Current through all regulations passed and filed through September 16, 2024
(A) Each hospice care program shall provide
or arrange for the provision of short-term inpatient care to patients who
require it for pain control, symptom management, or respite care.
(1)
The
program may operate its own inpatient facility or may contract with one or more
other persons or public agencies that operate inpatient facilities for
provision of inpatient care; and
(2)
The inpatient
facility or facilities that the program uses to provide inpatient care shall be
licensed, certified, or accredited in accordance with applicable Ohio law and
this rule.
(B) The
type of inpatient setting selected for a particular episode shall be based upon
the needs of the patient. The program shall not place patients in an inpatient
facility for the convenience of the program.
(C) Each inpatient facility used by a hospice
care program to provide inpatient care to its patients shall provide nursing
services twenty-four hours a day or the hospice care program shall provide or
arrange for nursing services twenty-four hours a day.
(D) Inpatient care for pain control and
symptom management shall be provided only in a hospice inpatient facility,
hospital or a skilled nursing facility. Any such facility used by a hospice
care program shall be certified under Title XVIII of the Social Security Act,
49 Stat. 620 (1935),
42 U.S.C.
301
(1981), as
amended, or accredited by an organization that the United States centers for
medicare and medicaid services has given deeming authority. Each inpatient
facility used by the hospice care program to provide pain control and symptom
management shall:
(1) Have a registered nurse
on staff and available at all times on each shift to render hands-on direct
care; and
(2) Ensure that nursing
services are sufficient to meet the total nursing needs of the hospice patients
residing in the facility.
(E) Inpatient care for respite purposes shall
be provided only:
(1) In a hospice inpatient
facility, a hospital, a skilled nursing facility or nursing facility certified
under Title XVIII or XIX of the Social Security Act, or a nursing home or
residential care facility licensed under Chapter 3721. of the Revised Code that
provides nursing services twenty-four hours a day or the hospice care program
shall provide or arrange for nursing services twenty-four hours a day. Nursing
services shall be sufficient to meet the needs of the hospice patients residing
in the facility; and
(2) On an
occasional basis and not for more than seven consecutive days unless further
limited by payor.
(F)
Each inpatient facility used by a hospice care program to provide inpatient
care to its patients shall ensure that sufficient personnel are available to:
(1) Provide each patient's treatments,
medications, and diets as prescribed;
(2) Keep each patient comfortable, clean,
well-groomed;
(3) Assure that each patient's routine,
special, and emergency needs are met at all times;
(4) Promptly respond to patient calls;
and
(5) Protect each patient from
accident, injury, and infection through the use of appropriate safety and
infection control measures.
(G) Each inpatient facility used by a hospice
care program to provide inpatient care to its patients shall:
(1) Have patient areas that are designed and
equipped for the comfort and privacy of patients and their family members by:
(a) Maintaining adequate lighting levels in
patient areas and designing patient areas that are devoid of glare and
reflecting surfaces that produce discomfort;
(b) Minimizing sound level;
(c) Maintaining a comfortable temperature;
and
(d) Providing adequate
ventilation.
(2) Have
physical space for private patient and family visiting;
(3) Provide accommodations for family members
to remain with the patient throughout the night;
(4) Provide accommodations for family privacy
after a patient's death;
(5) Have
decor which is homelike in design and function;
(6) Permit patients to bring personal items
into patient areas; and
(7) Permit
patients to receive visitors at all times, including small children.
