- (1) Rule R432-100, General Hospital Standards additionally apply to Critical Access Hospital licensees except Rule R432-100, Sections 4, 5, 14, 19 and 26 through 29. Wherever a rule in this section conflicts with Rule R432-100, this section shall supersede.
- (2) Rule R432-100, Sections 15, 16, 18, 20, 24, 33 and 36 only apply to a CAH that provides those clinical or ancillary services.
- (3) Credentialing of medical and professional staff may be performed by a network hospital or a department approved equivalent.
- (4) A network hospital or a department approved equivalent may perform quality improvement as required in Rule R432-100.
- (5) A qualified registered nurse is not required to be on duty on a 24-hour basis, but shall be on duty if one acute care patient is admitted.
- (6) The licensee shall make available 24-hour emergency care services, seven days a week, regardless of inpatient census. The CAH shall ensure at least one physician is on call at all times. The 30 minute response requirement is amended to 60 minutes if the CAH qualifies under Section 485.618 (d) (2) of the Federal Conditions of Participation.
- (7) A network hospital, or through other arrangements approved by the Department, may provide off-site radiology services.
KEY: health care facilities
Date of Last Change: November 6, 2023
Notice of Continuation: August 22, 2025
Authorizing, and Implemented or Interpreted Law: 26B-2-202