reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.2 - Minor Alterations and Remodeling

Current through June 25, 2024
Minor alterations and remodeling which do not affect the
						structural integrity of the building, change functional operation, affect fire
						safety, or add beds or facilities or those for which the facility is licensed
						do not need to have plans submitted for review provided that a detailed
						explanation of the proposed alteration or remodeling is submitted to and
						approved by the licensing agency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.3 - First Stage Submission-Preliminary Plans

Current through June 25, 2024
First stage or preliminary plans shall include:
1. Plot plant showing size and shape of
					 entire site; location of proposed building and any existing structure(s);
					 adjacent streets, highways, sidewalks, railroads, etc., all properly
					 designated; and size, characteristics, and location of all existing public
					 utilities.
2. Floor plan showing
					 over-all dimensions of building(s); location, size, and purpose of all rooms;
					 location and size of all doors, windows, and other openings with swing of doors
					 properly indicated; dimensions of all corridors and hallways; and location of
					 stairs, elevators, dumbwaiters, vertical shafts, and chimneys.
a. Outline specifications giving kinds and
					 types of materials.
b. A scaled
					 drawing of one-fourth (1/4) inch to one (1) foot shall be submitted for the
					 following areas: Kitchen, dishwashing area, nurses' station and utility
					 room(s).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.4 - Final Stage Submission-Working Drawings and Specifications

Current through June 25, 2024
Final stage or working drawings and specifications shall
						include:
1. Architectural
					 drawings
2. Structural
					 drawings
3. Mechanical drawings to
					 include plumbing, heat, and air-conditioning
4. Electrical drawings
5. Detailed specifications
6. Approval of working drawings and
					 specifications shall be obtained from the licensing agency in writing prior to
					 the beginning of actual construction.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.5 - Preparation of Plans and Specifications

Current through June 25, 2024
The preparation of drawings and specifications shall be
						executed by or under the immediate supervision of an architect who shall
						supervise construction and furnish a signed statement that construction was
						performed according to plans and specifications approved by the licensing
						agency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.6 - Contract Modifications

Current through June 25, 2024
Any contract modification which affects or changes the
						function, design, or purpose of a facility shall be submitted to and approved
						by the licensing agency prior to the beginning of work set forth in any
						contract modification.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.7 - Notification of Start of Construction

Current through June 25, 2024
The licensing agency shall be informed in writing at the
						time construction is begun.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.8 - Inspections

Current through June 25, 2024
The licensing agency or its authorized representatives
						shall have access at all times to the work for inspection whenever it is in
						preparation or progress, and the owner shall ascertain that proper facilities
						are made available for such access and inspection.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.9 - Limit of Approval

Current through June 25, 2024
In construction delayed for a period of exceeding six (6)
						months from the time of approval of final working plans and specifications, a
						new evaluation and/or approval shall be obtained from the licensing
						agency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.10 - Water Supply, Plumbing, Sewerage Disposal

Current through June 25, 2024
The water supply and sewerage disposal shall be approved
						by the local county health department and/or the Division of Sanitary
						Engineering, Mississippi State Department of Health. No system of water supply,
						plumbing, sewerage, garbage, or refuse disposal shall be installed nor any such
						existing system materially altered or extended until complete plans and
						specifications for the installation, alteration, or extension have been so
						approved and submitted to the licensing agency for review and final
						determination.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 39 - SUBMISSION OF PLANS AND SPECIFICATIONS › Rule 15-16-1-45.39.11 - Availability of Approved Plans

Current through June 25, 2024
Every licensed facility shall maintain, on the premises
						and available for inspection, a copy of current approved architectural plans
						and specifications.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.1 - Scope

Current through June 25, 2024
The provision of this section shall apply to all
						facilities except for those sections or paragraphs where a specific exception
						is granted for existing facilities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.2 - Structural Soundness and Repair; Fire Resistive Rating

Current through June 25, 2024
The building shall be structurally sound, free from leaks
						and excessive moisture, in good repair, and painted at sufficient intervals to
						be reasonably attractive inside and out.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.3 - Temperature

