reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 8 - COMPLAINTS, INVESTIGATIONS, AND HEARINGS › Subpart B - HEARINGS › Section R. 325.45249 - Correction notice; opportunity to show compliance

Current through Vol. 24-12, July 15, 2024
Rule 249.
(1)
					 Before commencing hearing proceedings for denial, limitation, suspension, or
					 revocation of a license pursuant to section 20165 and 20166 of the code, MCL
					 333.20165 and 333.20166, the department shall give notice to the applicant or
					 licensee, by certified mail or personal service, of the facts or conduct that
					 warrant the intended action and provide the applicant or licensee with an
					 opportunity to show compliance at a compliance conference. The notice of a
					 compliance conference must state the date, time, and location of the
					 conference. If the licensee is unable to demonstrate, to the satisfaction of
					 the department at the compliance conference, compliance with all lawful
					 requirements for a license, the department may proceed with a hearing. This
					 subrule does not apply to notices issued under sections 20162, 20168,
					 21799a(9), 21799b(2), or 21799c of the code, MCL 333.20162, 333.20168,
					 333.21799a, 333.21799b, or 333.21799c, or section 63 of the administrative
					 procedures act of 1969, 1969 PA 306, MCL 24.263.
(2) When the department issues a correction
					 notice to a nursing home under the provisions of section 21799b of the code,
					 MCL 333.21799b, the correction notice must conform to the requirements of that
					 section. The department will have a hearing officer present to conduct a
					 hearing, within 72 hours after the licensee receives the notice, at the time
					 and place specified in the correction notice. The licensee may waive the
					 opportunity for the hearing. Failure to raise objections to the correction
					 notice on or before the scheduled hearing, or failure to appear at the hearing,
					 will be deemed an admission of the matters asserted in the correction notice.
					 If the respondent fails to make an appearance or to timely contest the notice,
					 the correction notice is final. The licensee may notify the department that it
					 believes it has complied with the correction notice and may request
					 verification of compliance from the department in accordance with section
					 21799b(3) of the code, MCL 333.21799b.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 8 - COMPLAINTS, INVESTIGATIONS, AND HEARINGS › Subpart B - HEARINGS › Section R. 325.45251 - Discovery and depositions

Current through Vol. 24-12, July 15, 2024
Rule 251.
(1)
					 The same rights to discovery and depositions provided in the Michigan court
					 rules for civil procedure apply to hearings commenced and conducted under
					 section 20165 and 20166 of the code, MCL 333.20165 and 333.20166. The presiding
					 officer shall rule on all motions relative to depositions and
					 discovery.
(2) The presiding
					 officer shall not allow discovery depositions and motions for discovery if they
					 are likely to interfere with the efficient and timely conduct of the hearing,
					 unless substantial prejudice would result.
(3) The presiding officer may administer
					 oaths and issue subpoenas upon request of a party or the partys
					 representative.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45261 - Health facility; construction; hazards

Current through Vol. 24-12, July 15, 2024
Rule 261. A health facility must be of safe construction
						and free from hazards to patients, visitors, and staff.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45263 - Construction permit review; guidelines; adoption by reference

Current through Vol. 24-12, July 15, 2024
Rule 263.
(1) In
					 performing a construction permit review for a health facility, the department
					 shall apply the following guidelines, which are adopted by reference, unless a
					 different standard is otherwise specified in these rules:
(a) The following 3 guidelines from the
					 Facility Guidelines Institute (FGI):
(i)
					 "Guidelines for Design and Construction of Hospitals," 2018 edition.
(ii) "Guidelines for Design and Construction
					 of Residential Health, Care, and Support Facilities," 2018 edition.
(iii) "Guidelines for Design and Construction
					 of Outpatient Facilities," 2018 edition.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45265 - Submission of plans and specifications for a construction permit

Current through Vol. 24-12, July 15, 2024
Rule 265.
(1) To
					 assure compliance with the code and these rules, a health facility shall submit
					 to the department for review and approval or disapproval complete plans and
					 specifications for all the following projects:
(a) New buildings.
(b) Additions.
(c) Building change.
(d) Conversion of existing structures for use
					 as a health facility.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45267 - Existing licensed health facility; exception

