Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-2 - HEALTH PLANNING › Subject 111-2-2 - CERTIFICATE OF NEED › Rule 111-2-2-.30 - Specific Review Considerations for Skilled Nursing and Intermediate Care Facilities

Current through Rules and Regulations filed through June 27, 2024
(1)
Applicability
. A Certificate
				of Need will be required prior to the establishment of a new or expanded
				skilled nursing facility, intermediate care facility, or an intermingled
				facility.
(2)
Definitions.
(a) "Horizon year"
				means the last year of the three-year projection period for need determinations
				for a nursing facility.
(b)
				"Hospital-based nursing facility" means a nursing facility which meets the
				current definition of "Hospital-Based Nursing Facilities" as defined in the
				current Policies and Procedures for Nursing Facility Services by the Georgia
				Department of Community Health, Division of Medical Assistance. A new
				hospital-based nursing facility can only result from conversion of existing
				inpatient space on the hospital's campus.
(c) "Intermediate care facility" ("ICF")
				means an institution which provides, on a regular basis, health related care
				and services to individuals who do not require the degree of care and treatment
				which a hospital or skilled nursing facility is designed to provide but who,
				because of their mental or physical condition, require health related care and
				services beyond the provision of room and board.
(d) "Intermingled facility" means a nursing
				facility that provides both skilled intermediate levels of care.
(e) "Medicare distinct part skilled nursing
				unit" means a unit which meets the current definition of "Distinct Part of an
				Institution as SNF" as defined in the current Medicare Part A Intermediary
				Manual by the Centers for Medicare and Medicaid Services ("CMS") of the U.S
				Department of Health and Human Services.
(f) "Nursing facility" means a facility
				classified as either a skilled nursing facility, an intermediate care facility
				or an intermingled facility which admits patients by medical referral and
				provides for continuous medical supervision via 24-hour-a-day nursing care and
				related services in addition to food, shelter, and personal care.
(g) "Official State Health Component Plan"
				means the document related to the above-named services developed by the
				Department, established by the Georgia State Health Strategies Council, and
				adopted by the Board of Community Health.
(h) "Planning area" for all nursing
				facilities, with the exception of state nursing facilities, means the
				geographic regions in Georgia defined in the "Official State Health Component
				Plan". "Planning area for a state nursing facility" means the State of
				Georgia.
(i) "Retirement
				community-based nursing facility" means a nursing facility which operates as a
				lesser part of a retirement community which is a planned, age-restricted,
				congregate living development which offers housing, recreation, security,
				dietary services, and shared living areas accessible to all
				residents.
(j) "Skilled nursing
				facility" ("SNF") means a public or private institution or a distinct part of
				an institution which is primarily engaged in providing inpatient skilled
				nursing care and related services for patients who require medical or nursing
				care or rehabilitation services for the rehabilitation of the injured, disabled
				or sick persons.
(k) "State nursing
				facility" is a facility that meets the definition of a Nursing Facility as
				defined above and is owned and operated by a branch or branches of government
				of the State of Georgia.
(l) "Urban
				county" means a county with a projected population for the horizon year of
				100,000 or more and population density for that year of 200 or more people per
				square mile. All other counties are "rural".