Nursing Home Administrators

Nursing Home Administrators

Effective Date: 11/16/1993 to 12/15/1994

Rule Type: Superceded Rules & Regulations

Reference Number: 079.0001.5.11161993

Date Filed 11/16/93

Expr Date Repeal Date

Supr Date

Document Type RULES

CHAPTER 5

STANDARDS OF PRACTICE

Section 1. Standards relating to the licensed Nursing Home Administrator's responsibility to apply the Administrative process. Nursing Home Administrators shall abide by the National Association of Boards of Examiners for Nursing Home Administrators Standards of Practice and shall:

1. (a) Develop long and short range objectives in order to assure that facility programs and resident care are maintained and improved;
2. (b) Interpret the philosophy and goals of the facility in order to provide staff with adequate information to select appropriate objectives to attain the goals;
3. (c) Set an example of good resident relations and care for staff by demonstrating desired supervisory techniques and resident and family interaction;
4. (d) Delegate responsibility and authority to appropriate staff in order to carry out the work of the facility;
5. (e) Evaluate the quality of resident care and the efficiency of services in order to maintain care standards by reviewing the facility's goals, objectives, resident care plans and adherence to management policy and procedures;
6. (f) Coordinate department activities to assure departments work together toward the achievement of goals and activities by developing an information and communication system;
7. (g) Communicate with staff to solve problems by the utilization of the appropriate communication techniques such as staff meetings, department head meetings, counseling and coordination of written information;
8. (h) Prepare an annual budget of the facility in order to appropriately allocate resources to meet the facility's financial and program objectives and to prepare in advance potential cost control and managerial actions which may be required;
9. (i) Evaluate the implication of budget on quality of care;
10. (j) Ensure that the facility complies with federal, state and local laws and regulations to meet standards of quality resident care;
11. (k) Maintain a safe and productive working environment for staff in order to provide quality care

through the use of regular inspections, allocation of resources for facility maintenance and construction and periodic evaluations of staff morale and productivity;

(l) Establish and maintain programs which enhance relationships among residents, their families and the facility;

(m) Assure compliance with federal and state regulations as they relate to the facility, staffing and resident care; and

(n) Evaluate staff work procedures and policies to assure compliance with federal and state regulations.

Section 2. Standards relating to the licensed Nursing Home Administrator's responsibility to provide quality resident care. The Nursing Home Administrator shall:

(a) Ensure quality resident care through planning, implementation and evaluation of all nursing services;

(b) Recruit and hire facility staff and provide them with ongoing education in order to assure quality care for the longterm care resident;

(c) Obtain and coordinate consultant services as needed for total care by matching needs of residents with the services of consultants.

(d) Meet regularly with health care team to assure good care is being delivered;

(e) Recruit (when applicable) a qualified medical director and develop a professional relationship with the medical director that ensures a well planned and implemented medical care program;

(f) Maintain strong relationships with community medical practitioners including attending physicians and physician extenders;

(g) Encourage communication between facility staff and the residents in order to assure a caring environment with appropriate nursing and psychosocial services; and

(h) Develop facility standards for resident care by identifying those factors which affect care, as well as variables within each factor which can be adjusted and evaluated.

Section 3. Standards relating to the licensed Nursing Home Administrator's responsibility to provide for the management of long term care personnel. The Nursing Home Administrator shall:

(a) Coordinate the development, implementation and dissemination of written personnel policies and procedures including job descriptions, employee expectations, employer benefits and performance appraisal processes;

(b) Demonstrate adherence to established personnel policies and procedures;

(c) Establish clear lines of authority and responsibility among the staff in order to assure understanding and the production of quality work;

(d) Recruit and hire departmental supervisors who are qualified to meet the requirements of their position;

(e) Plan, implement and evaluate a training program to facilitate adjustment of employees to the organization and the job through appropriate educational methodology; and

(f) Plan, implement and evaluate a program which shall provide an opportunity for the personal growth and development of employees through a performance evaluation process.

Section 4. Standards relating to the licensed Nursing Home Administrator's responsibility to establish and apply physical resource management/safety plans. The Nursing Home Administrator shall:

(a) Plan, implement and evaluate a program for maintenance of building, grounds and equipment;

(b) Plan, implement and evaluate a program of environmental services, which shall provide a clean and attractive home for residents;

(c) Implement and evaluate a safety plan which shall ensure the health, welfare and safety of residents, staff and visitors; and

(d) Plan, implement and evaluate employee health, safety and educational programs which minimize the exposure to liability.