Current through Vol. 24-12, July 15, 2024
Rule 267. An existing licensed health facility that is
						not in compliance with the provisions of these rules may be permitted to
						continue in use so long as the facility is sufficient to protect patient health
						and safety and provide services, unless the department determines that such use
						constitutes a hazard.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45269 - Health facility floor plan

Current through Vol. 24-12, July 15, 2024
Rule 269. A health facility shall keep onsite a floor
						plan of the facility with a description of rooms showing size, use, door
						locations, window area, number of beds, and fixed equipment.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45271 - Exterior; ramps; steps; handrail, light; entrance; access

Current through Vol. 24-12, July 15, 2024
Rule 271. Exterior ramps and steps must have a handrail
						on both sides. Sufficient light for an exterior ramp or steps must be provided
						for the safety of persons using the facility. At least 1 entrance to the health
						facility must provide easy access for persons with mobility
						limitations.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45275 - Patient room

Current through Vol. 24-12, July 15, 2024
Rule 275.
(1) A
					 room used for patient living or sleeping purposes must have a minimum total
					 window glass area on the outside walls equal to 10% of the required floor area,
					 and a clear unobstructed window view for a minimum distance of 20 feet from the
					 face of the window measured perpendicular to the window. One additional foot
					 must be added to the minimum distance of 20 feet for each 2-foot rise above the
					 first story, up to a maximum of 40 feet of required unobstructed space.
					 Forty-five percent of this window glass area must be openable, unless the room
					 is artificially ventilated.
(2) A
					 1-bed patient room must provide a minimum of 120 square feet of clear floor
					 area. A 2-bed room must provide a minimum of 100 square feet of clear floor
					 area per bed. A room used for bassinets must provide a minimum area of 40
					 square feet per bassinet.
(3) A
					 patient room must have not less than a 3-foot clearance available on both sides
					 and at the foot of each bed. A 2-bed room must have a minimum of 4 feet of
					 clearance available at the foot of each bed.
(4) A patient room must be provided with a
					 toilet room opening into the room. A water closet or bathing facility must have
					 grab bars that are anchored to sustain a concentrated load of 250
					 pounds.
(5) Handwashing facilities
					 must be provided in each patient room and in each connecting toilet
					 room.
(6) Usable floor space must
					 not include a toilet room, closet, or vestibule.
(7) A wardrobe or closet must be provided for
					 the storage of personal clothing. A patient room in a residential facility must
					 provide a minimum of 5 square feet of floor space per bed for this wardrobe and
					 closet, in addition to other requirements for usable floor space per
					 bed.
(8) A 2-bed room must provide
					 visual privacy from other patients and visitors. The design for privacy must
					 not restrict patient access to the entrance, lavatory, toilet room, window view
					 or wardrobe.
(9) A basement or
					 cellar must not be used for sleeping or living quarters. A patient room must
					 have the floor surface at or above grade level along exterior walls with
					 windows.
(10) A patient room must
					 permit the functional placement of furniture and equipment essential to the
					 patients' comfort and safety.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45277 - Surgical service; examination room; operating or procedure room

Current through Vol. 24-12, July 15, 2024
Rule 277. A facility that provides surgical services
						shall meet all the following requirements:
(a) The facility must have enough examination
					 rooms to meet the volume of work to be accomplished. Each single-patient
					 examination room must have a minimum clear floor area of 120 square feet and
					 must provide a minimum 3-foot clearance at each side and the foot of the
					 examination table. In freestanding surgical outpatient facilities, the room
					 size may be reduced to 100 square feet and must provide a minimum 3-foot
					 clearance at each side and at the foot of the examination table.
(b) An examination room must have a handwash
					 lavatory within the room, which must be equipped with a gooseneck inlet and
					 wrist, knee, or foot controls.
(c)
					 A change area must be provided for patients, and provision must be made for the
					 safe storage of their personal effects.
(d) The facility must have enough operating
					 or procedure rooms to meet the volume of work to be accomplished and they must
					 comply with both of the following:
(i) Each
					 operating room must have a minimum clear floor area of 400 square feet, with a
					 minimum clear dimension of 20 feet, exclusive of fixed or wall mounted cabinets
					 and built-in shelves. In freestanding surgical outpatient facilities, where the
					 surgical procedures are restricted to eye, endoscopy, and other similar minor
					 procedures, the room size may be reduced to 270 square feet.
(ii) One scrub sink with a gooseneck outlet
					 must be provided near the entrance to each operating room. A scrub sink with
					 two positions may be shared between two adjacent operating rooms, provided that
					 it is located near the entrances to both rooms.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45279 - Surgical patient observation and recovery areas

