HomeMy WebLinkAbout1971 Original Documents II 150.001: Definitions
(A) Long-Term Care Facility shall mean any institution whether conducted for
charity or profit which is advertised. announced or maintained for the express or
implied purpose of providing three or more individuals admitted thereto with
long-term resident, nursing, convalescent or rehabilitative care; supervision and
care incident to old age for ambulatory persons; or retirement home care for
elderly persons. Long-term care faciiitiy shall include convalescent or nursing
homes, rest,htlllt-infirmaries maintained in towns and charitable homes for
the aged. "Facility" as used herein. shall mean a long-term care facility or unit
thereof and units within acute hospitals converted under provisions of St. 1988
c. 23. s. 32.
(1) Institution shall mean an establishment housed in a single building or in
two or more adjacent buildings.
(2) Identifiable Unit shall mean a section of a facility such as a wing, floor
or ward and shall include adjacent rooms where acceptable to the
Department. For all facilities constructed after March 19, 1968 and for all
new construction, addirions. conversions or alterations, an identifiable unit
shall correspond to the definition of a unit as stated in the currently
applicable construction standards of the Department. For facilities
constructed prior to March 19, 1968, an -identifiable unit shall mean
approximately 40 beds in facilities that provide Level 1 or 11 care, and not
more than 60 beds in facilities that provide Level III or IV care.
(3) Convalescent or Nursing Horne. Rest Home. Infirmary Maintained in a
Town. and Charitable Horne for the Age shall have the same meanings as
those terms defined in General Laws, chapter 111. section 71.
(4) Long-Term Care shall mean care of significant duration as distinguished
from acute short-term care provided in a general hospital. There shall he
four Levels of long-term care facilities under these regulations.
(5) Hospital Based Long Term Care Facility HB/LTCF shall mean a
separately licensed unit housed on the premises of an acute hospital. Such
facilities shall meet the provisions of this chapter appKcable to Skilled
Nursing Facilities except as otherwise provided herein.
(B) Levels of Long-Term Care Facilities or Units-
(1) Intensive Nursing and Rehabilitative Care Facility (Level 1 shall mean a
facility or units thereof that provide continuous skilled nursing care and an
organized program of restorative services in addition to the minimum, basic
care and services required in these rules and regulations. Level I facilities
shall comply with the Conditions of Participation for Extended Care
Facilities under Title YVIII of the Social Security Act of 1965 (P.L. 89-97)
and shall provide care for patients as prescribed therein.
(2) Skilled Nursing Care Facilities Level il) shall mean a facility or units
thereof that provide continuous skilled nursing care and meaningful
availability of restorative services and other therapeutic services in addition
to the minimum, basic care and services required in these rules and
regulations for patients who show potential for improvement or restoration
to a stabilized condition or who have a deteriorating condition requiring
skilled care.
(a) Skilled Nursing Care Facilities for Children SNCFCI Level III shall
mean a facility or unit/s thereof that provides skilled nursing care
services and/or intensive supportive nursing care services together with
therapeutic treatment and habilitative services to multiply handicapped
individuals, birth to twenty-two (22) years of age, who exhibit
medical/nursing needs requiring intervention, observation and supervision
by a multi-disciplinary team of professionals. Individuals requiring these
services who are aged fifteen (15) to twenty (22) or who do not meet the
definition of "multiply handicapped" may be admitted to adult (Level 11
or Level 111) units with prior approval from the Department's Medical
Review Team ('r1RT) and the Department's licensing agency. A SNCFC
is not an appropriate facility or unit for individuals requiring long-term
custodial care.
(b) Respite Care in a Skilled Nursing Care Facility for Children
SN( CFCI shall mean temporary, short term care of a multiply
handicapped individual girth to twenty-two (22) years of age in order to
provide relief to a familyiprimary care-giver.
(3) Supportive Nursing Care Facilities.fLeve1111) shall mean a facility or
units thereof that provide routine nursing services and periodic availability
of skilled nursing, restorative and other therapeutic services. as indicated. in
addition to the minimum: basic care and services required in these rulr.s
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and regulations for patients whose condition is stabilized to the point that
they need only supportive nursing care, supervision and observation.
(4) Resident Care Facilities Levvel I shall mean a facility or units thereof
that provides or arranges to provide in addition to the minimum basic care
and services required in these rules and regulations, a supervised supportive
and protective living environment and support services incident to old age
for residents having difficulty in caring for themselves.and who do not
require Level II or Ill nursing care or other medically related services on a
routine basis. This facility's services and programs seek to foster personal
well-being, independence, an optimal level of psychosocial functioning, and
integration of residents into community living.
(5) Community Support Facility (CSF) shall mean. a Resident Care Facility
in which the Department determines that fifty percent (5o%) or more of the
facility's residents are Community Support Residents. The Community
Support Facility is the only Level IV facility allowed to routinely admit
Community Support Residents and will be expected to maintain 50%"or more
of these residents. The central purpose of a CSF shall be to provide its
current Community Support Residents, and new Community Support
Resident admissions, with the mental health and support services outlined in
these regulations. These services will be provided in order.to assure resident
security and the provision of appropriate care, as well as to maximi;e
resident independence, prevent reins titutionalization, and wherever possible
provide rehabilitation and integration into the community.