reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1802 - Infection Control Training

Current through Register Vol. 48, No. 6, June 28, 2024
A. The hospital shall require annual education regarding infection prevention and control for all employees, students, and volunteers who have contact with patients or who handle or potentially handle blood, body fluids, or tissue. If any of these persons work or perform tasks at more than one hospital, the hospital may accept infection prevention and control education received at another hospital or at an in-person or online seminar to meet this requirement, but only if the education is reported to and documented by the hospital.
B. Infection prevention and control education requirements may be met through in-person or online training, or completion of modules, videos or other training materials designed to convey such education.
C. In addition to general infection prevention education provided during initial orientation, each employee, student, and volunteer who has contact with patients or who handles or potentially handles blood, body fluids or tissue, shall receive infection prevention and control education specific to his/her job classification and work activities to inform him/her about the infection prevention and control policies and procedures of his/her position. Infection prevention and control training should be targeted to the functions of different categories of employees.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1803 - Patient/Public Education and Disclosure

Current through Register Vol. 48, No. 6, June 28, 2024
Prior to or upon admission to the hospital as an inpatient or for outpatient surgery, the hospital must provide to patients materials designed to educate the patient and his/her responsible party about the prevention of healthcare associated infections and the public availability of healthcare associated infection reports through the Hospital Infections Disclosure Act, S.C. Code Ann. Section 44-7-2410, et. seq. The hospital must document provision of this information to the patient or responsible party. The hospital is not required to provide the information to the patient or responsible party if he or she is unable or unwilling to receive the information or if there is no responsible party.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1804 - Live Animals

Current through Register Vol. 48, No. 6, June 28, 2024
Service animals may be permitted in the facility in accordance with the Americans with Disability Act and other applicable state or federal statutes or regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1806 - Waste Management

Current through Register Vol. 48, No. 6, June 28, 2024
A. The hospital shall be able to demonstrate that it has a comprehensive waste management program for identification, collection, handling, and management, of all medical waste, including nonhazardous and hazardous pharmaceutical waste.
B. The hospital shall provide for a regular review of its policies and procedures to assure compliance of its waste management practices in comparison with federal EPA and state regulatory requirements.
C. Accumulated waste, including all contaminated sharps, dressings, and/or similar infectious waste, shall be disposed of in compliance with the following standards: Bloodborne Pathogens Standard of the Occupational Safety and Health Act (OSHA) of 1970; related regulations at  29 CFR 1910 ; the Department's
Guidelines for Prevention and Control of Antibiotic Resistant Organisms in Health Care Settings
; Regulation 61-105, and other applicable federal, state and local laws and regulations.
D. The hospital shall inform personnel involved in the handling and disposal of potentially infectious waste of health and safety hazards, and ensure that they are trained in appropriate handling and disposal methods.
E. The hospital shall have policies for the use and disposal of sharps. The hospital shall use sharps containers capable of maintaining their impermeability after waste treatment to avoid subsequent physical injuries during final disposal. Disposable syringes with needles, including sterile sharps that are being discarded, scalpel blades, and other sharp items must be placed into puncture-resistant containers located as close as practical to the point of use.
F. Regulated medical wastes awaiting treatment shall be stored in a properly ventilated area inaccessible to vermin. Waste containers that prevent development of noxious odors must be used. If treatment options are not available at the site where the medical waste is generated, the hospital must ensure transport of the regulated medical wastes in closed, impervious containers to the on- site treatment location or to another facility for treatment as appropriate. Regulated medical wastes must be treated by using a method (e.g., steam sterilization, incineration, interment, or an alternative treatment technology) in accordance with local, state and federal laws and regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1800 - INFECTION CONTROL. (I) › Section 61-16.1807 - Water Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A. The hospital shall establish written policies and procedures to prevent waterborne microbial contamination within the water distribution system.
B. The hospital shall ensure the practice of hand hygiene to prevent the hand transfer of pathogens, and the use of barrier precautions (e.g. gloves) in accordance with established guidelines.
C. The hospital shall eliminate contaminated water or fluid from environmental reservoirs (e.g. in equipment or solutions) wherever possible.
D. The hospital shall not place decorative fountains and fish tanks in patient-care areas. If decorative fountains are used in separate public areas, the hospital shall ensure that they are disinfected in accordance with manufacturer's instructions and safely maintained.
E. The hospital plumbing fixtures which require hot water and which are accessible to patients shall be supplied with water which thermostatically controlled to a temperature of at least 100 degrees F. (37.8 degrees C) and not exceeding 125 degrees F. (51.7 degrees C.) at the fixture.
F. The hospital shall have a written plan to respond to disruptions in water supply. The plan must include a contingency plan to estimate water demands for the entire facility in advance of significant water disruptions (i.e., those expected to result in extensive and heavy microbial or chemical contamination of the potable water), sewage intrusion, or flooding.
G. When a significant water disruption or an emergency occurs, the hospital shall:
1. Adhere to any advisory to boil water issued by the municipal water utility;
2. Alert patients, families, employees, volunteers, students and visitors not to consume water from drinking fountains, ice, or drinks made from municipal tap water, while the advisory is in effect, unless the water has been disinfected;
3. After the advisory is lifted, run faucets and drinking fountains at full flow for greater than 5 minutes, or use high-temperature water flushing or chlorination;
4. All ice and drinks that may have been contaminated must be disposed and storage containers cleaned; and
5. Decontaminate the hot water system as necessary after a disruption in service or a cross-connection with sewer lines has occurred.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1901 - General. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall be planned, designed, and equipped to provide for and promote the care, safety, and well-being of each patient. The Facility design shall be such that all patients shall have access to required services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1902 - Codes and Standards. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facility design and construction shall comply with provisions of the codes officially adopted by the South Carolina Building Codes Council and the South Carolina State Fire Marshal. Further, the design and construction shall comply with the provisions of the Facility Guidelines Institute's (FGI)
Guidelines for Design and Construction of Hospitals
and
Guidelines for Design and Construction of Outpatient Facilities
. When conflict exists for compliance with the FGI
Guidelines
and officially adopted codes or this regulation, the Facility shall comply with the strictest provision.
B. Unless specifically required otherwise by the Department, all facilities shall comply with the codes and regulations applicable at the time of final plan approval by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1903 - Submission of Plans. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Plans and specifications shall be prepared by an architect and/or engineer registered in South Carolina. Unless directed otherwise by the Department, the architect and/or engineer shall submit plans at the schematic, design development, and final stages. All plans shall be drawn to scale. Any construction changes from the approved documents shall be approved by the Department. Construction work shall not commence until a plan approval has been received from the Department. During construction, the Facility shall employ a registered architect and/or engineer for construction administration. Upon approval of the Department, construction administration may be performed by an entity other than the architect. The Department shall conduct periodic inspections throughout each project.
B. Plans and specifications shall be submitted to the Department for a project that has an effect on:
1. The function of a space;
2. The accessibility to or of an area;
3. The structural integrity of the facility;
4. The active and/or passive fire safety systems (including kitchen equipment such as exhaust hoods or equipment required to be under an exhaust hood);
5. Doors;
6. Walls;
7. Ceiling system assemblies;
8. Exit corridors;
9. Life safety systems; or
10. Increases the occupant load or licensed capacity of the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1904 - Construction Inspections. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall obtain all required permits (i.e., zoning and building) from the locality having jurisdiction for all projects. Construction without proper permitting shall not be inspected by Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1905 - Patient Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility shall ensure that all curtains are flame proof (including cubicle curtains).
B. The Facility shall ensure patient beds are placed with at least three feet of clearance on three sides of the bed.
C. The Facility shall ensure at least one private room is provided in each nursing unit for purposes of medical isolation, incompatibility, personality conflicts, etc.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1906 - Signal System. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A signal system shall be provided for each patient. The system shall consist of a call button for each bed, bath, toilet and treatment/examination room; a light at or over each patient room door visible from the corridor; a control panel in utility rooms, treatment/examination rooms, medication rooms, nurses' lounges and floor kitchens. Indicators and control panels shall employ both an audible and visual signal.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1907 - Nurses Station