Current through Vol. 24-12, July 15, 2024
Rule 279.
(1) A
					 facility that provides surgical services must have patient observation and
					 recovery areas in sufficient numbers to accommodate the patient load, with a
					 planned minimum of a 3-hour recovery period and longer when necessary for
					 individual patients. The areas must be comfortably furnished and adequately
					 equipped for the patient's safe postoperative observation and
					 recovery.
(2) The facility must
					 provide at least 1 recovery room equipped for use by and observation of
					 patients requiring recumbent care post-surgically. A minimum of one
					 hospital-type bed or stretcher must be provided for each 10 post-surgical
					 patients to be cared for at any one time.
(3) Single patient rooms must have a minimum
					 of 100 square feet of usable floor space.
(4) Multiple patient rooms must have a
					 minimum of 80 square feet of floor space per bed or stretcher.
(5) A recovery room must be designed to
					 provide a minimum of 3 feet between beds or stretchers and the adjacent wall,
					 and 4 feet of clearance at the foot of the bed or stretcher.
(6) Comfortably furnished congregate rooms
					 equipped with either reclining or lounge-type chairs or cots may be provided
					 for the post-surgical observation of patients who do not need bed or stretcher
					 accommodations. Each congregate-type room must provide a minimum of 50 square
					 feet of usable floor space for each patient to be accommodated.
(7) A toilet and lavatory must be provided
					 for each 8 recovery patients at a minimum.
(8) Corridors used for patient entry, egress,
					 and surgical care areas in the facility must have a minimum width of 6
					 feet.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45281 - Airborne infection isolation patient room

Current through Vol. 24-12, July 15, 2024
Rule 281.
(1) A
					 health facility that accepts patients who require airborne infection isolation
					 must provide 1-bed airborne infection isolation (AII) patient rooms with
					 attached lavatory, water closet, and bathing facility, reserved for the use of
					 the occupant of that room only.
(2)
					 The number of 1-bed AII patient rooms must be determined by an infection
					 control risk assessment. An AII patient room must have an area located directly
					 outside or immediately inside the entry door for staff hand washing and gowning
					 and for storage of clean and soiled materials.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45283 - Nursing care facility; long-term acute care hospital; hospice residence; dayroom; dining; activity; space

Current through Vol. 24-12, July 15, 2024
Rule 283.
(1) A
					 nursing care facility shall provide a minimum of 30 square feet of floor space
					 per bed for dayroom, dining, and activity space. This space must always be
					 accessible to patients.
(2) A
					 hospice residence or a long-term acute care hospital shall provide a minimum of
					 15 square feet of floor space per bed for dayroom, dining, and activity space.
					 This space must always be accessible to patients.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45285 - Residential health care facilities; special requirements

Current through Vol. 24-12, July 15, 2024
Rule 285. Residential health care facilities shall meet
						all the following requirements:
(a) A
					 patient room must open to a corridor, lobby, or dayroom. Traffic to and from
					 any room must not be through a sleeping room, kitchen, bathroom, utility room,
					 toilet room, or service room, except where a utility room, toilet room, or
					 bathroom opens directly off the room or rooms that it serves.
(b) Patient bathing facilities must be
					 provided at the rate of one bathing fixture for every 20 patients not otherwise
					 served by bathing facilities in patient rooms.
(c) Nursing stations must be located within
					 120 feet of each patient room door.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45287 - Doors

Current through Vol. 24-12, July 15, 2024
Rule 287.
(1)
					 The minimum clear width for door openings in the means of egress from sleeping
					 rooms, diagnostic and treatment rooms, and nursery rooms must be 41.5
					 inches.
(2) Door openings to
					 patient toilet rooms and other rooms needing access for wheelchairs must
					 provide a minimum clear opening of 32 inches.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45289 - Ceiling height

