Current through all regulations passed and filed through September 16, 2024
(A) Each new inpatient hospice facility shall
be inspected by the director to determine compliance with provisions of rules
3701-19-01 to
3701-19-24 of the Administrative
Code. The new inpatient hospice facility shall not admit patients until the
director has determined that the facility is in compliance with the
requirements of this chapter of the Administrative Code.
(B) The inpatient hospice facility shall meet
all applicable provisions of the Ohio fire code, adopted pursuant to section
3737.82 of the Revised
Code.
(C) The building or buildings
in which an inpatient hospice facility is located shall comply with the
applicable provisions of the Ohio building code adopted by the board of
building standards pursuant to Chapters 3781., 3783., and 3791. of the Revised
Code, and have a certificate of use and occupancy issued by the appropriate
building authority.
(D) Each new
inpatient hospice facility shall be connected to one of the following dependent
upon the location and size of the facility:
(1) A public sewer system permitted under
Chapter 6111. of the Revised Code;
(2) A small flow on site sewage treatment
system permitted by a local health district under Chapter 3718. of the Revised
Code; or
(3) A household sewage
treatment system permitted by a local health district under Chapter 3718. of
the Revised Code.
(E)
Each new inpatient hospice facility shall comply with the following
requirements by:
(1) Maintaining appropriate
space providing optimal comfort and privacy for patients and family members
designed and equipped for the comfort and privacy of each patient and family
members by:
(a) Providing decor which is
homelike in design and function;
(b) Providing accommodations for family
members to remain with the patient; and
(c) Ensuring physical space for private
patient and family visiting and allowing patients to receive visitors,
including small children, at any hour.
(2) Maintaining appropriate patient rooms
designed and equipped for adequate nursing care, comfort, and privacy of
patients. Each room must:
(a) Be equipped with
or conveniently located near toilet and bathing facilities;
(b) Be at or above grade level;
(c) Contain an appropriate bed and other
appropriate furniture;
(d) Have
closet space providing security and privacy for clothing and personal
belongings;
(e) Contain no more
than four beds;
(f) Measure at
least one hundred square feet for a single patient room or eighty square feet
for each patient for a multipatient room; and
(g) Be
equipped for calling the staff member on duty.
(3) Maintaining appropriate bathroom
facilities and plumbing and provide:
(a) An
adequate supply of hot water at all times for patient use; and
(b) Plumbing fixtures with control valves
that automatically regulate the temperature of the hot water used by
patients.
(4) Each
facility shall provide appropriate linens at all times in a quantity for the
proper care and comfort of patients. Linens must be handled stored, processed,
and transported in a manner that prevents the spread of infection.
(5) Each facility shall have provisions for
isolating patients with infectious diseases.
(6) Each facility must provide meal service.
A hospice facility providing its own meal service must:
(a) Obtain an appropriate food service
license, unless exempt in accordance with section
3717.42 of the Revised Code, or
contracting with another licensed food service provider;
(b) Serve at least three meals or their
equivalent each day at regular times, with not more than fourteen hours between
a substantial evening meal and breakfast;
(c) Procure, store, prepare, distribute and
serve all food under sanitary conditions; and
(d)
Have a staff member trained or experienced in food management or nutrition who
is responsible for:
(i) Planning menus that
meet the nutritional needs of each patient, following the orders of the
patient's physician and, to the extent medically possible, the dietary
allowances recommended by the national academy of sciences;
and
(ii) Supervising the meal preparation and
service to ensure that the menu plan is followed.
(7) Each facility must
provide pharmaceutical services and must:
(a)
Provide appropriate methods and procedures for dispensing, administering and
disposing of drugs and biologicals;
(i) The
facility is responsible for drugs and biologicals for its patients, whether
drugs or biologicals are obtained from community or institutional pharmacists
or stocked by the facility; and
(ii) The facility must ensure that
pharmaceutical services are provided in accordance with accepted professional
principles and appropriate federal, state and local laws.
(b) Employ a pharmacist or have a
formal agreement with a licensed pharmacist to advise the facility on ordering,
storage, administration, disposal and recordkeeping of drugs and biologicals;
and
(c) Ensure that orders for medications are
given by a physician, physician assistant, or an advanced practice
registered nurse acting within
their scope of practice;
(i) If the medication order is verbal, the
physician, physician assistant, or advanced practice registered nurse must give it only to a licensed
nurse, pharmacist, or another physician; and
(ii) The individual receiving the order must
record and sign it immediately and have the prescribing physician, physician
assistant, or advanced practice registered nurse
sign it in a manner consistent with good medical practice.
