reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15409 - Bedroom space; "usable floor space" defined

Current through Vol. 24-12, July 15, 2024
Rule 409.
(1) As
					 used in this rule, "usable floor space" means floor space that is under a
					 ceiling which is not less than 6 feet, 6 inches in height, excluding closets
					 and space that is under a portable wardrobe. When determining usable floor
					 space, an alcove or any other part of the room that does not have at least a
					 7-foot horizontal dimension shall be excluded.
(2) A single occupancy bedroom shall have not
					 less than 80 square feet of usable floor space.
(3) A multioccupancy resident bedroom shall
					 have not less than 65 square feet of usable floor space per bed.
(4) A maximum of 2 beds shall be allowed in
					 any multioccupancy bedroom, except as provided in subrule (5) of this
					 rule.
(5) A maximum of 4 beds shall
					 be allowed in any multioccupancy bedroom for those licensees and homes that
					 were licensed on the effective date of these rules and that have had licenses
					 in continuous effect.
(6) Where
					 there is a change of ownership or a change in licensee for those licensees and
					 homes that were licensed on the effective date of these rules and whose
					 licenses have been in continuous effect, a maximum 4 beds shall be allowed in
					 any multioccupancy bedroom when all of the following conditions have been met:
(a) The resident or his or her designated
					 representative has agreed, in writing, to continue to reside in the
					 multioccupancy room.
(b) The home
					 is in compliance with all applicable state fire safety and environmental health
					 standards.
(c) The multioccupancy
					 bedroom provides not less than 70 square feet (65 square feet for homes
					 licensed on or before December 31, 1976) of usable floor space per bed. "Usable
					 floor space" means the floor space under a ceiling that is not less than 6 feet
					 6 inches in height.
(d) The
					 licensee has made provision for individual privacy as required in these
					 rules.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15410 - Bedroom furnishings

Current through Vol. 24-12, July 15, 2024
Rule 410.
(1)
					 The bedroom furnishings in each bedroom shall include all of the following:
(a) An adequate closet or wardrobe.
(b) Lighting that is sufficient for reading
					 and other resident activities.
(c)
					 A bureau or dresser or equivalent.
(d) At least 1 chair.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Large Group Homes › Part 4 - ENVIRONMENTAL CONDITIONS › Section R. 400.15411 - Linens

Current through Vol. 24-12, July 15, 2024
Rule 411.
(1) A
					 licensee shall provide clean bedding that is in good condition. The bedding
					 shall include 2 sheets, a pillow case, a minimum of 1 blanket, and a bedspread
					 for each bed. Bed linens shall be changed and laundered at least once a week or
					 more often if soiled.
(2) A
					 licensee shall provide at least 1 standard bed pillow that is comfortable,
					 clean, and in good condition for each resident bed.
(3) A licensee shall provide bath towels and
					 washcloths. Towels and washcloths shall be changed and laundered not less than
					 twice weekly or more often if soiled.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Contested Case Hearings › Section R. 400.16001 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1.
(1) As
				  used in these rules:
(a) "Act" means Act No.
				  116 of the Public Acts of 1973, as amended, being §
											722.111et
				  seq. of the Michigan Compiled Laws.
(b) "Act No. 218" means Act No. 218 of the
				  Public Acts of 1979, as amended, being §
											400.701et seq. of the
				  Michigan Compiled Laws.
(c)
				  "Noncompliance" means a violation of the act or act 218, an administrative rule
				  promulgated under the act or act 218, or the terms of a license or a
				  certificate of registration.
(d)
				  "Substantial noncompliance" means repeated violations of the act or act 218 or
				  an administrative rule promulgated under the act or act 218, or noncompliance
				  with the act or act 218, or a rule promulgated under the act or act 218, or the
				  terms of a license or a certificate of registration that jeopardizes the
				  health, safety, care, treatment, maintenance, or supervision of individuals
				  receiving services or, in the case of an applicant, individuals who may receive
				  services.
(e) "Willful
				  noncompliance" means, after receiving a copy of the act or act 218, the rules
				  promulgated under the act or act 218 and, for a license, a copy of the terms of
				  a license or a certificate of registration, an applicant or licensee knew or
				  had reason to know that his or her conduct was a violation of the act or act
				  218, rules promulgated under the act or act 218, or the terms of a license or a
				  certificate of registration.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1201 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1201. As used in this subpart:
(a) "Active treatment" means all of the
				  following:
(i) Services that are provided
				  under an individualized plan of services.
(ii) Services that are directed toward
				  improving or maintaining the patient's condition.
(iii) Services that are provided, or
				  supervised and evaluated, by a mental health professional.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1210 - Licenses; application; duration; renewal; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 1210.
(1) A
				  hospital shall not be established or maintained in this state and the terms
				  "mental hospital," "psychiatric hospital," and "psychiatric unit" shall not be
				  used without first obtaining a license from the department.
(2) A license as a mental hospital,
				  psychiatric hospital, or psychiatric unit shall not be issued by the department
				  without first receiving an application for a license which is filed with the
				  department on prescribed forms.
(3)
				  A license shall be issued for 1 year and may be renewed on an annual
				  basis.
(4) To be considered for
				  licensing, a hospital shall comply with all of the following provisions:
(a) Be in compliance with parts 1, 4, and 7
				  of these rules.
(b) Have approval
				  of the state fire marshal.
(c) Be
				  in continuing compliance with the stipulations contained in the hospital's
				  approved certificate of need application.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1213 - Temporary permit