Current through Vol. 24-12, July 15, 2024
Rule 289. The minimum ceiling height of rooms and
						corridors must be 7 feet 10 inches, with the following exceptions:
(a) Ceilings in storage rooms and toilet
					 rooms must be not less than 7 feet 6 inches in height.
(b) Ceiling heights in small, normally
					 unoccupied spaces may be reduced below 7 feet 6 inches if approved by the
					 department.
(c) Suspended tracks,
					 rails, and pipes located in the traffic path for patients in beds or on
					 stretchers, including those in inpatient service areas, must be not less than 7
					 feet above the floor. Clearances in other areas may be 6 feet 8 inches and
					 applies to the lowest fixed point of ceiling mounted surgical lights, overhead
					 rails/cables in diagnostic and therapeutic radiology rooms, and ceiling/wall
					 mounted televisions under potential footpaths.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45291 - Handrails

Current through Vol. 24-12, July 15, 2024
Rule 291. A handrail with ends returned to the wall must
						be provided on both sides of a corridor, ramp, or stairway used by
						patients.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45293 - Lobby; waiting area; public toilet rooms; public drinking water

Current through Vol. 24-12, July 15, 2024
Rule 293.
(1) A
					 lobby or waiting area for visitors must be functionally separate from patient
					 care units.
(2) Except as provided
					 in subrule (3) of this rule, a health facility shall provide one or more public
					 toilet rooms, equipped with a lavatory and water closet, located near waiting
					 and reception areas.
(3) Facilities
					 with a licensed bed capacity of 8 or less may share staff and public toilet
					 facilities.
(4) In new construction
					 or renovations, a source of public drinking water must be provided.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45295 - Personnel areas

Current through Vol. 24-12, July 15, 2024
Rule 295.
(1) A
					 health facility shall provide space for reception, waiting, interviewing,
					 administrative, and business office functions.
(2) A health facility shall provide space for
					 admission, interviewing, and consultation functions so located as to provide
					 reasonable privacy. This must include office space with audible privacy and
					 furnishings for a social worker if one is employed and for counselors and
					 outside agency workers, when indicated, to interview and advise
					 patients.
(3) A health facility
					 shall provide locker room space or other security resources for the personal
					 effects of employees. Individual dressing rooms must be provided for employees
					 when surgical attire is required. A lavatory and water closet must be located
					 convenient to the break or locker room space.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45297 - Heating, ventilation, and air conditioning

Current through Vol. 24-12, July 15, 2024
Rule 297.
(1)
					 Heating, ventilation, and air conditioning systems must be designed, installed,
					 operated and maintained to meet the requirements of the American Society for
					 Heating Refrigerating and Air Conditioning Engineers (ASHRAE) Standard 170 -
					 2017 Ventilation of Health Care Facilities. This standard is available as
					 described in R 325.45263.
(2)
					 Exhaust ventilation shall be designed as central systems with the fan at the
					 building exterior and at least 10 feet from all doors, operable windows, and
					 domestic outside air intakes.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45299 - Electrical equipment; outlets; receptacles

Current through Vol. 24-12, July 15, 2024
Rule 299.
(1)
					 Electrical equipment must be maintained in good repair and be properly
					 grounded.
(2) Duplex electrical
					 outlets with a 3-wire system must be provided in sufficient number and
					 convenient locations to meet the needs of the areas served. A health facility
					 shall provide at least 2 duplex outlets located at the head of each
					 bed.
(3) A patient room must have
					 at least 1 grounded duplex electrical receptacle located on each side of the
					 head of each bed and 1 duplex receptacle on each other wall.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45301 - Emergency electrical service

Current through Vol. 24-12, July 15, 2024
Rule 301.
(1) A
					 health facility shall have emergency electrical service permanently installed
					 in the facility to provide all the following:
(a) Lighting in corridors, exits, operating
					 rooms, procedure rooms, recovery rooms, congregate rooms, and nurse
					 stations.
(b) Telephone
					 switchboard.
(c) Heating
					 plant.
(d) Other critical
					 mechanical equipment essential to the safety and welfare of patients,
					 personnel, and visitors.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45305 - Elevator