Current through June 25, 2024
Adequate heating and cooling shall be provided in all
						rooms used by residents so that a minimum temperature of seventy-five (75) to
						eighty (80) degrees Fahrenheit may be maintained.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.4 - Lighting

Current through June 25, 2024
Each resident's room shall have artificial light adequate
						for reading and other uses as needed. There should be a minimum of ten (10)
						foot-candles of lighting for general use in resident's room and a minimum of
						thirty (30) foot-candles of lighting for reading purposes. All entrances,
						corridors, stairways, ramps, cellars, attics, storerooms, kitchens, laundries,
						and service units shall have sufficient artificial lighting to prevent
						accidents and promote efficiency of service. Night lights shall be provided in
						all corridors, stairways, toilets, and bathing rooms.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.5 - Screens

Current through June 25, 2024
All screen doors and non-stationary windows shall be
						equipped with tight fitting full length, sixteen (16) mesh screens. Screen
						doors shall swing out and shall be equipped with self-closing
						devices.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.6 - Floors

Current through June 25, 2024
All floors shall be smooth and free from defects such as
						cracks and be finished so that they can be easily cleaned.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.7 - Walls and Ceilings

Current through June 25, 2024
All walls and ceilings shall be of sound construction
						with an acceptable surface and shall be maintained in good repair. Generally
						the walls and ceilings should be painted a light color.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.8 - Ceiling Height

Current through June 25, 2024
All ceilings shall have a height of at least eight (8)
						feet except that a height of seven (7) feet and six (6) inches may be approved
						for corridors or toilets and bathing rooms where the lighting fixtures are
						recessed. Exception may be made for existing facilities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.9 - Handrails

Current through June 25, 2024
Handrails shall be installed on both sides of all
						corridors and hallways used by residents. The handrails should be installed
						from thirty-two (32) inches to thirty-six (36) inches above the floors. The
						handrails should have a return to the wall at each rail ending. Exception may
						be made for existing facilities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.10 - Ramps and Inclines

Current through June 25, 2024
Ramps and inclines, where installed for the use of
						residents, shall not exceed one (1) foot of rise in twelve (12) feet of run,
						shall be furnished with a non-slip floor, and shall be provided with handrails
						on both sides. Exception may be granted for existing ramps and inclines on
						existing facilities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.11 - Call System

Current through June 25, 2024
A call system shall be in place at the nurses' station to
						receive resident calls through a communication system to include audible and
						visual signals from bedrooms, toilets, and bathing
						facilities.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 40 - GENERAL BUILDING REQUIREMENTS › Rule 15-16-1-45.40.12 - Trash Chutes

Current through June 25, 2024
The installation and/or use of trash chutes is
						prohibited.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 41 - FIRE SAFETY AND CONSTRUCTION › Rule 15-16-1-45.41.1 - Date of Construction and Life Safety Code Compliance

Current through June 25, 2024
1. Buildings
					 constructed after the effective date of these regulations shall comply with the
					 edition of the Life Safety Code (NFPA 101) effective on the date of
					 construction.
2. Buildings
					 constructed prior to the effective date of these regulations shall comply with
					 Chapter 19 of the Life Safety Code (NFPA 101), 2012 edition.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 41 - FIRE SAFETY AND CONSTRUCTION › Rule 15-16-1-45.41.2 - Required Rooms and Areas

