by
RSA
151:26; and
4. Unusual incident reporting;
e. Monitoring and evaluating the
quality of resident care and resident care services in the nursing home
pursuant to
He-P 803.24;
and
f. Identifying and making
available education programs designed to maintain the personnel's expertise in
areas related to the services provided in the nursing home.
(c) There shall be a
full time director of nursing services who is currently licensed in the state
of New Hampshire pursuant to RSA 326-B, or licensed pursuant to the multi-state
compact, and who is an RN with at least 2 years relevant experience in resident
care.
(d) The director of nursing
services shall be responsible for:
(1)
Establishment of standards of nursing practice used in the nursing
home;
(2) Ensuring that the
admission process and resident assessment process coordinates resident
requirements for nursing care with available nursing resources;
(3) Participating with the administrator and
personnel to improve the quality of nursing care at the nursing home;
(4) Nursing care as authorized by the nurse
practice act and according to RSA 326;
(5) The overall health and safety of
residents; and
(6) Maintaining
written personnel schedules, which shall be retained on-site for a period of at
least 90 days and which include:
a. At least
one licensed nurse in the facility 24 hours a day;
b. At least one registered nurse, for 8
consecutive hours a day 7 days a week; and
c. Nursing assistants who have been verified
in accordance with the New Hampshire board of nursing.
(e) The director of nursing
services shall enure compliance with all dementia training requirements
pursuant to
RSA
151:48-50 including continuing
education.
(f) Such continuing
education shall include new information on best practices in the treatment and
care of persons with dementia and be provided for:
(1) A minimum of 6 hours for initial
continuing education to covered administrative staff members and covered direct
service staff members; and
(2) A
minimum of 4 hours of ongoing training each calendar year.
#9856-A, eff
1-26-11
