reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.8 - Food service for inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An inpatient hospice
				care provider shall provide dietary services either directly or through a documented
				agreement with a food services provider that details the services
				provided.
(b) The dietary service shall
				comply with N.J.A.C. 8:24, Sanitation in Retail Food Establishments and Food and
				Beverage Vending Machines, and Cottage Food Operations.
(c) Each unit shall have a staff member trained or
				experienced in food management or nutrition who is responsible for planning menus
				and supervising meal preparation.
1. If meals are
				prepared in the unit, the staff member required pursuant to this subsection shall be
				present during food preparation and service.
2. If meals are prepared off-site or catered, the
				unit administrator shall be responsible for the direction, provision, and quality of
				dietary services and shall ensure that services conform to the standards of this
				chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.9 - Laundry services for inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inpatient hospice
				care providers shall provide laundry services to meet the needs of each
				patient.
(b) If an inpatient hospice
				care provider contracts for laundry services, the inpatient hospice care provider
				must obtain a documented agreement from the contracted laundry service that details
				the services provided.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.10 - Housekeeping services for inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inpatient hospice
				care providers shall provide housekeeping services to maintain an environment that
				is clean, sanitary, and healthful.
(b)
				If an inpatient hospice care provider contracts for housekeeping services with an
				outside entity, the inpatient hospice care provider must obtain a documented
				agreement that details the services provided.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.11 - Pets in inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inpatient hospice
				care providers shall have and implement policies and procedures to address:
1. Whether pets are permitted in a unit;
				and
2. If pets are permitted:
i. Mechanisms to assure staff and patient safety;
				and
ii. Measures to prevent staff and
				patient discomfort.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.12 - Emergency preparedness in inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A unit shall have a
				written emergency preparedness plan.
1. Inpatient
				hospice care providers shall annually train all staff on the requirements of the
				written emergency preparedness plan.
2.
				Inpatient hospice care providers shall train all new staff members on the
				requirements of the written emergency preparedness plan within 30 days of
				commencement of duties within the unit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 42C - HOSPICE LICENSING STANDARDS › Subchapter 11 - INPATIENT HOSPICE CARE UNIT › Section 8:42C-11.13 - Health and safety laws for inpatient hospice care units

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inpatient hospice
				care providers shall adhere to applicable Federal, State, and local laws, rules,
				regulations, and codes pertaining to health and safety, including provisions
				regulating:
1. Construction, maintenance, and
				equipment for the hospice;
2.
				Sanitation;
3. Communicable and
				reportable disease; and
4. Post-mortem
				procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43-1.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this chapter pertain to all facilities located with,
				  and operated by, licensed health care facilities that provide residential health
				  care services. These rules constitute the basis for the licensure of such
				  residential health care facilities by the New Jersey Department of Health
				  .
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43-1.2 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
Residential health care facilities provide sheltered care and
				  services, in a homelike setting, to residents who do not require skilled nursing
				  care, in order to assist residents to maintain personal interests and dignity as
				  well as to protect their health and safety. The aim of this chapter is to establish
				  minimum rules with which a residential health care facility located with, and
				  operated by, a licensed health care facility must comply in order to be licensed to
				  operate in New Jersey.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43-1.4 - Qualifications of the administrator of a residential health care facility

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The
				administrator of a residential health care facility shall be in good physical and
				mental health, of good moral character, and shall exhibit concern for the safety and
				well-being of residents; and shall:
1. Complete a
				training course approved by the Department of Human Services, or other equivalent
				training as approved by the Department , within one year of his or her employment as
				administrator;
2. Hold a current New
				Jersey license as a nursing home administrator, or be eligible to take the New
				Jersey Nursing Home Administrator's Licensing Examination, according to Department
				of Health and Senior Services requirements found in N.J.A.C. 8:34; or
3. Complete an assisted living administrator
				training course approved by the Department as specified at NJ.A.C.
				8:36-1.5(a)3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 1 - DEFINITIONS AND QUALIFICATIONS › Section 8:43-1.5 - Qualifications of direct care staff

