1. (a) Each nursing home shall have a medical director who is a licensed physician in the state of New Hampshire.

2. (b) Each nursing home shall have a full time, onsite administrator who:

   1. (1) Is licensed pursuant to RSA 151-A:2; and

   2. (2) Shall be responsible for the daily management and operation of the nursing home including:

      1. a. Management and fiscal matters;
      2. b. The employment and termination of managers and personnel necessary for the efficient operation of the nursing home;
      3. c. The designation of an onsite alternate, in writing, who shall be responsible for the daily management and operation of the nursing home in the absence of the administrator;

      4. d. Ensuring development and implementation of nursing home policies and procedures on:

         1. 1. Patient’s rights as required by RSA 151:20;
         2. 2. Advanced directives and DNR orders as required by RSA 137-J;
         3. 3. Discharge planning as required by RSA 151:26; and
         4. 4. Unusual incident reporting;
      5. e. Monitoring and evaluating the quality of resident care and resident care services in the nursing home pursuant to He-P 803.24; and
      6. f. Identifying and making available education programs designed to maintain the personnel’s expertise in areas related to the services provided in the nursing home.
3. (c) There shall be a full time director of nursing services who is currently licensed in the state of New Hampshire pursuant to RSA 326-B, or licensed pursuant to the multi-state compact, and who is an RN with at least 2 years relevant experience in resident care.

4. (d) The director of nursing services shall be responsible for:

   1. (1) Establishment of standards of nursing practice used in the nursing home;
   2. (2) Ensuring that the admission process and resident assessment process coordinates resident requirements for nursing care with available nursing resources;
   3. (3) Participating with the administrator and personnel to improve the quality of nursing care at the nursing home;
   4. (4) Nursing care as authorized by the nurse practice act and according to RSA 326;
   5. (5) The overall health and safety of residents; and

   6. (6) Maintaining written personnel schedules, which shall be retained on-site for a period of at least 90 days and which include:

      1. a. At least one licensed nurse in the facility 24 hours a day;
      2. b. At least one registered nurse, for 8 consecutive hours a day 7 days a week; and
      3. c. Nursing assistants who have been verified in accordance with the New Hampshire board of nursing.
5. (e) The director of nursing services shall enure compliance with all dementia training requirements pursuant to RSA 151:48-50 including continuing education.

6. (f) Such continuing education shall include new information on best practices in the treatment and care of persons with dementia and be provided for:

   1. (1) A minimum of 6 hours for initial continuing education to covered administrative staff members and covered direct service staff members; and
   2. (2) A minimum of 4 hours of ongoing training each calendar year.

Source. #9856-A, eff 1-26-11, EXPIRED: 1-26-19 New. #12721, INTERIM, eff 1-29-19, EXPIRED: 7-29-19 New. #12860, eff 8-28-19; ss by #13246, eff 8-4-21