3701-19-27 Standards for inpatient hospice facilities.

In addition to meeting the other requirements of this chapter, inpatient hospice facilities must meet the following requirements:

(A) Each new inpatient hospice facility shall be inspected by the director to determine compliance with provisions of this rule. The new inpatient hospice facility shall not admit patients until the director has determined that the facility is in compliance with the requirements of this chapter of the Administrative Code.

(B) The inpatient hospice facility shall meet all applicable provisions of the state fire code, adopted pursuant to section 3737.82 of the Revised Code.

(C) The building or buildings in which an inpatient hospice facility is located shall comply with the applicable provisions of the Ohio building code adopted by the board of building standards pursuant to Chapters 3781., 3783., and 3791. of the Revised Code, and have a certificate of use and occupancy issued by the appropriate building authority.

(D) Each new inpatient hospice facility not using a public sewage disposal system shall have its facility sewage disposal system inspected and approved by the local health department, in accordance with Chapter 3701-29 of the Administrative Code.

(E) Each new inpatient hospice facility shall comply with the following requirements:

(1) Each facility shall maintain appropriate space providing optimal comfort and privacy for patients and family members;

Interpretive guidelines: The facility must design and equip areas for the comfort and privacy of each patient and family members by:

(a) Providing decor which is homelike in design and function;

(b) Providing accommodations for family members to remain with the patient;

(c) Ensuring physical space for private patient and family visiting and allowing patients to receive visitors, including small children, at any hour;

(2) Each facility shall maintain appropriate patient rooms.

Interpretive guidelines: Patient rooms must be designed and equipped for adequate nursing care, comfort and privacy of patients. Each room must:

(a) Be equipped with or conveniently located near toilet and bathing facilities;

(b) Be at or above grade level;

(c) Contain an appropriate bed and other appropriate furniture;

(d) Have closet space providing security and privacy for clothing and personal belongings;

(e) Contain no more than four beds;

(f) Measure at least one hundred square feet for a single patient room or eighty square feet for each patient for a multipatient room;

(g) Be equipped for calling the staff member on duty.

(3) Each facility shall maintain appropriate bathroom facilities and plumbing.

Interpretive guidelines: The facility must provide:

(a) An adequate supply of hot water at all times for patient use;

(b) Plumbing fixtures with control valves that automatically regulate the temperature of the hot water used by patients.

(4) Each facility shall provide appropriate linens.

Interpretive guidelines: The hospice care program operating the facility must provide at all times:

(a) A quantity of linen for proper care and comfort of patients; and

(b) Linens must be handled, stored, processed and transported in a manner that prevents the spread of infection.

(5) Each facility shall have provisions for isolating patients with infectious diseases.

(6) Each facility must provide meal service; Interpretive guidelines: The hospice facility providing its own meal service must:

(a) Obtain an appropriate food service license, unless exempt in accordance with section 3717.42 of the Revised Code, or contracting with another licensed food service provider;

(b) Serve at least three meals or their equivalent each day at regular times, with not more than fourteen hours between a substantial evening meal and breakfast;

(c) Procure, store, prepare, distribute and serve all food under sanitary conditions;

(d) Have a staff member trained or experienced in food management or nutrition who is responsible for:

(i) Planning menus that meet the nutritional needs of each patient, following the orders of the patient's physician and, to the extent medically possible, the dietary allowances recommended by the national academy of sciences;

(ii) Supervising the meal preparation and service to ensure that the menu plan is followed;

(e) If the hospice has patients who require medically prescribed special diets, have the menus for those patients planned by a dietician who supervises the preparation and serving of meals to ensure that the patient accepts the special diet.

(7) Each facility must provide pharmaceutical services.

Interpretive guidelines: The facility must:

(a) Provide appropriate methods and procedures for dispensing, administering and disposing of drugs and biologicals;

(i) The facility is responsible for drugs and biologicals for its patients, whether drugs or biologicals are obtained from community or institutional pharmacists or stocked by the facility;

(ii) The facility must ensure that pharmaceutical services are provided in accordance with accepted professional principles and appropriate federal, state and local laws;

(b) Employ a pharmacist or have a formal agreement with a licensed pharmacist to advise the facility on ordering, storage, administration, disposal and recordkeeping of drugs and biologicals;

(c) Ensure that orders for medications are given by a physician or an advanced practice nurse acting within his or her scope of practice;

(i) If the medication order is verbal, the physician or advanced practice nurse must give it only to a licensed nurse, pharmacist, or another physician; and

(ii) The individual receiving the order must record and sign it immediately and have the prescribing physician or advanced practice nurse sign it in a manner consistent with good medical practice.

Effective: 08/23/2009
R.C. 119.032 review dates: 05/19/2009 and 08/15/2014
Promulgated Under: 119.03
Statutory Authority: 3712.03
Rule Amplifies: 3712.01 , 3712.03 , 3712.06
Prior Effective Dates: 1/1/2005