Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 3 - LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
Subchapter S - MINIMUM STANDARDS AND BENEFITS AND READABILITY FOR INDIVIDUAL ACCIDENT AND HEALTH INSURANCE POLICIES
Section 3.3007 - Policy Definition of Convalescent Nursing Home or Extended Care Facility
Universal Citation: 28 TX Admin Code § 3.3007
Current through Reg. 50, No. 13; March 28, 2025
The term "convalescent nursing home" or "extended care facility" shall be defined in relation to its status, facilities, and available services.
(1) Except as provided in these sections, a definition of such home or facility may not be more restrictive than one requiring that it:
(A)
be an institution licensed and operated pursuant to law; and
(B) be primarily engaged in providing, in
addition to room and board accommodations, skilled nursing care under the
supervision of a duly licensed physician; and
(C) provide continuous 24 hours a day nursing
service by or under the supervision of a registered graduate professional nurse
(RN); and
(D) maintain a daily
medical record on each patient.
(2) The definition of such home or facility, except where prohibited by law, may exclude:
(A) any home, facility or part thereof used
primarily for rest; or
(B) a home
or facility primarily for the aged or for the care of drug addicts or
alcoholics; or
(C) a home or
facility primarily used for the care and treatment of tuberculosis, mental
diseases or disorders or custodial or education care.
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