Current through June 25, 2024
1. Resident
					 bedroom. (See Rule 45.20.2 )
2.
					 Special care room. (See Rule 45.20.3 )
3. Nurses' Station. (See Rule 45.20.4
					 )
4. Utility room. (See Rule
					 45.20.5 )
5. Toilet and bathing
					 facilities. (See Rule 40.20.6 )
6.
					 Clean linen storage. Adequate areas shall be provided for storing clean linens
					 which shall be separate from dirty linen storage.
7. Wheelchair area. Adequate area shall be
					 provided for storage of wheelchairs.
8. Kitchen. (See Rule 45.33.2
					 -45.33.4)
9. Dining room. The
					 dining area shall be large enough to seat three-fourth (3/4) of the maximum
					 capacity of nursing home. The dining area can also be used for social,
					 recreational, or religious activities. It is recommended that a separate dining
					 area be provided for personnel.
10.
					 Food storage. A food storage room shall be provided convenient to the kitchen
					 in all future licensed homes. It should have cross ventilation. All foods must
					 be stored a minimum of twelve (12) inches above the floor.
11. Day room or living room. Adequate day or
					 living room area shall be provided for residents or residents and guests. These
					 areas shall be designated exclusively for this purpose and shall not be used as
					 sleeping area or otherwise. It is recommended that at least two (2) such areas
					 be provided and more in larger homes.
12. Janitor closet. At least one (1)
					 janitor's closet shall be provided for each floor. The closet shall be equipped
					 with a mop sink and be adequate in area to store cleaning supplies and
					 equipment. A separate janitor's closet shall be provided for the food service
					 area.
13. Garbage can cleaning and
					 storage area.
14. General storage.
					 A minimum area equal to at least five (5) square feet per bed shall be provided
					 for general storage.
15. Laundry.
					 If laundry is done in the institution, a laundry room shall be provided.
					 Adequate equipment for the laundry load of the home shall be installed. The
					 sorting, washing, and extracting process should be separated from the folding
					 and ironing area-preferably in separate rooms.
16. Separate toilet room (lavatory and water
					 closet) shall be provided for male and female employees.
17. A separate toilet room with a door that
					 can be locked shall be provided for the public.
18. Food Service Supervisors
					 Office.
19. Social Services
					 Office.
Miss. Code Ann.
						§
												43-11-13.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.1 - Substandard Quality of Care

Current through June 25, 2024
One or more deficiencies related to the regulatory
						requirements in Rule 45.1.3, 45.18.1 and Subchapter 22, which constitute either
						immediate jeopardy to resident health or safety, or a pattern or widespread
						deficiencies at a Level 3 severity, or widespread deficiencies at a Level 2
						severity.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.2 - Substandard Facility

Current through June 25, 2024
A facility which is found to be in violation of any of
						the regulations in Rule 45.1.3, 45.18.1 and Subchapter 22, on the current
						licensure visit and has been found to be in violation of any of the afore cited
						regulations during the previous regular re-licensure visit, or any intervening
						revisit or complaint investigation.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.3 - Ban on All Admissions

Current through June 25, 2024
A ban on all admissions to a facility may be imposed by
						the licensing agency when it has been determined by the licensing agency that
						the facility is providing substandard quality of care as defined in Rule 45.9.2
						above.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.4 - Division Director

Current through June 25, 2024
The is the Director of the Mississippi State Department
						of Health (otherwise known as the licensing agency), Division of Health
						Facilities Licensure and Certification.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.5 - Informal Dispute Resolution

Current through June 25, 2024
Procedures set forth in Rule 45.24.1 provide facilities
						with one opportunity to dispute findings of licensure
						violations.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.6 - Temporary Manager

Current through June 25, 2024
If a facility is designated as a substandard facility,
						the licensing agency may select a temporary manager in order to oversee
						correction of deficient practices cited as violations by the agency and assure
						the health and safety of the facility's residents while corrections are being
						made. A temporary manager may also be appointed to oversee the orderly closure
						of a facility. No temporary manager shall be appointed pursuant to these
						regulations unless the licensing agency finds Widespread Level-3 Severity
						deficiency or deficiencies pursuant to Rule 45.9.11 and Rule 45.9.12 or
						Isolated, Pattern, or Widespread Level-4 deficiency or deficiencies pursuant to
						Rule 45.9.10, Rule 45.9.11 and Rule 45.9.12. Temporary management shall not be
						imposed unless other less intrusive remedies will not result in compliance, or
						have failed to cause the facility to achieve compliance.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.7 - State Monitor

Current through June 25, 2024
In lieu of a temporary manager, the licensing agency may
						appoint a state monitor to oversee the correction of cited deficiencies in a
						facility as a safeguard against further harm to residents, or when the
						potential for harm exists as a result of cited licensure violations at any
						level of severity or scope.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.8 - Directed Plan of Correction

Current through June 25, 2024
A is a plan which the licensing agency, or the temporary
						manager, develops to require a facility to take action within specified time
						frames.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.9 - Substantial Compliance

Current through June 25, 2024
A level of compliance which does not entail the
						imposition of an enforcement remedy.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.10 - Pattern