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				exercise good faith and due diligence to ensure that staff providing direct care and
				resident supervision to residents in the facility:
1. Are in good physical and mental health,
				emotionally stable, of good moral character, and are concerned for the safety and
				well-being of residents;
2. Have not
				been convicted of a crime relating adversely to the person's ability to provide
				resident care, such as homicide, assault, kidnapping, sexual offenses, robbery, and
				crimes against the family, children or incompetents, except where the applicant or
				employee with a criminal history has demonstrated his rehabilitation in order to
				qualify for employment at the facility; and
3. Are at least 18 years of age, have obtained
				working papers, or are supervised at all times by an employee who is at least 18
				years of age. At a minimum, one employee who is 18 years of age must be present in
				the facility at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.2 - Newly constructed, renovated, or expanded facilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any residential
				health care facility with a renovation, expansion, or construction program shall
				submit plans to the Health Care Plan Review Unit, Division of Codes and Standards,
				New Jersey Department of Community Affairs, PO Box 815, Trenton, NJ 08625-0815, for
				review and approval prior to the initiation of renovation, expansion, or
				construction.
(b) The licensure
				application for a newly constructed, renovated, or expanded facility shall include
				written approval of final construction of the physical plant by the Health Care Plan
				Review Unit, Division of Codes and Standards, New Jersey Department of Community
				Affairs, in accordance with this chapter.
(c) A copy of the certificate of occupancy issued
				by the local municipality shall be submitted to the Health Care Plan Review Unit and
				to the Office of Certificate of Need and Healthcare Facility Licensure prior to
				licensure or approval of newly constructed, renovated, or expanded
				facilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.3 - Preliminary conference

Current through Register Vol. 56, No. 14, July 15, 2024
When a newly constructed facility is approximately 80 percent
				  complete or when an applicant's estimated date of opening is within 30 days, the
				  applicant shall schedule a preliminary conference with the Office of Certificate of
				  Need and Healthcare Facility Licensure for review of the conditions for licensure
				  and operation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.4 - Surveys and license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When the written application for licensure is
				approved, the fee for filing the application has been received, the preliminary
				conference has been completed, and the building is ready for occupancy, a survey of
				the facility by representatives of the Division of Health Facility Survey and Field
				Operations of the Department shall be conducted, in order to determine if the
				facility adheres to the rules in this chapter.
1.
				The facility shall be notified in writing of the findings of the survey, including
				any deficiencies found.
2. The facility
				shall notify the Division of Health Facility Survey and Field Operations of the
				Department when the deficiencies, if any, have been corrected, and the Division of
				Health Facility Survey and Field Operations shall schedule one or more resurveys of
				the facility prior to occupancy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.5 - Surrender of license

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall notify each resident, the resident's physician,
				  and any guarantors of payment, the county welfare agency, the Office of the State
				  Long-Term Care Ombudsman, and the Supplemental Security Income (SSI) program, Region
				  II Office, if residents are SSI recipients, at least 30 days prior to the voluntary
				  surrender of a license, or as directed under an order of revocation, suspension, or
				  refusal to renew a license. In such cases, the license shall be returned to the
				  Office of Certificate of Need and Healthcare Facility Licensure of the Department
				  within seven working days after the voluntary surrender, revocation, suspension, or
				  non-renewal of the license.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.6 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or his or her designee may,
				in accordance with the general purposes and intent of
				26:2H-1 et seq., and amendments
				thereto, and this chapter, waive sections or parts of sections of these rules if, in
				his or her opinion, such waiver would not endanger the life, safety, or health of
				residents or the public.
(b) A facility
				seeking a waiver of these rules shall apply in writing to the Director of the Office
				of Certificate of Need and Healthcare Facility Licensure of the
				Department.
(c) A written request for
				waiver shall include the following:
1. The specific
				rule(s) or part(s) of the rule(s) for which a waiver is requested;
2. The reasons for requesting a waiver, including
				a statement of the type and degree of hardship that would result to the facility
				upon adherence;
3. An alternative
				proposal which would ensure resident safety; and
4. Documentation to support the request for
				waiver.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.7 - Action against a license