Current through Vol. 24-12, July 15, 2024
Rule 305. An elevator must be provided where patient care
						is provided at different floor levels. The cab size of the elevator must be
						sufficient to accommodate a stretcher and attendant. An elevator must have a
						minimum cab size of 5 feet 8 inches wide by 9 feet deep for acute care
						facilities and a cab size of 5 feet 0 inches wide by 7 feet 6 inches deep for
						residential facilities.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45307 - Medical waste; biohazard; solid waste; sanitary sewage

Current through Vol. 24-12, July 15, 2024
Rule 307.
(1) A
					 health facility shall comply with the requirements of the medical waste
					 regulatory act, part 138 of the code, MCL 333. 13801 to 333.13832.
(2) A health facility shall have a written
					 policy to govern the storage, transportation, and disposal of surgical
					 specimens and other biohazards.
(3)
					 The collection, storage, and disposal of solid wastes, including garbage,
					 refuse, and dressings, must be accomplished in a manner that will minimize the
					 danger of disease transmission and avoid creating a public nuisance or a
					 breeding place for insects and rodents.
(4) Suitable containers for garbage, refuse,
					 dressings, and other solid wastes must be provided, emptied at frequent
					 intervals, and maintained in a clean and sanitary condition.
(5) Sanitary sewage must be discharged into a
					 public sanitary sewage system when a system is available. When a public
					 sanitary sewage system is not available, and a private sanitary sewage disposal
					 system is used, the type, size, construction and alteration of, or major
					 repairs to the system, must be approved by the authority having jurisdiction
					 and the department. The sewage disposal system must be maintained in a sanitary
					 manner.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45309 - Laundry; linen; ventilation; lavatory; equipment; storage

Current through Vol. 24-12, July 15, 2024
Rule 309.
(1) A
					 health facility that processes its own linen shall have all of the following:
(a) A well-ventilated laundry room of
					 sufficient size to allow functional separation of soiled linen holding, laundry
					 processing, and clean linen folding.
(b) The laundry must be ventilated to provide
					 directional airflow from clean to soiled areas.
(c) A lavatory for hand washing must be
					 provided in the laundry processing area.
(d) Laundry equipment must be rated
					 commercial and be of sufficient capacity to meet the needs of the
					 facility.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45311 - Storage

Current through Vol. 24-12, July 15, 2024
Rule 311.
(1)
					 Space must be provided sufficient to meet the need for storage of medical
					 equipment, medical supplies, and furniture.
(2) Space must be provided sufficient to meet
					 the need for segregation of cleaned and used equipment.
(3) A patient toilet room or bathroom must
					 not be used for storage or housekeeping functions.
(4) A central general storage room must be
					 provided with space necessary to meet storage needs of the facility. In
					 residential health care facilities, at least 10 square feet per bed of general
					 storage space must be provided in the facility.
(5) Space must be provided for the storage of
					 clean linen. Soiled linen holding must be separate from storage of clean
					 linen.
(6) Corridors, hallways,
					 passageways, and doorways must always be kept free from obstruction. A corridor
					 may not be used for storage to accommodate insufficient space for storage of
					 medical equipment.
(7) A workroom
					 must be provided for holding trash, medical waste, and soiled linens. The room
					 must be separate from clean storage.
(8) Dedicated clean storage space must be
					 provided.
(9) A patient care unit
					 must have a dedicated area for medication storage, preparation, and
					 documentation. The space must be well lighted and equipped with a lavatory for
					 hand washing, a refrigerator, and locked storage for medication.
(10) A room must be provided on the premises
					 for equipment and furniture maintenance and repair and storage of maintenance
					 equipment and supplies.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45313 - Kitchen; dietary

Current through Vol. 24-12, July 15, 2024
Rule 313. A health facility shall be in compliance with
						the food law, 2000 PA 92, MCL 289.1101 to 289.8111
.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45315 - Integrated pest management

Current through Vol. 24-12, July 15, 2024
Rule 315. A health facility shall be kept free from
						insects and vermin utilizing active integrated pest management processes.
						Insect and vermin control procedures involving the use of insecticides or
						pesticides must be carried out in a manner consistent with manufacturers
						indications for use and in a manner that protects the health and safety of
						patients, personnel, and visitors.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45317 - General maintenance; cleaning