Current through June 25, 2024
is the scope of licensure violations when more than a
						limited number of residents are affected, and/or more than a limited number of
						staff are involved, and/or the situation has occurred in several locations,
						and/or the same resident(s) have been affected by repeated occurrences of the
						same deficient practice. The effect of the deficient practice is not found to
						be pervasive through the facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.11 - Widespread

Current through June 25, 2024
Widespread is the scope of licensure violations when the
						problems causing the violations are pervasive in the facility and/or represent
						systemic failure that affected or has the potential to affect a large portion
						or all of the facility's residents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.12 - Severity

Current through June 25, 2024
1. Level 1 - Potential for causing no more
					 than a minor negative impact on the resident(s).
2. Level 2 - Noncompliance that results in
					 minimal physical, mental, and/or psycho-social discomfort to the resident
					 and/or has the potential (not yet realized) to compromise the resident's
					 ability to maintain and/or reach his/her highest practicable physical, mental
					 and/or psycho-social well-being as defined by an accurate and comprehensive
					 resident assessment, plan of care, and provision of services.
3. Level 3 - Noncompliance that results in a
					 negative outcome that has compromised the resident's ability to maintain
					 his/her highest practicable physical, mental and psycho-social well-being as
					 defined by an accurate and comprehensive resident assessment, plan of care, and
					 provision of services.
4. Level 4 -
					 Immediate jeopardy, a situation in which immediate corrective action is
					 necessary because the facility's noncompliance with one or more requirements of
					 participation has caused, or is likely to cause, serious injury, harm,
					 impairment, or death to a resident receiving care in a facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.13 - Directed In-Service Training

Current through June 25, 2024
The purpose of directed in-service training is to provide
						basic knowledge to achieve compliance and remain in compliance with the
						requirements of these regulations.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 42 - ENFORCEMENT: DEFINITIONS FOR LICENSURE-ONLY NURSING FACILITIES › Rule 15-16-1-45.42.14 - Bureau Director

Current through June 25, 2024
The Bureau Director is the Director of the Mississippi
						State Department of Health (otherwise known as the licensing agency), Bureau of
						Health Facilities Licensure and Certification.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 43 - DEFINITIONS FOR LICENSED AND CERTIFIED NURSING FACILITIES › Rule 15-16-1-45.43.1 - General

Current through June 25, 2024
The Mississippi State Department of Health (otherwise
						known as the licensing agency), Bureau of Licensure and Certification is
						authorized to certify healthcare facilities for participation in the Medicare
						and Medicaid programs, pursuant to the Social Security Act at 42.U.S.C.
						Sections 1819(h)(2), 1819(g)(2), 1919 (g)(2), 1919(h), and 42 CFR. 488.415,
						488.425, 488.310, 488.331, and 488.417(a).
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 43 - DEFINITIONS FOR LICENSED AND CERTIFIED NURSING FACILITIES › Rule 15-16-1-45.43.2 - Substandard Quality of Care

Current through June 25, 2024
One or more deficiencies related to participation
						requirements under
						42 CFR
						483.13, Resident Behavior and Facility
						Practices,
						42 CFR
						483.15, Quality of Life, or
						42 CFR 483.25,
						Quality of Care which, constitute either immediate jeopardy to resident health
						or safety, or a pattern or widespread deficiencies at a Level 3 severity, or
						widespread deficiencies at Level 2 severity.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 43 - DEFINITIONS FOR LICENSED AND CERTIFIED NURSING FACILITIES › Rule 15-16-1-45.43.3 - Poor Performing Facility

Current through June 25, 2024
If a facility is found noncompliant with any deficiency
						with a scope and severity at the level of actual harm or higher on the current
						survey and the facility had a deficiency at the level of actual harm or higher
						on any intervening survey (i.e., any survey between the last standard survey
						and the current one), the facility will be considered a poor performing
						facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 43 - DEFINITIONS FOR LICENSED AND CERTIFIED NURSING FACILITIES › Rule 15-16-1-45.43.4 - Immediate Jeopardy