Current through Register Vol. 56, No. 14, July 15, 2024
The Commissioner or his or her designee may impose all
				  enforcement remedies set forth at N.J.A.C. 8:43E, for violations of licensure
				  regulations or other statutory requirements.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.8 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the Department
				proposes to impose enforcement remedies or to revoke, suspend, deny or refuse to
				renew a license, the licensee or applicant may request a hearing which shall be
				conducted pursuant to the Administrative Procedure Act,
				52:14B-1 et seq. and 52:14F-1 et seq.
				and the Uniform Administrative Procedure Rules, N.J.A.C. 1:1.
(b) Prior to transmittal of any hearing request to
				the Office of Administrative Law, the Department may schedule a conference to
				attempt to settle the matter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 2 - LICENSURE PROCEDURES › Section 8:43-2.9 - Special residential health care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any existing or new
				residential health care facility proposing to establish a specialized program where
				the residents in such a program shall constitute a substantial proportion of its
				census shall submit a plan for provision of services appropriate to the needs of
				these residents. Such a plan shall be reviewed by the Department and approval shall
				be received prior to the initiation of such admissions and services. This
				requirement shall not apply to a facility which is serving residents with special
				needs (for example, mental illness or diabetes) as part of its normal admission and
				retention policies.
(b) The Department
				may impose operational standards derived from the plan submitted by the facility and
				from other licensure rules appropriate to this population as a condition on the
				issuance of a license. Such conditions shall be subject to the enforcement actions
				and procedures specified at N.J.A.C. 8:43E, General Licensure Procedures and
				Standards Applicable to All Licensed Facilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules set forth in this subchapter shall
				apply to new construction, and to renovations and additions that are subject to the
				rules of new construction pursuant to (c) below.
(b) New construction, additions, alterations, or
				renovations of residential health care facilities shall comply with the New Jersey
				Uniform Construction Code N.J.A.C. 5:23 (N.J.U.C.C.).
1. New construction shall comply with N.J.A.C.
				5:23-3.
2. Repairs, renovations,
				alterations, and reconstruction of existing residential health care facilities shall
				comply with N.J.A.C. 5:23-6, Rehabilitation Subcode.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.2 - Fire suppression systems

Current through Register Vol. 56, No. 14, July 15, 2024
In new construction, fire suppression systems shall be installed
				  in accordance with all applicable sections of N.J.A.C. 5:23 and 5:70.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.3 - Room sizes and features

