Cal. Code Regs. Tit. 22, § 51215.5 - Subacute Care Unit
(a) A
subacute care unit means an identifiable unit of a skilled nursing facility
accommodating beds including contiguous rooms, a wing, a floor, or a building
that is approved by the Department for such purpose.
(b) In addition to the requirements set forth
in subsections (c) through (l) a subacute care unit shall
comply with all of the licensing and certification requirements set forth in
Title 22, Division 5, otherwise applicable to a skilled nursing
facility.
(c) The facility shall
accept and retain only those subacute patients for whom it can provide adequate
care.
(d) Subacute beds shall not
be dual classified as swing beds as they are defined in Section
1339.5
of the Health and Safety Code.
(e)
Subacute care units shall employ sufficient nursing staff as follows:
freestanding SNFs shall provide a minimum daily average of 3.8 actual licensed
nursing hours per patient day and 2.0 actual certified nurse assistant (CNA)
hours per patient day; distinct part SNF's shall provide a minimum daily
average of 4.0 actual licensed nursing hours per patient day and 2.0 actual CNA
hours per patient day. Subacute units that do not utilize CNAs shall employ
sufficient licensed nursing staff to provide 4.8 actual licensed nursing hours
per patient day.
(f) In providing
for the licensed nursing hours requirement in accordance with subsection (e)
above, each subacute care unit shall have a minimum of one registered nurse
(RN) per shift.
(g) Each RN and LVN
shall upon hire provide to the employer evidence of the following:
(1) A minimum of six months experience within
the past two years working in a general acute care facility; or
(2) An acquired equivalent competency
appropriate to the type of subacute patient the facility provides care
for.
(h) Nursing staff
assigned to the subacute care unit shall not be assigned other duties outside
of the subacute care unit during any given shift.
(i) The facility shall provide documentation
upon request by the Department that the Director of Nursing, and all subacute
care staff are participating in an ongoing educational program in accordance
with Title 22, California Code of Regulations, Division 5, Section
70213(c), focused
on subacute care.
(j) Physician
services shall be provided in a subacute care unit in accordance with Title 22,
California Code of Regulations, Division 5, Section
72303, with the exception of
(b)(1).
(k) The attending physician
shall perform an initial evaluation and prepare a written report of physical
examination of the patient within 48 hours of admission to the subacute care
unit.
(l) The subacute care unit
shall provide the required services in accordance with Title 22, California
Code of Regulations, Division 5, Section
72301(d).
Notes
2. Section refiled 11-3-86 as an emergency; effective 10-1-86 (Register 86, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 1-29-87.
3. Certificate of Compliance including amendment filed 1-20-87 (Register 87, No. 4).
4. Amendment of subsections (e), (f), (i), (j) and (l) filed 10-27-88 as an emergency; operative 10-27-88 (Register 88, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-89.
5. Certificate of Compliance including amendment of subsection (e) transmitted to OAL 2-24-89 and filed 3-27-89 (Register 89, No. 13).
Note: Authority cited: Sections 10725 and 14124.5 Welfare and Institutions Code. Reference: Section 14132.25, Welfare and Institutions Code.
2. Section refiled 11-3-86 as an emergency; effective 10-1-86 (Register 86, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 1-29-87.
3. Certificate of Compliance including amendment filed 1-20-87 (Register 87, No. 4).
4. Amendment of subsections (e), (f), (i), (j) and (l) filed 10-27-88 as an emergency; operative 10-27-88 (Register 88, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-89.
5. Certificate of Compliance including amendment of subsection (e) transmitted to OAL 2-24-89 and filed 3-27-89 (Register 89, No. 13).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.