Current through June 25, 2024
Immediate Jeopardy (Serious and Immediate to Health and
						Safety). A situation in which the facility's failure to meet one or more
						requirements of participation in the Medicare/Medicaid program has caused, or
						is likely to cause, serious injury, harm, impairment, or death to a
						resident.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 43 - DEFINITIONS FOR LICENSED AND CERTIFIED NURSING FACILITIES › Rule 15-16-1-45.43.5 - Ban on all Admissions

Current through June 25, 2024
A ban on all admissions to a facility shall be imposed
						by the licensing agency when it has been determined by the licensing agency
						that the facility is not in compliance with a Level 2, widespread deficiency or
						Level 3, pattern or widespread deficiency, or any deficiency cited as a Level
						4, immediate jeopardy. These deficiencies must be determined as Substandard
						Quality of Care as defined under Rule 45.9.1 or Immediate Jeopardy as defined
						under Rule 45.24.1. The licensing agency will also recommend to the state
						Medicaid agency denial of payment for new admissions.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 44 - INFORMAL DISPUTE RESOLUTION › Rule 15-16-1-45.44.1 - Informal Dispute Resolution

Current through June 25, 2024
Procedures set forth in Rule 45.24.1 provide facilities
						with one opportunity to dispute survey findings.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 45 - TEMPORARY MANAGER › Rule 15-16-1-45.45.1 - Temporary Manager

Current through June 25, 2024
A temporary manager may be selected as a remedy when a
						facility has been determined as having immediate jeopardy or widespread actual
						harm that does not constitute immediate jeopardy in order to oversee the
						correction of deficient practices cited by the licensing agency and assure the
						health and safety of the facility's residents while the corrections are being
						made. A temporary manager may also be imposed to oversee orderly closure of a
						facility. Temporary management shall not be imposed unless other less intrusive
						remedies will not result in compliance, or have failed to cause the facility to
						achieve compliance.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 46 - STATE MONITORING › Rule 15-16-1-45.46.1 - State Monitoring

Current through June 25, 2024
A State Monitor oversees the correction of cited
						deficiencies in a facility as a safeguard against further harm to residents
						when harm or a situation with a potential for harm has
						occurred.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 47 - DIRECTED PLAN OF CORRECTION › Rule 15-16-1-45.47.1

Current through June 25, 2024
A Directed Plan of Correction is a plan which the
						licensing agency, or the temporary manager, develops to require a facility to
						take action within specified time frames.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 48 - SUBSTANTIAL COMPLIANCE › Rule 15-16-1-45.48.1

Current through June 25, 2024
A level of compliance which does not entail the
						imposition of an enforcement remedy.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 49 - PATTERN › Rule 15-16-1-45.49.1

Current through June 25, 2024
Pattern is the scope of deficiencies when more than a
						limited number of residents are affected, and/or more than a limited number of
						staff are involved, and/or the situation has occurred in several locations,
						and/or the same resident(s) have been affected by repeated occurrences of the
						same deficient practice. The effect of the deficient practice is not found to
						be pervasive through the facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 50 - WIDESPREAD › Rule 15-16-1-45.50.1

Current through June 25, 2024
Widespread is the scope of deficiencies when the
						problems causing the deficiencies are pervasive in the facility and/or
						represent systemic failure that affected or has the potential to affect a large
						portion or all of the facility's residents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 51 - SEVERITY › Rule 15-16-1-45.51.2 - Directed In-Service Training

Current through June 25, 2024
The purpose of directed in-service training is to provide
						basic knowledge to achieve compliance and remain in compliance with
						requirements of federal guidelines and state regulations, when
						applicable.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 51 - SEVERITY › Rule 15-16-1-45.51.3 - Bureau Director

Current through June 25, 2024
The is the Director of the Mississippi State Department
						of Health (otherwise known as the licensing agency), Bureau of Health
						Facilities Licensure and Certification.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 52 - BAN ON ADMISSIONS PROCEDURE › Rule 15-16-1-45.52.1 - Ban on Admissions