Current through Vol. 24-12, July 15, 2024
Rule 1213. A nonrenewable temporary permit may be issued by
					 the director for a period of not more than 6 months if a hospital does not meet
					 the program requirements for licensing. The time period covered by the
					 temporary permit shall be used to conduct an investigation and to undertake
					 remedial action. Application shall be filed with the department on the
					 prescribed forms and shall be accompanied by the statutory
					 fee.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1214 - Provisional licenses

Current through Vol. 24-12, July 15, 2024
Rule 1214. A provisional license may be issued to a
					 hospital that is unable to comply with rules relating to physical facilities
					 for any length of time up to 1 year, but may be renewed for not more than 1
					 additional year. Applications shall be filed with the department on prescribed
					 forms and shall be accompanied by the statutory fee.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1215 - Construction permits

Current through Vol. 24-12, July 15, 2024
Rule 1215. A construction permit shall be obtained from the
					 department before a licensed hospital begins major construction. Application
					 shall be filed with the department on prescribed forms, shall be accompanied by
					 the statutory fee, and if also licensed by the department of public health,
					 shall comply with the provisions of Act No. 256 of the Public Acts of 1972,
					 being S331.451 et seq. of the Michigan Compiled Laws, covering certificate of
					 need, and if not, shall comply with provisions of section 1122 of amendments of
					 the social security act of 1972, Public Law 92-603,
					 42
					 U.S.C. 401 et seq., 1395,
					 26
					 U.S.C. 1401,
					 1402,
					 3111,
					 3121, and
					 6143.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1220 - Transferal of hospital license

Current through Vol. 24-12, July 15, 2024
Rule 1220.
(1) A
				  hospital license is not transferable. A change in location, ownership, or
				  program shall require a new application for license.
(2) The department shall be notified in
				  advance of a change. The existing license shall be void as of the date of the
				  change and returned to the department.
(3) A change of ownership shall be reported
				  to the department when there is a sale or transfer of 10% or more of the stock
				  of a corporation owning a licensed hospital. The existing license shall be void
				  as of the date of this change and returned to the department.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1223 - Application for license

Current through Vol. 24-12, July 15, 2024
Rule 1223. Application for a hospital license shall be
					 filed on forms prescribed by the department and shall contain all of the
					 following:
(a) The names of the
				  individual stockholders and percentage of stock owned by each, and the names of
				  the individuals composing the governing body.
(b) An indication of whether the hospital is
				  a member of any state or national association.
(c) An indication of whether the hospital is
				  accredited by the joint commission on accreditation of hospitals. If it has
				  applied for accreditation and was disapproved, it shall attach to the
				  application a copy of the joint commission on accreditation of hospitals
				  notification of disapproval, including the list of recommendations. If it is
				  already accredited, it shall attach to the application a copy of the joint
				  commission on accreditation of hospitals notification of accreditation,
				  including the list of recommendations.
(d) A description of procedures and practices
				  followed to insure the physical health of employees.
(e) A narrative description of the program
				  plan of the hospital.
(f) Current
				  staffing patterns and list of employees involved in the professional care and
				  treatment of patients, with their respective license or certification numbers
				  with the date of expiration.
(g)
				  Evidence of conformity with standards and requirements of the department of
				  public health.
(h) A floor plan of
				  the space devoted to patient care and activities. This plan shall illustrate
				  the exact inside dimensions of each patient care room, the number of beds in
				  each room, and the dimensions and use of other activity areas. Seclusion or
				  quiet rooms and their dimensions shall be specifically identified.
(i) For a mental hospital or psychiatric
				  hospital, a written agreement with a general hospital or group of physicians
				  concerning provision of necessary medical care, including emergency care not
				  provided in the hospital.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1226 - Emergency medical certification

