Florida Administrative Code

(1) Governing Body. The hospice provider must establish written bylaws for a governing body with autonomous authority for the conduct of the hospice program. The governing body must satisfy the following requirements: (a) Members must reside or work in the hospice provider's serv…

(1) The administrator shall be responsible for ensuring the development, documentation and implementation of a staffing pattern for all components of a hospice program (inpatient, residential and home-care), which shall be kept in an administrative file. (a) A general staffing pl…

Pursuant to Section 400.610(2), F.S., each hospice must appoint a committee which must develop, document and implement a comprehensive quality assurance and utilization review plan, also referred to as a quality assessment and performance improvement plan. The QAUR/QAPI plan must…

(1) Each hospice shall submit demographic and provision of care data to the Agency annually for the calendar year period January 1 through December 31 no later than March 31 of the following year. Data must be submitted through the link included in the e-blast sent to each provid…

(1) The hospice shall employ a medical director who shall be a hospice physician licensed in the State of Florida pursuant to Chapter 458 or 459, F.S., who has admission privileges at one or more hospitals commonly serving patients in that hospice's service area as defined in Rul…

(1) The hospice shall employ a registered nurse who shall monitor all services provided by hospice nurses and home health aides. The supervising registered nurse shall be qualified by supervisory or hospice experience and shall have completed a hospice training program sponsored …

(1) The hospice shall employ a clergy-person or pastoral counselor to provide spiritual counseling. The clergy-person or pastoral counselor shall have a degree in ministry from a college, university or divinity school; or shall have completed a clinical pastoral education program…

(1) The hospice shall employ a social worker who has a degree in social work or a degree in a related field with experience in social work, and who has completed a hospice training program sponsored by the employing hospice. Duties shall be enumerated in a job description, includ…

(1) The hospice shall employ a coordinator of volunteer services who shall assist the administrator in developing, documenting and implementing a volunteer services program which meets the operational needs of the program and provides services to the patient and family units in a…

The hospice shall provide bereavement counseling and services to the families of hospice patients for a minimum of one (1) year following the patient's death. The formal and informal supportive services which comprise bereavement counseling shall be supervised or provided by prof…

The administrator shall ensure that dietary services and nutritional counseling services are available to all patient and family units in all components of hospice care on an as-needed basis. (1) The administrator shall ensure the development, documentation and implementation of …

(1) The administrator must ensure the development, documentation and implementation of policies and procedures which delineate the hospice's compliance with the state law and rules relative to advance directives. The hospice must not base or condition treatment or admission upon …

(1) Residential units which are established by a licensed hospice provider will not be required to be separately licensed. Residential units shall comply with local codes and ordinances governing zoning, fire, safety, and health standards. (2) Residential units shall be maintaine…

(1) As used in this rule, "inpatient facility and unit" means the location where inpatient services are provided to hospice patients. (2) All new inpatient facilities and units, and additions or renovations to existing facilities and units shall be in compliance with the requirem…

(1) Pursuant to Section 400.610(1)(b), F.S., each hospice shall prepare and maintain a comprehensive emergency management plan, hereinafter referred to as "the plan," in accordance with the "Comprehensive Emergency Management Plan (CEMP) Format for Hospices," DOEA Form H-001, Mar…

(1) Each hospice licensed under Chapter 400, Part IV, F.S., shall provide that hospice employees receive the following training: (a) Completion of the required initial one hour of training after June 30, 2003, shall satisfy the requirement referenced in Section 400.6045(1)(b), F.…

(1) Persons seeking approval as an Alzheimer's Disease or Related Disorders training provider shall complete DOEA form Hospice/ADRD-001, Application for Alzheimer's Disease or Related Disorders Training Provider Certification, dated September 2003, which is incorporated by refere…

(1) The licensee or applicant shall make application for an initial, renewal or change of ownership license to operate a nursing home facility and shall provide: (a) All of the information required by this rule, Chapter 400, Part II, F.S., and Chapter 408, Part II, on the Health …

(1) Admission, retention, transfer, and discharge policies: (a) Each resident must receive the following at the time of admission and as changes are being made and upon request, in a language the resident or his representative understands: 1. A copy of the residents' bill of righ…

(1) Each nursing home facility licensee must retain, pursuant to a written agreement, a physician licensed under Chapter 458 or 459, F.S., to serve as Medical Director. In facilities with a licensed capacity of 60 beds or less, pursuant to written agreement, a physician licensed …

(1) Each nursing home licensee must have only one physician who is appointed as Medical Director. (2)(a) The Medical Director must be a physician licensed under Chapter 458 or 459, F.S., and beginning on January 1, 2026, must hold an active certification as a medical director or …

(1) The Administrator of each nursing home must designate one registered nurse as a Director of Nursing (DON) who shall be responsible and accountable for the supervision and administration of the total nursing services program. When a Director of Nursing is delegated institution…

(1) This program permits a nursing home licensed pursuant to Chapter 400 Part II, Florida Statutes (F.S.) to employ a trained Personal Care Attendant. (2) Purpose - This Personal Care Attendant Training Program will enable the Personal Care Attendant to further obtain skills and …

(1) Each resident admitted to the nursing home facility must have a plan of care. The plan of care must consist of: (a) Physician's orders, diagnosis, medical history, physical exam and rehabilitative or restorative potential. (b) A preliminary nursing evaluation with physician's…