Current through June 25, 2024
If a facility is found to be providing substandard
						quality of care or immediate jeopardy exists at a facility, as applicable,
						written notice of the determination shall be provided by the licensing agency
						to the facility, along with the notification that a ban on all admissions is to
						be imposed five calendar (5) days after the receipt of the notice by the
						facility unless a hearing is requested within that five (5) calendar day
						period. If a hearing is requested by the facility, the informal dispute
						resolution procedures established under Rule 45.24.1 shall be applied.
1. If the licensing agency's determination of
					 noncompliance with Substandard Quality of Care or Immediate Jeopardy on the day
					 of the licensure visit/ survey is confirmed, a ban on all admissions shall be
					 imposed until the facility achieves compliance and such compliance is verified
					 by the licensing agency. The licensing agency will verify the facility's
					 corrective actions as soon as possible after the licensing agency receives an
					 allegation of compliance from the facility but no later than fifteen (15) days
					 after the receipt of said notice. If the hearing determines that the facility
					 was not providing Substandard Quality of Care or that Immediate Jeopardy did
					 not exist, as applicable, on the day of the licensure/survey visit, no ban on
					 all admissions will be imposed.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 53 - STATE MONITORING › Rule 15-16-1-45.53.1 - State Monitoring

Current through June 25, 2024
Monitors are identified by the licensing agency as
						appropriate professionals to monitor cited deficiencies. A monitor shall meet
						the guidelines regarding conflicts of interests as follows:
1. The monitor does not currently work, or,
					 within the past two (2) years, has worked as an employee, as employment agency
					 staff at the facility, or as an officer, consultant, or agent for the facility
					 to be monitored.
2. The monitor has
					 no financial interest or any ownership interest in the facility.
3. The monitor has no immediate family member
					 who has a relationship with the facility to be monitored.
4. The monitor has no immediate family member
					 who is a resident in the facility. If a facility has not achieved substantial
					 compliance within five (5) months of the annual licensure visit/standard survey
					 date, the remedy of state monitoring will be imposed as determined by the
					 licensing agency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 53 - STATE MONITORING › Rule 15-16-1-45.53.2 - Compensation and Per Diem Costs

Current through June 25, 2024
All compensation and per diem costs of the State Monitor
						shall be paid by the facility. The licensing agency shall bill the facility for
						the costs of the State Monitor after termination of the monitoring services.
						The costs of the State Monitor for any weekly forty (40) hour period (forty
						[40] hours per week) shall not exceed the maximum allowable owner/administrator
						salary of a like sized facility as described in the Mississippi State Medicaid
						Plan. Within fifteen (15) days of receipt of the bill, the facility shall pay
						the bill or request an informal dispute resolution procedure to contest the
						costs for which it was billed.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 53 - STATE MONITORING › Rule 15-16-1-45.53.3 - Recommendation

Current through June 25, 2024
If the facility has not achieved substantial compliance
						within six (6) months from the annual survey date, the licensing agency shall
						revoke the license of the facility and if applicable shall recommend to the
						State Medicaid Agency termination of participation in the Medicare/Medicaid
						programs.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 54 - DIRECTED IN-SERVICE TRAINING › Rule 15-16-1-45.54.1 - Directed In-Service Training

Current through June 25, 2024
If the remedy of is imposed by the licensing agency for a
						facility to achieve substantial compliance, guidelines for accepting Plans of
						Correction to the Statement of Deficiencies shall be as follows:
1. Corporate facilities and consultant firms
					 may only use staff to conduct the directed in-service training when the staff
					 person has not had a direct or indirect involvement in the deficient practice
					 and does not conduct in-services on a routine basis.
2. Corporate facilities and consultant firms
					 may use staff/consultants from other nursing homes of the corporation if that
					 person has not been directly involved in routine in-services of the facility in
					 question. Also, the staff/consultant is and has no history of involvement with
					 a Substandard or Poor Performing Facility.
3. If hospital-owned facilities use hospital
					 staff to conduct the in-service, the staff must not have been involved in the
					 routine in-services and/or care of the residents.
4. All other facilities may use staff or
					 consultants from other facilities if the other facility's staff/consultant is
					 not/has not been involved in a facility that is a Substandard Facility or Poor
					 Performer.
5. Nursing homes with
					 individual private consultants may not use the contracted consultant when
					 directed In-Service is imposed.
Miss. Code Ann.
						§
												43-11-13