Current through Vol. 24-12, July 15, 2024
Rule 1226. A licensed hospital shall provide initial
					 medical certification, as defined in chapter 4 of the act, by a qualified staff
					 person when an individual is presented for examination at a time when a
					 qualified staff person is on duty.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1228 - Probate court hearing

Current through Vol. 24-12, July 15, 2024
Rule 1228. A licensed hospital shall provide appropriate
					 space for probate court hearings on involuntary admissions if a court deems it
					 practicable to convene at the hospital.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1232 - Inspections

Current through Vol. 24-12, July 15, 2024
Rule 1232.
(1) The
				  state fire marshal or his designee may enter and inspect the premises of an
				  applicant or licensee at any reasonable time.
(2) The director of the department of public
				  health or his designee may enter the premises of an applicant or licensee at
				  any reasonable time for the purpose of determining whether the hospital meets
				  the physical and operational standards or other requirements of the department
				  of public health.
(3) The director
				  or his designee shall be permitted to make on-site inspections and
				  comprehensive evaluations of the program of a hospital at any reasonable
				  time.
(4) Copies of inspection
				  reports shall be sent to the applicant or licensee.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1235 - Physical environment

Current through Vol. 24-12, July 15, 2024
Rule 1235. A hospital shall be:
(a) Constructed, equipped, and maintained to
				  insure the safety of patients, employees, and the public.
(b) In compliance with all applicable state
				  and local codes governing hospital construction.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1239 - Construction and equipment of psychiatric nursing units

Current through Vol. 24-12, July 15, 2024
Rule 1239.
(1)
				  Psychiatric nursing units shall be designed for the care of ambulatory and
				  nonambulatory inpatients. Provision shall be made in the design for adapting
				  the area for various types of psychiatric therapies that will be used and for
				  providing a noninstitutional atmosphere for ambulatory patients. The unit shall
				  provide a safe environment for patients and staff. Details of such facilities
				  shall be as described in the approved functional program.
(2) For patient rooms, each psychiatric
				  nursing unit shall meet the standards noted in
				  R 330.1243, except as follows:
(a) Windows in psychiatric units shall have
				  an operable section or sash controlled by keys or tools that are under the
				  control of the staff. The degree of security required shall be determined by
				  program requirements, but operation of the window sash shall be restricted to
				  inhibit possible escape or suicide. Where glass fragments may create a hazard
				  because of the type of patients expected, safety glazing or other appropriate
				  security features, or both, shall be used.
(b) A nurses' call system is not required,
				  but if it is included, provision shall be made to permit removal of the system
				  or for covering call button outlets.
(c) Bedpan flushing devices may be omitted
				  from patient room toilets in psychiatric nursing units.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1243 - Construction and equipment of nursing units generally

