1. (1) The licensee shall ensure that the administrator:

   1. (a) designates, in writing, the name and job title of the person who has the authority and freedom to act in the best interests of resident safety and well-being to act as administrator in any temporary absence of the administrator;
   2. (b) does not supervise more than one nursing care facility;
   3. (c) is not superseded by an unlicensed administrator designee;
   4. (d) has enough freedom from other responsibilities to permit attention to the management and administration of the facility;
   5. (e) holds a current license as a health facility administrator by the Utah Department of Commerce in accordance with Title 58, Chapter 15, Health Facility Administrator Act; and
   6. (f) posts the license in a place visible to the public.

2. (2) The licensee shall ensure the administrator's responsibilities are defined in a written job description on file in the facility that includes the following responsibilities:

   1. (a) secure and update contracts for required professional services that are not provided directly by the facility that document:

      1. (i) a copy of the business or professional license of the contractor;
      2. (ii) a description of goods or services provided by the contractor to the facility;
      3. (iii) a provision to report findings, observations, and recommendations to the administrator on a regular basis;
      4. (iv) a provision to terminate the contract with advance notice;
      5. (v) a statement that the contractor shall conform to the standards required by law or rule;
      6. (vi) contracts are signed, dated, and maintained for review by OL;
      7. (vii) the effective and expiration date of contract; and
      8. (viii) the financial terms of the contract;
   2. (b) the completion, submission, and filing of any required reports, including a monthly census report to the Department of Health and Human Services, Division of Integrated Healthcare as required by Section R414-401-4, by the end of the succeeding month;
   3. (c) to act as a liaison between the licensee, medical and nursing staffs, and other supervisory staff of the facility;
   4. (d) to ensure that facility policies and procedures reflect current facility practice, and are revised and updated as needed;
   5. (e) to implement policies and procedures governing the operation of any functions of the facility;
   6. (f) to respond to recommendations made by the quality assurance committee; and
   7. (g) to review any incident, accident report, and document the action taken or reason for no action.

3. (3) The licensee shall ensure the administrator maintains a written transfer agreement with one or more hospitals to facilitate the transfer of a resident and essential resident information that includes:

   1. (a) criteria for transfer;
   2. (b) method of transfer;
   3. (c) proper notification of hospital and responsible person before the transfer;
   4. (d) resident confidentiality;
   5. (e) security and accountability of personal property of the resident transferred;
   6. (f) the facility responsible for resident care during the transfer; and
   7. (g) transfer of information needed for proper care and treatment of the resident transferred.

KEY: health care facilities

Date of Last Change: February 18, 2025

Notice of Continuation: January 24, 2022

Authorizing, and Implemented or Interpreted Law: 26B-2-202