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Resident bedroom
				size requirements shall be as follows:
1. Bedrooms
				for one resident shall have a minimum of 90 square feet of clear and usable floor
				area. "Clear and usable floor area" means space exclusive of toilet rooms, fixed
				closets, fixed wardrobes, alcoves, or vestibules.
2. Bedrooms occupied by more than one resident
				shall have a minimum of 70 square feet of clear and usable floor area per resident.
				There shall be three feet of clear space between beds and at the foot of each bed to
				ensure comfort and safety to residents. Space for storage of personal possessions
				and a non-folding arm chair shall be provided for each bed.
3. Each resident's personal living unit shall have
				direct access to corridors and toilet facilities without passing through the rooms
				of other residents, kitchen or dining areas, or other occupied rooms.
4. No more than four residents shall be housed in
				one bedroom.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.4 - Toilets, bathing facilities, and handwashing sinks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Toilets, bathing
				facilities, and handwashing sinks shall be available in the following minimum ratios
				(excluding bedrooms which have private facilities as part of the bed count and
				excluding facilities of family members and resident employees):
1. Toilets shall be provided so that each resident
				bedroom shall be adjacent to a toilet room, with no more than four residents served
				by this toilet.
2. Handwashing sinks
				shall be provided in every resident bedroom and in every toilet room except in
				private bedroom(s) where the handwashing sink in the bathroom is
				sufficient.
3. Tubs or showers shall be
				provided in a ratio of one per eight residents, with a minimum of one tub per 15
				residents, or at least one tub per resident sleeping floor.
4. On floors other than sleeping floors utilized
				by residents there shall be at least a toilet and a lavatory available and
				accessible from a common corridor.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.5 - Laundry equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each facility shall
				provide at least one non-commercial washer and dryer for residents' personal
				items.
(b) All dryers shall be vented to
				the outside of the building.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.6 - Sounding devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An intercom system
				with alarm shall be provided on every resident floor and shall ring at an area
				staffed 24 hours a day and also in the staff sleeping quarters.
(b) Self-locking doors at the main entrance and
				other entrances opening onto a roof or balcony shall be equipped with a sounding
				device such as bell, buzzer or chimes, which is in operating condition. The sounding
				device shall be affixed to the outside of the door or to the adjacent exterior wall,
				for use in the event that a person is unable to re-enter the building, and shall
				ring at an area staffed 24 hours a day and at staff sleeping quarters.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3 - PHYSICAL PLANT FOR NEW CONSTRUCTION, RENOVATIONS, AND ADDITIONS › Section 8:43-3.7 - Building occupancy

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility licensed
				as a residential health care facility shall not be used for any other purpose, with
				the following exception: the facility may be used for housing quarters of the owner,
				the administrator, or other staff members and their families, if prior approval by
				the Department is obtained, in accordance with
				8:43-2.6(c).
(b) Resident occupancy shall be limited to floors
				at or above the grade level, with the following exceptions:
1. Basement occupancy may be permitted if no more
				than one-half the height of the room or rooms to be occupied is below grade level
				and if there are no other conditions which might jeopardize the health, safety or
				welfare of the resident;
2. Any resident
				who requires assistance from staff to ambulate stairs shall be housed on a floor
				with grade level access; and
3. If the
				building is of non-combustible construction, any resident with a walker, crutch(es)
				or leg brace(s) shall be assessed by a registered professional nurse before being
				placed on a floor other than a grade level floor in order to ensure that the
				resident is able to evacuate the building safely, and shall be reassessed at least
				on an annual basis to determine his or her ability to self-evacuate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
The rules set forth in this subchapter shall apply to all existing
				  residential health care facilities. Physical environment standards for existing
				  licensed facilities shall be maintained, and existing facilities shall be inspected
				  according to licensing standards contained in this subchapter, and in addition shall
				  comply with N.J.A.C. 5:70, the New Jersey Uniform Fire Code.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.2 - Resident bedrooms

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Sleeping rooms for
				one resident shall have a minimum of 70 square feet of clear and usable floor area.
				"Clear and usable floor area" means space exclusive of toilet rooms, fixed closets,
				fixed wardrobes, alcoves, or vestibules.
(b) Sleeping rooms occupied by more than one
				resident shall have a minimum of 50 square feet of clear floor area per resident.
				There shall be three feet of clear space between beds and at the foot of each bed to
				insure comfort and safety to residents. Space for storage of personal possessions
				and a non-folding arm chair shall be provided for each bed.
(c) Notwithstanding the requirements set forth in
				(a) and (b) above, no existing residential health care facility shall be required to
				remove beds that were licensed on or before September 20, 1999 to achieve
				compliance.
(d) No more than four
				residents shall be housed in any one room, regardless of room size.
(e) Resident bedroom doors may be lockable by the
				occupant only from the corridor side (outside) by the use of a key. Egress from the
				room shall be possible at all times by turning the doorknob or pressing a lever.
				Duplicate keys to resident rooms which are locked shall be carried by designated
				staff at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.3 - Toilets, bathing facilities, and handwashing sinks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) On each floor
				utilized by residents for sleeping purposes there shall be toilet and bath
				facilities accessible from a common corridor. On other floors utilized by residents,
				there shall be at least a toilet and lavatory available and accessible from a common
				corridor.
(b) Toilets, bathing
				facilities, and handwashing sinks shall be available in the following minimum ratios
				(excluding bedrooms which have private facilities as part of the bed count and
				excluding facilities of family members and resident employees):
1. Toilets: One to eight residents;
2. Wash basins: One to eight residents;
3. Tub or showers: One to 15 residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.4 - Living and recreation rooms