Current through Vol. 24-12, July 15, 2024
Rule 1243.
(1)
				  Each patient room in a nursing unit shall meet all of the following standards:
(a) Maximum room capacity shall be 4
				  patients.
(b) Patient room areas,
				  exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules,
				  shall be not less than 9.29 square meters (100 square feet) for single-bed
				  rooms and 7.43 square meters (80 square feet) per bed for multiple-bed rooms.
				  Minor encroachments, including columns and lavatories, that do not interfere
				  with functions may be ignored when determining space requirements for patient
				  rooms. In multiple-bed rooms, a clearance of 1.12 meters (3 feet 8 inches)
				  shall be available at the foot of each bed to permit the passage of equipment
				  and beds. The areas noted in this subdivision are intended as recognized
				  minimums and do not prohibit the use of larger rooms where required for needs
				  and functions.
(c) Patient rooms
				  intended for 24-hour occupancy or more shall have operable windows. Special
				  tools for window operation may be used if these are available at all times for
				  staff use.
(d) Hand-washing
				  facilities shall be provided in each patient room. The lavatory may be omitted
				  from a bedroom if a water closet and lavatory are provided in a toilet room
				  designed to serve 1 single-bed room or 1 2-bed room.
(e) Each patient shall have access to a
				  toilet room without entering the general corridor area. One toilet room shall
				  serve not more than 4 beds and not more than 2 patient rooms. The toilet room
				  shall contain a water closet and a lavatory. The lavatory may be omitted from a
				  toilet room if each patient room served by that toilet contains a lavatory for
				  hand-washing.
(f) Each patient
				  shall have within his or her room a separate wardrobe, locker, or closet
				  suitable for hanging full-length garments and for storing personal
				  effects.
(g) In multiple-bed rooms,
				  visual privacy shall be provided for each patient. The design for privacy shall
				  not restrict patient access to the entrance, lavatory, or toilet.
(h) Ceilings shall be monolithic from wall to
				  wall without fissures.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1250 - Refusal to issue or renew and suspension or revocation of license

Current through Vol. 24-12, July 15, 2024
Rule 1250. If an inspection and evaluation results in
					 findings of demonstrable deficiencies in the program, operating practices, or
					 physical conditions of a hospital, as specified in the act or these rules,
					 those findings shall be grounds for refusal to issue or renew a license or for
					 suspension or revocation of a license:
(a) The department shall list and describe
				  deficiencies upon which it bases refusal to issue or renew or for suspension or
				  revocation of a license.
(b) This
				  list and description shall be sent to the applicant or licensee, stating
				  proposed action and date for hearing.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1252 - Public inspection of license application records

Current through Vol. 24-12, July 15, 2024
Rule 1252. The department shall make available for public
					 inspection records pertaining to the application for continued licensure of a
					 hospital.
(a) Records shall be
				  available for public inspection in the department's office in Lansing,
				  Michigan, during regular office hours.
(b) A report of department inspections shall
				  be available 30 days after the department mails or otherwise delivers a copy of
				  an inspection report to the applicant or licensee.
(c) Records shall include all of the
				  following:
(i) A copy of the application for
				  license.
(ii) A copy of the license
				  if one has been issued, or a record of its contents and date of issue if a copy
				  has not been retained.
(iii) Copies
				  of reports of inspections made by the department to the applicant or licensee
				  and responses, if any, of the applicant or licensee.
(iv) Copies of final orders or decisions in
				  contested cases and the records on which they were based.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1255 - Disaster plan and emergency procedures

Current through Vol. 24-12, July 15, 2024
Rule 1255.
(1) A
				  hospital shall have written procedures to be followed in case of fire,
				  explosion, or other emergency, including all of the following:
(a) Persons to be notified.
(b) Location of alarm signals and fire
				  extinguishers.
(c) Evacuation
				  routes.
(d) Procedures for
				  evacuation of helpless patients.
(e) Assignment of specific tasks and
				  responsibilities to personnel on each shift.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1260 - Rights of recipients

Current through Vol. 24-12, July 15, 2024
Rule 1260. A hospital shall insure, in written policy and
					 in practice, that individuals receiving services shall be entitled to the
					 rights guaranteed by the act and the rules promulgated
					 thereunder.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1265 - Governing body

Current through Vol. 24-12, July 15, 2024
Rule 1265.
(1) A
				  hospital that is licensed by the department shall have a governing body which
				  shall be responsible for all of the following:
(a) Administration and management of the
				  hospital.
(b) Selection of medical
				  staff and the quality of care rendered by the hospital.
(c) Assuring that physicians and other
				  personnel for whom a state license, certification, or registration is required
				  are currently licensed, certified, or registered.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1267 - Administrator and chief of service

Current through Vol. 24-12, July 15, 2024
Rule 1267.
(1) The
				  governing body of a licensed hospital other than a psychiatric unit shall
				  appoint a person, responsible to them, as an administrator, whose primary
				  duties shall be to:
(a) Organize and oversee
				  daily administrative functions of the hospital.
(b) Maintain effective liaison between the
				  staff, departments of the hospital, and the governing body.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1269 - Available services