(1) The Administrator must designate one full-time person as a Director of Food and Nutrition Services. (2) The Director of Food and Nutrition Services must be a qualified dietitian licensed in the state of Florida under Chapter 468, Part X, F.S., or a person who meets the requir…

(1) The nursing home licensee must adopt procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident. (2) As required by the Department of Health, the facility shall employ, or obtain, th…

(1) The licensee must designate a full-time employee as being responsible and accountable for the facility's medical records. (2) Each medical record must contain sufficient information to clearly identify the resident, his or her diagnosis and treatment, and results. (3) Medical…

(1) The licensee must provide a safe, clean, comfortable, and homelike environment, which allows the resident to use his or her personal belongings to the extent possible. (2) The licensee must provide: (a) Housekeeping and maintenance services necessary to maintain a sanitary, o…

(1) The facility shall maintain a risk management and quality assurance committee as required in Section 400.147, F.S. (2) The facility shall use AHCA Form 3110-0009, Revised, January, 2002, October, 2001, "Confidential Nursing Home Initial Adverse Incident Report - 1 Day," and A…

(1) Each nursing home licensee must have a written plan with procedures to be followed in the event of an internal or externally caused disaster. The initiation, development, and maintenance of this plan is the responsibility of the facility administrator, and must be accomplishe…

(1) DETAILED NURSING HOME EMERGENCY POWER PLAN. Each nursing home shall prepare a detailed plan ("plan"), to serve as a supplement to its Comprehensive Emergency Management Plan, to address emergency power in the event of the loss of primary electrical power in that nursing home,…

Rulemaking Authority 400.23 FS. Law Implemented 400.102, 400.19, 400.23 FS. History-New 4-1-82, Amended 4-1-84, 9-26-85, 7-21-87, Formerly 10D-29.128, Amended 8-15-94, 2-28-95, 10-13-96, 5-5-02, Repealed 11-15-15.

Rulemaking Authority 400.23 FS. Law Implemented 400.102, 400.141, 400.23 FS. History-New 4-18-94, Repealed 11-15-15.

(1) Nursing homes who accept children with a level of care of Intermediate I or II, skilled or medically fragile must meet the following standards as indicated. Intermediate I and II are defined in Rule 59G-4.180, F.A.C. Children considered skilled have a chronic debilitating dis…

(1) Each nursing home licensee must provide fire protection through the elimination of fire hazards as evidenced by compliance with the fire codes adopted by the State Fire Marshall. The fire codes adopted by the State Fire Marshal for nursing homes is contained rule Chapter 69A-…

(1) All construction of new nursing homes and all additions, alterations, refurbishing, renovations to and reconstruction of existing nursing homes shall be in compliance with the following codes and standards: (a) The Florida Building Code (FBC) as adopted by the Florida Buildin…

(1) No construction work, including demolition, shall be started until prior written approval has been provided by the Agency's Office of Plans and Construction. This includes all construction of new facilities and all additions, modifications, alterations, renovations, and refur…

(1) Definitions: (a) Appropriate Resources - those service providers who provide most effectively and efficiently the specific services needed by the geriatric patient. (b) Geriatric Outpatient Clinic - a site in a nursing home treatment room for the provision of health care to g…

(1) Pursuant to Section 400.191 F.S., the Agency shall publish the Nursing Home Guide quarterly in electronic form to assist consumers and their families in comparing and evaluating nursing home facilities. The Nursing Home Guide or "Guide," is available on the web at http://www.…

Rulemaking Authority 400.0225 FS. Law Implemented 400.0225 FS. History-New 2-15-01, Repealed 5-15-12.

(1) Definitions. (a) Agency means the Agency for Health Care Administration. (b) Panel means the Panel on Excellence in Long Term Care. (c) Parent company means an entity that owns, leases, or through any other device controls a group of two or more health care facilities or at l…

Rulemaking Authority 400.235(9) FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-15-07, 10-29-15, 1-18-17, Repealed 4-18-18.

Rulemaking Authority 400.235(9) FS. Law Implemented 400.235 FS. History-New 5-15-07, Amended 10-29-15, Repealed 4-18-18.

Rulemaking Authority 400.235 FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-15-07, 12-21-15, Repealed 4-18-18.

Rulemaking Authority 400.235 FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-19-02, 3-21-04, 12-29-16, Repealed 4-18-18.

Rulemaking Authority 400.235 FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-15-07, 12-21-15, Repealed 4-18-18.

Rulemaking Authority 400.235(9) FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-15-07, Repealed 12-31-15.

Rulemaking Authority 400.235(9) FS. Law Implemented 400.235 FS. History-New 8-21-01, Amended 5-15-07, 12-21-15, Repealed 4-18-18.

In addition to definitions contained in Chapters 395 Part I, and 408 Part II, F.S. the following definitions shall apply specifically to ambulatory surgical centers. (1) "Administrator" means a person who is delegated the responsibility of carrying out the policies and programs e…

(1) In addition to the licensure requirements contained in Chapters 395 Part I, and 408 Part II, F.S., all centers shall comply with the following: (2) All persons requesting licensure for the operation of a center under the provisions of Chapter 395, F.S., shall make application…