(1)
The department shall use the following rules in conjunction with the
certificate of need review criteria contained in WAC
246-310-210(1)
for applications proposing the following:
(a)
Construction, development, or other establishment of a new nursing
home;
(b) Increase in the licensed
bed capacity of a nursing home or a hospital long-term care unit;
(c) Change in license category of beds from
the following to nursing home or hospital long-term care unit beds:
(i) Acute care; or
(ii) Assisted living facility care;
(2) The department
shall comply with the following time schedule for developing bed need
projections:
(a) By the last working day in
January of each year, the department shall recalculate the estimated bed
projection for each planning area.
(b) By the last working day in January of
each year, the department shall provide the aging and adult services
administration of the department of social and health services with the
estimated bed need for each planning area, pending the department's decisions
on applications submitted during the previous year's nursing home concurrent
review cycles.
(c) By the last
working day in January of each year, the department shall rank order planning
areas from lowest to highest by the projected current supply ratio.
(d) By the first working day of June of each
year, the department shall calculate the net estimated bed need for each
planning area.
(3) The
estimated bed projections for the projection period, listed by planning area
will be updated annually and distributed to interested parties. When a planning
area's estimated bed projection is less than the planning area's bed supply as
defined by WAC
246-310-350(4), no beds can be added until the statewide
established ratio is reached, except as allowed in this section.
(4) The department shall limit to three
hundred the total number of nursing home beds approved for all CCRCs which
propose or are operating within a transition period.
(a) These three hundred beds available for
CCRCs during transition periods shall be in addition to the net nursing home
beds needed in all of the planning areas.
(b) All nursing home beds approved for CCRCs
which propose or are operating within a transition period shall be counted as
beds within this three hundred bed limitation unless and until the CCRC fully
complies with all provisions of the CCRCs performance standards.
(5) The department shall not issue
certificates of need approving more than the net estimated bed need indicated
for a given planning area, unless:
(a) The
department finds such additional beds are needed to be located reasonably close
to the people they serve; and
(b)
The department explains such approval in writing.
