1. (a) The facility must have a governing body, or designated persons functioning as a governing body that is legally responsible for establishing and implementing policies regarding the management and operation of the facility. The governing body must have periodically updated written policies and procedures that are formally adopted and dated, specifying and governing all services. The policies and procedures must be available to all of the facility's governing body's members, staff, residents, family or resident representatives, and the public. The governing body must:

   1. (1) designate a person to exercise the administrator's authority when the facility does not have an administrator. The facility must secure a licensed nursing home administrator within 30 days; and
   2. (2) ensure that a person designated as being in authority notifies HHSC immediately when the facility does not have an administrator.

2. (b) The governing board appoints and the facility must operate under the supervision of a nursing facility administrator who is:

   1. (1) licensed by the Texas Board of Nursing Facility Administrators;
   2. (2) responsible for management of the facility;
   3. (3) required to work at least 40 hours per week on administrative duties; and
   4. (4) accountable to and who reports to the governing body for the overall management of the facility.

Source Note:The provisions of this §554.1902 adopted to be effective May 1, 1995, 20 TexReg 2393; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871.