Current through Vol. 24-12, July 15, 2024
Rule 317.
(1)
					 The premises of a health facility must be maintained in a safe and sanitary
					 condition and in a manner consistent with the publics health and
					 welfare.
(2) Floors, walls, and
					 ceilings must be covered and finished in a manner that permits maintenance of a
					 sanitary environment.
(3) A storage
					 area for housekeeping items and a janitor's closet must be provided for the
					 building. A separate dedicated janitors closet must be provided with convenient
					 access for the kitchen and dietary areas.
(4) Routine cleaning and disinfection must be
					 conducted at specified intervals and between uses by different
					 patients.
(5) Routine cleaning and
					 disinfection must be conducted according to the environmental disinfectants
					 indication for use.
(6) Patient
					 care equipment and supplies must be single use disposable or must be
					 disinfected between patients.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart B - MAINTENANCE, SANITATION, AND HOUSEKEEPING › Section R. 325.45319 - Sterilization; high-level disinfection

Current through Vol. 24-12, July 15, 2024
Rule 319.
(1) A
					 health facility that provides sterilization and high-level disinfection shall
					 have sufficient space for both of the following:
(a) The volume of sterilization and
					 high-level disinfection processing to allow orderly work flow for instrument
					 decontamination, instrument cleaning, assembly and packaging, and the number of
					 sterilization units.
(b) Unimpeded
					 staff movement to avoid environmental contamination of supplies.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart C - COMMUNICATION AND SECURITY › Section R. 325.45321 - Nurse call system; equipment; telephone

Current through Vol. 24-12, July 15, 2024
Rule 321.
(1) A
					 nurse call system must be provided in each facility. This system must provide
					 call devices of the designated types shown at the locations identified in Table
					 2.
(2) A health facility shall
					 provide a telephone service that is available on patient care units.
TABLE 2
Location of Nurse Call Devices
Key: * Required
[] Optional, but must be justified
Area Designation
Patient Station
Patient Bath Station
Emergency Signal Station
Code Call Station
Nurse Master Station
Duty Station
Notes
Nursing Units
Inpatient Bed Location
*
*
[]
Patient Water Closets, Showers, and
									 Baths
*
Nurse Control Station
*
Clean Workroom
*
Clean Supply Room
[]
Soiled Workroom
*
Soiled Holding Room
[]
Medication Preparation Room
*
Examination or Treatment Room
[]
*
*
Nurse Lounge
*
Clean Linen Storage
[]
Nourishment Station
[]
Equipment Storage Room
[]
Multi-Purpose Room
[]
Other Clinical Areas
Operating or Delivery Rooms
*
[]
Procedure Rooms
*
[]
Labor, Delivery, Recovery, Post-Partum
									 Rooms
*
*
*
Recovery Phase 1
[]
*
*
[]
Recovery Phase 2
*
*
[]
[]
Emergency Exam, Treatment and Triage
									 Areas
*
*
*
[]
1,2,4
Patient Preparation and Holding Areas
*
*
[]
[]
1,2
Critical Care Bed Locations, including
									 NICU
*
*
*
[]
1,2,3,4
Newborn and Special Care Nurseries
*
[]
Cardiac
Catheterization, Interventional and
									 Radiological Areas Angiography
[]
*
*
[]
MRI, CT, Stress Testing Areas
[]
*
*
2,4
Outpatient Examination Areas
[]
[]
Outpatient Waiting and Changing Areas
[]
2
Psychiatric Seclusion, Ante, and Exam
									 Rooms
*
[]
Outpatient Toilet Rooms, Showers, Baths
[]
2
Psychiatric Patient 2
Room
[]
2
Notes:
1. One device may accommodate both patient
									 station and emergency staff assistance station functionality.
2. Must activate a visible signal in the
									 corridor at the patients door, at the nurse control station, and all duty
									 stations.
3. Provide 2-way voice communication with nurse
									 control station.
4. One device may accommodate both emergency
									 staff assistance and code call station functionality.
5. Patient station not required in NICU.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart C - COMMUNICATION AND SECURITY › Section R. 325.45323 - Security system