Current through Vol. 24-12, July 15, 2024
Rule 1269.
(1) A
				  hospital shall provide for the services of a sufficient number of appropriately
				  qualified mental health professionals and supporting staff to develop and carry
				  out the program plan. These shall include all of the following:
(a) Educators.
(b) Occupational, music, recreational, or
				  physical therapists.
(c) Registered
				  nurses.
(d) Psychiatrists and other
				  physicians.
(e)
				  Psychologists.
(f) Social
				  workers.
(g) Vocational
				  counselors.
(h) Mental health
				  counselors.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1275 - Summary of patient movement

Current through Vol. 24-12, July 15, 2024
Rule 1275. A monthly summary of patient movement shall be
					 compiled by each psychiatric hospital and psychiatric unit. This monthly
					 summary shall be filed with the department on the prescribed
					 form.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1276 - Records

Current through Vol. 24-12, July 15, 2024
Rule 1276.
(1) All
				  of the following records shall be maintained by a licensee and shall be made
				  available for examination by the department:
(a) Policies and procedures followed by the
				  hospital to ensure that employees are in good physical and mental
				  health.
(b) Documentation which
				  substantiates that the policies and procedures specified in subdivision (a)
				  have been uniformly implemented.
(c) Records of periodic inspection by local
				  and state fire marshals.
(d)
				  Records of execution of fire and simulated disaster plan drills.
(e) Records of health inspections, including
				  both of the following:
(i) Inspections by
				  state or local health authorities.
(ii) Documentation of actions taken to comply
				  with department of public health recommendations.
(f) Reports of the joint commission on
				  accreditation of hospitals, including both of the following:
(i) Notification of accreditation and a list
				  of recommendations.
(ii)
				  Notification of disapproval and a list of recommendations.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1281 - Physician responsibility

Current through Vol. 24-12, July 15, 2024
Rule 1281.
(1)
				  Health care of every patient in a psychiatric hospital or a psychiatric unit
				  shall be under the supervision of a physician from the time of admission to
				  discharge.
(2) The type, duration,
				  and amount of medications and medical treatment shall be ordered by a patient's
				  physician or by a psychiatric hospital physician if the patient's physician is
				  not available.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1285 - Nursing

Current through Vol. 24-12, July 15, 2024
Rule 1285.
(1) A
				  psychiatric hospital or psychiatric unit shall have an organized nursing
				  service adequate to care for the patients.
(2) A nursing service shall have a written
				  plan that delineates its functional structure and its mechanism for cooperative
				  planning and decision making, including periodic review and evaluation of the
				  plan.
(3) A nursing service shall
				  have written policies and procedures, including a system of annual review and
				  update, for the provision of nursing services and for the direction of nursing
				  personnel in the performance of their duties.
(4) A nursing service shall be under the
				  direction of a registered nurse who shall have, at a minimum, a bachelor's
				  degree, 3 years of psychiatric nursing work experience, and a current Michigan
				  license as a registered nurse.
(5)
				  Administrative and clinical consultation shall be available to the director of
				  nursing from a qualified psychiatric nursing specialist with a master's degree,
				  unless the director of nursing is so qualified.
(6) In addition to the requirements of
				  subrule (7) of this rule, there shall be at least 1 licensed registered nurse
				  with 1 year of psychiatric nursing experience on duty on each work shift within
				  a psychiatric hospital or psychiatric unit.
(7) A psychiatric hospital or psychiatric
				  unit shall provide ratios of clinical nursing personnel to number of patients
				  24 hours a day to carry out the individual service plan for each patient.
				  Determination of the ratio shall be made in accordance with the nursing program
				  requirements for each nursing unit of the psychiatric hospital or psychiatric
				  unit. Once determined it shall be stated in the nursing organization plan and
				  program staffing shall be maintained at not less than the stated level until
				  there is a change in the type of patient care required.
(8) Orientation and staff development
				  programs in psychiatric nursing shall be provided for all psychiatric nursing
				  personnel.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1287 - Social service staff requirements

Current through Vol. 24-12, July 15, 2024
Rule 1287.
(1) A
				  psychiatric hospital or psychiatric unit shall have an organized social
				  services program and staff adequate to meet the social service needs of the
				  patients.
(2) A social service
				  program shall have a written plan describing arrangements for the provisions of
				  the services.
(3) A social services
				  program shall have written policies and procedures for provision of social
				  services, including a system of review and annual update, to guide social
				  service personnel in the performance of their duties.
(4) A social services program shall be under
				  the supervision of a certified social worker on a full-time or part-time
				  basis.
(5) Staff shall be social
				  workers.
(6) Orientation and staff
				  development programs shall be provided for social service personnel.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1289 - Psychological services

