Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 110 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF SKILLED NURSING FACILITIES AND NURSING FACILITIES › Section 144-110-4 - Administration

Current through 2024-29, July 17, 2024
4.A.
Administrator
4.A.1.
Qualifications
The administrator of a facility licensed pursuant to these
				  regulations shall have a current administrator's license or a temporary permit
				  issued by the Nursing Home Administrators Licensing Board. Hospital based
				  facilities are not required to have a licensed nursing home
				  administrator.
4.A.2.
Functions
The administrator designated on the license shall be
				  responsible for:
a. Carrying out the
				policies of the facility;
b. The
				day-to-day operation and management;
c. The control, conservation and utilization
				of physical and financial resources;
d. The hiring of an adequate number of
				qualified, competent personnel;
e.
				The discharge of such functions as the licensee may properly delegate to
				him/her;
f. Ensuring that the
				facility is in compliance with State licensing and Federal certification
				regulations.
4.A.3.
Non-Licensed Person to Act in Absence of Administrator
An individual, authorized to act in the absence of the
				  administrator during the normal working day, shall be designated. Any planned
				  absence of the administrator for a period longer than thirty (30) days shall be
				  reported in writing to the Department.
4.A.4.
Non-Licensed Acting
				Administrator for Emergency Conditions
If the licensee of a licensed skilled nursing facility and/or
				  a nursing facility is required to secure a new administrator as a result of an
				  unexpected vacancy, he/she may, upon seventy-two (72) hours notice to the
				  Department and in accordance with the rules and regulations thereof, place the
				  facility in charge of an acting administrator qualified through current
				  experience in administrative long term care responsibilities. This shall be for
				  such limited time mutually agreed upon between the Department and the licensee,
				  as may be necessary to permit the securing of a licensed administrator, but in
				  no event to exceed sixty (60) days. When a licensed administrator has been
				  secured, the provisions of Section 2. H.6., Change of Administrator, shall
				  apply. If unable to secure a licensed administrator within sixty (60) days, the
				  facility shall submit to the Department written evidence of action taken to
				  secure an administrator.
4.A.5.
Full-Time Administrator
Each nursing facility larger than forty (40) beds in size
				  shall have a full-time administrator.
4.A.6.
Part-Time Administrator
a. Each nursing facility of forty (40) beds
				or less in size, may have a part-time administrator.
b. All duties and schedules of working hours
				of part-time administrators of nursing facilities shall be outlined in the
				policies of the facility.
4.A.7.
Shared Administrator
a. Separately licensed nursing facilities
				and/or assisted living facilities may share the same administrator as long as
				the number of beds for which the administrator is responsible does not exceed
				one hundred (100), subject to approval of the Department.
b. Requests to the Department for exceptions
				to (a) above may be made in writing when administrative functions for two (2)
				or more licensed facilities are carried out in a central office. Such requests
				shall define the functions being handled centrally. The Department shall
				indicate in writing whether or not the request for an exception is
				granted.
c. Any sharing of the same
				administrator shall be defined and the duties and schedule of working hours for
				each facility shall be outlined in the policy material of the facilities
				involved.
4.A.8.
Administrator In Training
Any facility that has an administrator in training (AIT) must
				  ensure that a licensed administrator or designee other than the AIT is in
				  charge of the facility. No AIT is to be listed on any facility license as the
				  administrator.