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A living room or
				rooms shall be provided to ensure adequate seating for two-thirds of the licensed
				capacity of the facility. The living room(s) shall have ample space for
				socialization as well as other resident activities such as letter writing, card
				playing, radio, television, and reading.
(b) Facilities with a licensed capacity of 30 or
				more residents shall provide two or more separate living or recreation rooms.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.5 - Dining room

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A dining room or
				rooms shall be provided which is of sufficient size and properly equipped to seat
				comfortably all residents at one sitting.
(b) The congregate or common dining room shall be
				a separate area and shall not be a part of any other room. This area may be used for
				the recreation activities of residents, exclusive of the time required for dining
				service.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.6 - Storage space

Current through Register Vol. 56, No. 14, July 15, 2024
Sufficient and adequately lighted storage space shall be provided
				  in the facility for the proper storage of resident's clothing, linens, medications,
				  food, cleaning and other supplies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.7 - Lighting and electricity

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A bedside light
				shall be available for each bed, in addition to one permanently installed outlet for
				each bed and ceiling lights or other fixtures suitable for lighting the entire
				room.
(b) The individual rooms used for
				sleeping purposes by residents shall have sufficient natural and artificial light.
				The total glass area of such rooms shall not be less than eight percent of the floor
				area.
(c) All rooms used by residents,
				except sleeping rooms, shall be lighted by natural or artificial light at all
				times.
(d) Emergency lights shall be
				available at all times for hallways, corridors and stairways. An automatic standby
				generator or self-charging battery emergency lights shall be employed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.8 - Kitchens

Current through Register Vol. 56, No. 14, July 15, 2024
Kitchen exhaust fans and metal ducts shall be kept free of grease
				  and dirt; metal ducts from such fans shall comply with all applicable provisions of
				  N.J.A.C. 5:23 and 5:70.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.9 - Fire extinguisher specifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				minimum of two fire extinguishers in the basement, at least one on each floor of the
				building, and as required in kitchen areas. All fire extinguishers shall bear the
				seal of the Underwriters Laboratories.
(b) The following types of fire extinguishers
				shall be provided:
1. In kitchen areas, because of
				danger of grease fires, extinguishers shall be of the Class B dry chemical type 2-B
				and a minimum of five pounds. The maximum travel distance to an extinguisher shall
				be 50 feet.
2. In the basement area,
				extinguisher shall be Class B dry chemical type 2-B and a minimum of five pounds, if
				oil or gas is used as fuel. The maximum travel distance to an extinguisher shall be
				50 feet .
3. In all other areas a Class
				A air-pressurized 2 1/2 gallon water type 2-A extinguisher shall be provided. The
				maximum travel distance to an extinguisher shall be 75 feet.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.10 - Employees' sleeping rooms