Current through Vol. 24-12, July 15, 2024
Rule 1289.
(1) A
				  psychiatric hospital or psychiatric unit shall have a psychological services
				  program which has a written plan arrangement for the provision of
				  services.
(2) A psychological
				  services program shall have written policies and procedures for the provision
				  of psychological services, including a system of review and annual update, to
				  guide psychological services personnel in the performance of their
				  duties.
(3) A psychological
				  services program shall be under the supervision of a fully licensed
				  psychologist on a full-time or part-time basis.
(4) When the psychiatric hospital or
				  psychiatric unit has psychological staff in its employ, orientation and staff
				  development programs shall be provided.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1291 - Activity therapy service staff requirements

Current through Vol. 24-12, July 15, 2024
Rule 1291.
(1) A
				  psychiatric hospital or psychiatric unit shall have an organized activity
				  therapy services program and staff adequate to meet the therapeutic activity
				  needs of the patients.
(2) An
				  activity therapy services program shall have a written plan describing
				  arrangements for the provision of services.
(3) An activity therapy services program
				  shall have written policies and procedures for the provision of activity
				  services, including a system of review and annual update, to guide activity
				  services personnel in the performance of their duties.
(4) An activity therapy services program
				  shall be under the supervision of a registered occupational, music, or
				  recreational therapist on a full-time or part-time basis. The program may be
				  directed by a mental health professional.
(5) Orientation and staff development
				  programs shall be provided for activity therapy services personnel.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1295 - Posting of license and fire regulations

Current through Vol. 24-12, July 15, 2024
Rule 1295.
(1) A
				  current license shall be prominently posted in a conspicuous place in the
				  hospital.
(2) Fire regulations
				  shall be prominently posted and carefully observed.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Psychiatric Hospital/Unit › Licensing of Facilities › Section R. 330.1299 - Waiver of licensure requirements

Current through Vol. 24-12, July 15, 2024
Rule 1299.
(1) The
				  director may issue a temporary waiver of a requirement for licensure when:
(a) There is a justifiable and documented
				  reason why the requirement cannot be met.
(b) Temporary waiver of the requirement would
				  not significantly reduce effective treatment, nor adversely affect the health
				  of patients.
(c) All other
				  requirements are met.
(d) The
				  provisions of the mental health code are not violated.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 1 - GENERAL PROVISIONS › Section R. 325.45101 - Applicability

Current through Vol. 24-12, July 15, 2024
Rule 101.
(1)
				  Rules 325.45103 to
				  325.45323 are applicable to all of
				  the following:
(a) Freestanding surgical
				  outpatient facility.
(b)
				  Hospice.
(c) Hospital.
(d) Nursing care facility.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 1 - GENERAL PROVISIONS › Section R. 325.45102 - Application; rules; standards of care

Current through Vol. 24-12, July 15, 2024
Rule 102. The application of these rules, R 325.45101 to R
					 325.45385, by a health facility or agency and by the department shall be done
					 in accordance with the services offered by the health facility or agency and
					 relevant standards of care.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 1 - GENERAL PROVISIONS › Section R. 325.45105 - Definitions; G to L

Current through Vol. 24-12, July 15, 2024
Rule 105. As used in these rules:
(a) "Governing body" means the person or
				  persons who are legally responsible for the conduct of the health facility or
				  agency, such as a board of directors or trustees. In the absence of an
				  organized governing body, the owner, operator, or administrator shall carry out
				  the functions of the governing body.
(b) "Health facility or agency" means that
				  term as defined in section 20106(1) of the code, MCL 333.20106, with the
				  following exceptions:
(i) An ambulance
				  operation, aircraft transport operation, nontransport prehospital life support
				  operation, or medical first response service.
(ii) A health maintenance
				  organization.
(iii) A home for the
				  aged.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 1 - GENERAL PROVISIONS › Section R. 325.45107 - Definitions; M to R

Current through Vol. 24-12, July 15, 2024
Rule 107. As used in these rules:
(a) "Nursing care facility" means any of the
				  following types of health facilities:
(i)
				  County medical care facility.
(ii)
				  Hospital long-term care unit.
(iii)
				  Nursing home.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 1 - GENERAL PROVISIONS › Section R. 325.45109 - Definitions; S to Z