Current through Vol. 24-12, July 15, 2024
Rule 323. A security system must be provided that meets
						all of the following objectives:
(a)
					 To meet the needs of the population served and the services provided.
(b) To provide safe ingress and egress to the
					 health facility.
(c) To restrict
					 access to specific areas including, but not limited to, all of the following:
(i) Surgical suites.
(ii) Central sterile supply.
(iii) Obstetric unit.
(iv) Pediatric unit.
(v) Medication storage areas.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart A - FREESTANDING SURGICAL OUTPATIENT FACILITY › Section R. 325.45331 - Anesthesia

Current through Vol. 24-12, July 15, 2024
Rule 331. A qualified anesthesiologist or anesthetist
						shall be present where medically necessary to evaluate and select the most
						appropriate anesthetic agent to be used and to supervise or administer the
						anesthetic.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart A - FREESTANDING SURGICAL OUTPATIENT FACILITY › Section R. 325.45333 - Surgical procedures

Current through Vol. 24-12, July 15, 2024
Rule 333.
(1)
					 Surgical procedures must be performed by licensed and credentialed health
					 professionals.
(2) A physician or
					 registered professional nurse shall be onsite until all surgical patients have
					 been discharged and leave the health facility.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart A - FREESTANDING SURGICAL OUTPATIENT FACILITY › Section R. 325.45335 - Surgical hand-scrub hygiene procedures

Current through Vol. 24-12, July 15, 2024
Rule 335. A facility shall have a written policy and
						procedure, adopted by the medical staff, to provide for adequate surgical
						hand-scrub throughout the surgical operative and postoperative
						procedure.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart A - FREESTANDING SURGICAL OUTPATIENT FACILITY › Section R. 325.45337 - Surgical equipment, instruments, supplies, and reprocessing

Current through Vol. 24-12, July 15, 2024
Rule 337.
(1)
					 Surgical equipment, instruments, and supplies must be maintained in sufficient
					 quantities, stored in a sanitary environment, and maintained in accordance with
					 the applicable manufacturer guidelines and nationally recognized infection
					 prevention and control guidelines published by any of the following
					 organizations:
(a) Centers for Disease
					 Control and Prevention (CDC).
(b)
					 Association for Professionals in Infection Control and Epidemiology
					 (APIC).
(c) Society for Healthcare
					 Epidemiology of America (SHEA).
(d)
					 Association of Perioperative Registered Nurses (AORN).
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart A - FREESTANDING SURGICAL OUTPATIENT FACILITY › Section R. 325.45339 - Food and beverage

Current through Vol. 24-12, July 15, 2024
Rule 339. If food and beverage are provided to patients,
						the facility shall store and serve them in a safe and sanitary
						manner.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45345 - General services

Current through Vol. 24-12, July 15, 2024
Rule 345.
(1) As
					 the needs of the hospice or hospice residence and its patient and family units
					 dictate, the services of qualified personnel, who need not be an employee, must
					 be made available in all the following disciplines:
(a) Physician services.
(b) Nursing services.
(c) Social work services.
(d) Counseling services, including spiritual,
					 dietary, and bereavement counseling.
(e) Hospice aide services.
(f) Volunteer services.
(g) Therapy services, including physical,
					 occupational, and speech therapy.
(h) Short term inpatient care.
(i) Pharmaceuticals, medical supplies, and
					 durable medical equipment services.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45347 - Policies and procedures for home or inpatient care and services

Current through Vol. 24-12, July 15, 2024
Rule 347.
(1) In
					 addition to the policies and procedures required in part 3 of these rules, the
					 hospice administrator shall ensure the development of written policies and
					 procedures for all the following services:
(a) Bereavement services.
(b) Social work services.
(c) Counseling
					 services
.
(d)
					 Volunteer services.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45349 - Contractual services