Current through Register Vol. 56, No. 14, July 15, 2024
In any facilities where 24-hour awake coverage is not required,
				  the employees' sleeping rooms shall be equipped with a four-inch alarm bell or
				  alternate sounding device connected to the fire alarm system.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 3A - PHYSICAL ENVIRONMENT FOR EXISTING RESIDENTIAL HEALTH CARE FACILITIES › Section 8:43-3A.11 - Ventilation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All rooms used by
				residents, including bathrooms, toilets, kitchen and storage areas, shall be
				adequately ventilated by either natural or mechanical means.
(b) The total ventilation area of a room used by
				residents shall be not less than four percent of the floor area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.1 - Minimum services and staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each residential
				health care facility shall provide at a minimum personal care, health maintenance
				and monitoring, pharmacy, dietary, and recreational services in a homelike
				environment.
(b) The facility shall
				provide at all times at least one employee who is at least 18 years of age in each
				building or structure occupied by residents, in order to provide necessary resident
				supervision, as follows:
1. In residential health
				care facilities with 24 or more residents, the facility shall provide sufficient
				staff for resident supervision 24 hours per day by an employee who is awake on the
				premises.
2. In residential health care
				facilities with fewer than 24 licensed beds, the facility shall provide sufficient
				staff for resident supervision. During the normal sleeping hours of residents
				(generally 10:00 P.M. to 6:00 A.M.), inactive resident supervision shall be provided
				by an employee who is on duty and available on the premises to provide care and
				services, but not necessarily awake.
3.
				Direct care staff who are less than 18 years of age shall be supervised at all
				times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.2 - Ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The ownership of the
				facility and the property on which it is located shall be disclosed to the
				Department.
(b) No facility shall be
				owned or operated by any person convicted of a crime relating adversely to that
				person's capability of owning or operating the facility.
(c) The owner or governing authority of the
				facility shall assume legal responsibility for the management, operation, and
				financial viability of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.3 - Transfer of ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to transferring ownership of a facility,
				the prospective new owner shall submit an application to the Office of Certificate
				of Need and Healthcare Facility Licensure. The application shall include the
				following items:
1. The transfer of ownership fee
				of $750.00, in accordance with
				8:43-2.1(g);
2. A cover letter stating the applicant's intent
				to purchase the facility, and identification of the facility by name, address,
				county, and number and type of licensed beds;
3. A description of the proposed transaction,
				including identification of the current owners of the facility; identification of
				100 percent of the proposed new owners, including the names and addresses of all
				principals (that is, individuals and/or entities with a 10 percent or more
				interest); and, if applicable, a copy of an organizational chart, including parent
				corporations and wholly owned subsidiaries;
4. A copy of the agreement of sale and, if
				applicable, a copy of any lease and/or management agreements; and
5. Disclosure of any licensed health care
				facilities owned, operated, or managed in New Jersey or any other states. If
				facilities are owned in other states, letters from the regulatory agencies in each
				respective state, verifying that the facilities have operated in substantial
				compliance during the last 12-month period and have had no enforcement actions
				imposed during that period of time, must be included in the application.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.4 - Submission and availability of documents

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall, upon request, submit in writing any documents
				  which are required by this chapter or requested by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.5 - Personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop written job descriptions and shall ensure that personnel are assigned duties
				based upon their education, training, and competencies and in accordance with their
				job descriptions.
(b) All personnel who
				require licensure, certification, or authorization to provide resident care shall be
				licensed, certified, or authorized under the appropriate laws and/or rules of the
				State of New Jersey.
(c) The facility
				shall maintain and implement written staffing schedules. Actual hours worked by each
				employee shall be documented.
(d) The
				facility shall develop and implement a staff orientation and a staff education plan,
				including plans for each service and designation of person(s) responsible for
				training. All personnel shall receive orientation at the time of employment and at
				least annual in-service education regarding, at a minimum, emergency plans and
				procedures and the infection prevention and control program.
(e) The staffing ratios of this chapter are the
				minimum only and the residential health care facility shall employ staff in
				sufficient number and with sufficient ability and training to provide the basic care
				and resident supervision required in this chapter.
(f) The facility shall have a policy regarding
				personnel with a reportable communicable disease, infection or exposure to
				infection, specifying that such an employee shall be excluded from the residential
				health care facility until that employee has received a physical examination and
				certification that the condition will not endanger the health of residents or other
				employees.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.6 - Policy and procedure manual