Current through Vol. 24-12, July 15, 2024
Rule 109. As used in these rules:
(a) "Supervision" means that term as defined
				  in section 16109 of the code, MCL 333.16109.
(b) "Surgery" means the treatment of human
				  beings by a physician in an operating room, procedure room, examination room,
				  or other setting as determined by the physician to safely perform 1 or more of
				  the following procedures:
(i) Cutting into
				  any part of the body by surgical scalpel, electro-cautery, or other means for
				  diagnosis; the removal or repair of diseased or damaged tissue, organs, tumors,
				  or foreign bodies; or a Caesarean section.
(ii) Reduction of fractures or dislocations
				  of a bone, joint, or bony structure.
(iii) Repair of malformations or body defects
				  resulting from injury, birth defects, or other causes that require cutting and
				  manipulation or suture.
(iv)
				  Instrumentation of the uterine cavity, including the procedure commonly known
				  as dilatation and curettage, for diagnostic or therapeutic purposes.
(v) Any instrumentation of or injection of
				  any substance into the uterine cavity of a woman for terminating a
				  pregnancy.
(vi) Human sterilization
				  procedures.
(vii) Endoscopic
				  procedures.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 2 - LICENSING › Section R. 325.45111 - Application; application review process; licensure

Current through Vol. 24-12, July 15, 2024
Rule 111.
(1) As
				  authorized in article 17, an application for initial licensure or licensure
				  change, including change in ownership, bed capacity, bed designation, location,
				  and business name, must be made on the most recent applicable form authorized
				  and provided by the department.
(2)
				  An application is not deemed complete by the department until all of the
				  following are received:
(a) Completed
				  application form and required attachments.
(b) Application or licensing fee as
				  applicable.
(c) Applicable
				  certificate of need approval.
(d)
				  Applicable occupancy transmittal for the physical space.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 2 - LICENSING › Section R. 325.45113 - License renewal process

Current through Vol. 24-12, July 15, 2024
Rule 113.
(1) The
				  renewal of a license must be completed through an electronic web-based system
				  authorized and provided by the department.
(2) A license is renewed and valid only upon
				  electronic payment of the applicable renewal fee.
(3) A license must be renewed before August 1
				  of each calendar year, unless otherwise specified on the license.
(4) The department may require changes or
				  corrections to a license prior to renewal.
(5) If a license is not renewed within 30
				  days after the expiration date, the department may take any enforcement action
				  authorized by section 20165 of the code, MCL 333.20165.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 2 - LICENSING › Section R. 325.45115 - Survey and evaluation process

Current through Vol. 24-12, July 15, 2024
Rule 115.
(1) A
				  pre-licensure survey must be scheduled and announced. All other licensure
				  surveys and complaint investigations must be unannounced.
(2) A licensure survey or complaint
				  investigation may be conducted by the department during any hours of operation
				  of the licensed health facility or agency.
(3) An applicant or licensee shall provide
				  access to the health facility or agency and relevant documents that are
				  required to be maintained for the department to evaluate compliance with the
				  code and these rules.
(4) A
				  department employee shall obtain the verbal consent of the patient or the
				  patients representative before observing direct care and treatment of a
				  patient.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 2 - LICENSING › Section R. 325.45117 - Waiver from licensure survey

Current through Vol. 24-12, July 15, 2024
Rule 117.
(1) The
				  department shall provide and make publicly available a procedure for when a
				  licensee may be eligible for a waiver from licensure survey. The procedure will
				  include maintaining a list of approved accrediting bodies for health facilities
				  or agencies.
(2) On or before
				  October 1 of each year, the department shall publish a list of health
				  facilities and agencies to be visited for a state licensure survey in the next
				  calendar year.
(3) Providers who
				  maintain accreditation from an approved accrediting agency may request a waiver
				  from state licensure survey. Eligible licensees may request a waiver on or
				  before November 1 of each year. A waiver request must be submitted on a form
				  authorized by the department.
(4)
				  On or before January 1 of the survey year, the department will provide in
				  writing an approval or denial of the waiver to the licensee.
(5) Denial of a waiver request is not subject
				  to an appeal and will result in an unannounced onsite state licensure survey
				  and evaluation during the survey year.
(6) An approved waiver does not prohibit the
				  department from conducting an onsite state licensure survey and evaluation at
				  any point in the future to protect the health, safety, and welfare of
				  individuals receiving care and services in or from a health facility or agency.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 2 - LICENSING › Section R. 325.45119 - Licensed bed capacity