Current through Vol. 24-12, July 15, 2024
Rule 349.
(1) A
					 hospice shall routinely provide all nursing, social work, and counseling
					 services directly by hospice employees, except as provided in subrule (2) of
					 this rule.
(2) A hospice may
					 contract with other health care providers or appropriate parties for nursing,
					 social work, and counseling services to supplement hospice employees to meet
					 the needs of patients under extraordinary or other non-routine
					 circumstances.
(3) A hospice may
					 contract with other health care providers or appropriate parties for the
					 provision of physician services and general services other than nursing, social
					 work, and counseling services when the hospice does not have sufficient
					 qualified staff or available adequate equipment to render such services
					 directly.
(4) The department may
					 provide an exception to subrules (1), (2) and (3) of this rule for a hospice
					 that meets all of the following:
(a) The
					 hospice requests an exception to contract for nursing services due to a
					 shortage of nurses in the geographic area served by the hospice.
(b) The hospice is in a non-urbanized
					 area.
(c) The hospice provides
					 evidence to the department that it has made a good faith effort to hire a
					 sufficient number of nurses to provide services.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45351 - Physician services

Current through Vol. 24-12, July 15, 2024
Rule 351.
(1) A
					 patient shall be under the care of a physician who is responsible for providing
					 or arranging for medical care that emphasizes prevention and control of pain
					 and other distressing symptoms. This physician may be the attending
					 physician.
(2) The physician
					 providing the medical care to a patient shall be responsible for the direction
					 and quality of medical care rendered to that patient.
(3) The physician shall review the patient's
					 medical history and initial assessment no greater than 15 days prior to or 2
					 days following admission to hospice services. This review may be of a
					 preadmission assessment or an intake physical assessment, and may be reviewed
					 in person, electronically, or by phone consultation.
(4) The physician shall do both of the
					 following:
(a) Validate the prognosis and
					 life expectancy of the patient, pursuant to section 21417 of the code, MCL
					 333.21417.
(b) Assist in developing
					 the care plan of the patient.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45353 - Nursing services

Current through Vol. 24-12, July 15, 2024
Rule 353.
(1) A
					 hospice shall assure that a registered professional nurse completes an initial
					 assessment of the patients condition within 48 hours after the election of
					 hospice care, unless sooner as requested by the physician, patient, or patient
					 representative.
(2) A comprehensive
					 assessment of the patient must be completed by the hospice interdisciplinary
					 care team no later than 5 calendar days after the election of hospice care. The
					 comprehensive assessment must identify the patients immediate physical,
					 psychosocial, emotional, and spiritual needs related to the terminal
					 illness.
(3) The patient care plan
					 must be established by the hospice interdisciplinary care team. The patient
					 care plan must include problems, interventions, and goals specific to the
					 patient and family unit and all medications, medical equipment, and other
					 pertinent items used by the patient. The patient care plan must be revised or
					 updated every 15 days or as the needs of the patient/family unit
					 change.
(4) A staff member, as
					 designated in the patients record, is responsible for the coordination,
					 implementation, and ongoing review of each plan. The plan must be recorded and
					 maintained as part of the patient and family unit record.
(5) The patient care plan must give direction
					 to the care given in meeting the physical, psycho-social, and spiritual needs
					 of the patient and family unit. The plan must be personalized to meet the
					 individuals needs and treatment decisions.
(6) Resource materials relating to the
					 administration and untoward effects of medications and treatments used in pain
					 and symptom control must be readily available to hospice personnel.
(7) The hospice shall arrange for the
					 availability of nursing services 24 hours a day, 7 days a week.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45355 - Hospice residence; additional staffing requirements

Current through Vol. 24-12, July 15, 2024
Rule 355.
(1) In
					 addition to the human resources requirements in part 4 of these rules, R
					 325.45171 to R 325.45185, a hospice residence shall also comply with all of the
					 following staffing requirements:
(a) Provide
					 24-hour nursing services for each patient pursuant to the patient's hospice
					 care plan.
(b) Direct and staff
					 nursing services to assure that the nursing needs of patients are
					 met.
(c) Specify patient care
					 responsibilities of nursing and other hospice personnel.
(d) Provide services in accordance with
					 recognized standards of practice.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 10 - SPECIAL REQUIREMENTS › Subpart B - HOSPICE AND HOSPICE RESIDENCE › Section R. 325.45357 - Bereavement services

Current through Vol. 24-12, July 15, 2024
Rule 357. The hospice shall offer a program to provide
						bereavement services to the family for no less than one year after the death of
						the patient. The program must be designed to meet the needs of individuals in
						their adjustment to experiences associated with death, both before and
						following the patients death. A professional educated or otherwise qualified in
						providing grief or loss services shall supervise the bereavement
						program.