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A policy and
				procedure manual(s) for the organization and operation of the facility shall be
				developed, implemented, and reviewed at intervals specified in the manual(s). Each
				review of the manual(s) shall be documented, and the manual(s) shall be available in
				the facility to representatives of the Department at all times. The manual(s) shall
				include at least the following:
1. An
				organizational chart delineating the lines of authority, responsibility, and
				accountability for the administration and resident care services of the
				facility;
2. A description of the
				services provided;
3. Specification of
				business hours and visiting hours;
4.
				Policies and procedures for reporting all diagnosed and/or suspected cases of
				resident abuse or exploitation, as follows:
i. All
				county welfare agencies shall be notified, in accordance with
				N.J.S.A. 55:13B-1et seq.,
				the Rooming and Boarding Act of 1979, as amended; and
ii. In accordance with NJ.S.A. 52:27G-7.1 et seq.,
				if the resident is 60 years of age or older, the Office of the State Long-Term Care
				Ombudsman shall also be notified, at (877) 582-6995;
5. Policies and procedures for maintaining
				confidentiality of resident records, including policies and procedures for
				examination of resident records by the resident and other authorized persons and for
				release of the resident's records to any individual outside the facility, as
				consented to by the resident or as required by law or third party payor;
6. Policies and procedures for the maintenance and
				confidentiality of personnel records for each employee, including at least the
				employee's name, previous employment, educational background, credentials, license
				number with effective date and date of expiration (if applicable), certification (if
				applicable), verification of credentials, prior criminal records, records of
				physical examinations, job description, and evaluations of job performance;
				and
7. Policies and procedures,
				including content and frequency, for physical examinations upon employment and
				subsequently for employees and persons providing direct resident care services in
				the facility through contractual arrangements or written agreement.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.7 - Resident transportation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				ensure that resident transportation shall be provided, either directly or by
				arrangement, which may include an arrangement with a family member or other
				responsible person, to and from health care services provided outside the facility.
				The facility shall have policies and procedures governing the facility's
				responsibility for the resident and his or her personal possessions, as well as the
				transfer of resident information to and from the provider of the service.
(b) The facility shall assist the resident in
				arranging for transportation to activities of social, religious, and community
				groups in which the resident chooses to participate.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.8 - Written agreements

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall have a written agreement or its equivalent, or
				  a linkage, for services not provided directly by the facility. If the facility
				  provides care to residents with psychiatric disorders, the facility shall also have
				  a written agreement with one or more community mental health centers specifying
				  which services will be provided by the mental health center. The written agreements
				  shall require that services be provided in accordance with this chapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.9 - Reportable events

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall notify the Department
				immediately by telephone at (609) 633-8991 or (800) 792-9770 during business hours,
				or (800) 792-9770 after business hours, followed within 72 hours by written
				confirmation of the following:
1. Termination of
				employment of the administrator, and the name and qualifications of his or her
				replacement;
2. All residents who are
				missing for 24 hours; and
3. All
				suspected cases of resident abuse or exploitation that have been reported to the
				Office of the State Long-Term Care Ombudsman and/or to the county welfare
				agencies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.10 - Notices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall conspicuously post a notice
				that the following information is available in the facility during normal business
				hours, to residents and the public:
1. All waivers
				granted by the Department;
2. A list of
				deficiencies from the last annual licensure inspection survey report and the list of
				deficiencies from any valid complaint investigation during the past 12
				months;
3. Policies and procedures
				regarding resident rights;
4. Visiting
				hours (including at least the time between the hours of 8:00 A.M. and 8:00 P.M.
				daily) and business hours of the facility, including the policies of the facility
				regarding limitations and activities during these times;
5. The toll-free hot line number of the
				Department, telephone numbers of county agencies and of the Office of the State
				Long-Term Care Ombudsman; and
6. The
				names of, and a means to formally contact, the owner and/or members of the governing
				authority.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.11 - Maintenance of records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				maintain an annual chronological listing of residents admitted and discharged,
				including the destination of residents who are discharged.
(b) Statistical data, such as resident census and
				facility characteristics, shall be forwarded on request, in a format provided by the
				Department.