Current through Vol. 24-12, July 15, 2024
Rule 119.
(1) A
				  licensee shall maintain the approved physical space to support the number of
				  beds listed on the license in compliance with article 17 and these
				  rules.
(2) If a patient room is
				  being utilized for another purpose, the department may reduce the licensees bed
				  capacity if the licensee cannot demonstrate compliance with subrule (1) of this
				  rule within 48 hours, unless the licensee has an approved building program
				  agreement with the department in accordance with section 20144 of the code, MCL
				  333.20144.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 3 - ADMINISTRATION › Subpart A - OWNERSHIP, GOVERNANCE, AND COMPLIANCE › Section R. 325.45121 - Ownership

Current through Vol. 24-12, July 15, 2024
Rule 121. Ownership, whether by the individual desiring
						to establish, conduct, or maintain a licensed health facility or agency, or by
						the authorized representative of an individual, copartnership, corporation, or
						association desiring to establish, conduct, or maintain a health facility or
						agency, must be disclosed to the department upon initial licensure
						application.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 3 - ADMINISTRATION › Subpart A - OWNERSHIP, GOVERNANCE, AND COMPLIANCE › Section R. 325.45123 - Governing body

Current through Vol. 24-12, July 15, 2024
Rule 123.
(1) A
					 licensee shall have an organized governing body that assumes responsibility for
					 the management of the health facility or agency, the provision of all services,
					 its fiscal operations, and continuous quality assessment and performance
					 improvements.
(2) The governing
					 body is responsible for ensuring the establishment of policies and procedures
					 for the management, operation, and evaluation of the health facility or agency.
					 The governing body shall ensure that these policies and procedures are reviewed
					 at least every 3 years and revised as appropriate. Dates of reviews and
					 revisions must be a matter of record in the health facility or
					 agency.
(3) The governing body
					 shall meet according to its bylaws, but at least once a year, to carry out its
					 obligations and shall keep a written record of its actions.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 3 - ADMINISTRATION › Subpart A - OWNERSHIP, GOVERNANCE, AND COMPLIANCE › Section R. 325.45125 - Compliance; local; state; federal; law; rule; regulation; standard

Current through Vol. 24-12, July 15, 2024
Rule 125.
(1)
					 The applicant or licensee shall comply with applicable local, state, and
					 federal laws, rules, regulations, and standards.
(2) During review of an application or a
					 licensure survey or complaint investigation, the department may request from
					 the health facility or agency documentation of noncompliance from local, state,
					 or federal authorities if such documentation exists.
(3) The department may only cite this rule if
					 the local, state, or federal authority that has jurisdiction over the specific
					 law, rule, regulation, or standard has found the applicant or licensee to be
					 non-compliant, in writing, and there is a need to protect the health, safety,
					 and welfare of individuals receiving care and services in or from the health
					 facility or agency.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 3 - ADMINISTRATION › Subpart A - OWNERSHIP, GOVERNANCE, AND COMPLIANCE › Section R. 325.45127 - Fiscal audit

Current through Vol. 24-12, July 15, 2024
Rule 127.
(1)
					 The department may request financial documents including all of the following:
(a) Invoices.
(b) Purchase orders.
(c) Order confirmations.
(d) Receipts.
(e) Other non-proprietary financial documents
					 maintained in the normal course of business and that demonstrate the provision
					 of care and services.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 3 - ADMINISTRATION › Subpart B - POLICIES AND PROCEDURES › Section R. 325.45129 - Admission; policy; procedure

Current through Vol. 24-12, July 15, 2024
Rule 129.
(1) A
					 health facility or agency shall have a written admission policy and procedure
					 that is provided to the patient or any other person or agency responsible for
					 the patient upon request.
(2) An
					 admitting diagnosis must be recorded promptly on each patient.
(3) At the time of admission of a patient, a
					 physician must be designated to be responsible for the medical care of the
					 patient. This designation may be transferred to another physician who accepts
					 responsibility for the medical care of the patient in accordance with the
					 health facility or agencys policy and procedures.