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall ensure each nurses' station serves no more than forty-four (44) beds, unless additional services and facilities are provided. In order for a nurses' station to be permitted to serve more than forty-four (44) beds, the Facility shall provide the Department, in writing, justification showing how the additional beds served will not adversely affect the care provided to each patient.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1908 - Utility Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. Soiled Utility Room. The Facility shall ensure at least one soiled utility room per main/central nurses' station is provided, which contains a clinical sink, work counter, hand wash sink, waste receptacle, and soiled linen receptacle. This requirement is not applicable to satellite/remote nurses' stations.
B. Clean Utility Room. The Facility shall ensure at least one clean utility room per main/central nurses' station is provided, which contains a counter with hand wash sink, space for the storage, and space assembly of supplies for nursing procedures. If the Facility provides individually sealed, one-time-use packaged items for patient care, a hand wash sink is not required. This requirement is not applicable to satellite/remote nurses' stations.
C. Nourishment Room. The Facility shall ensure there is at least one nourishment room per main/central nurses' station which contains a counter with hand wash sink, refrigerator, ice machine, space for storage, and space for the assembly of packaged food and drink for patient use. This requirement is not applicable to satellite/remote nurses' stations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.1900 - DESIGN, CONSTRUCTION, REPAIRS, ALTERATIONS, AND ADDITIONS › Section 61-16.1909 - Temperature and Humidity

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Minimum design temperature of 75 degrees F. (23.9 degrees C.) at winter design
				conditions and 81 degrees F. maximum summer design conditions shall be provided
				for all occupied areas not listed below. The systems shall be designed to
				provide the following temperatures and humidities in the areas noted:
Area
Temperature
Relative Humidity
Designation
F
C
Minimum
Maximum
Operating Room
68-75
20.0-24.0
20
60
Recovery Rooms
75
23.9
30
60
Intensive Care Units
75-80
23.9-26.7
30
60
B.
				Perinatal design temperature and humidity shall follow the current edition of
				Guidelines for Perinatal Care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2001 - Alarms

Current through Register Vol. 48, No. 6, June 28, 2024
A. A partial, manual, automatic, supervised fire alarm system shall be provided. The system shall be arranged to transmit an alarm automatically to a third party by an approved method. The alarm system shall notify by audible and visual alarm all areas and floors of the building. The alarm system shall shut down central recirculating systems and outside air units that serve the area(s) of alarm origination as a minimum.
B. There must be a fire alarm pull station in or near each nurses station.
C. All fire, smoke, heat, sprinkler flow, or manual fire alarming devices or systems must be connected to the main fire alarm system and trigger the system when they are activated.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2002 - Emergency Generator Service

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facilities shall provide certification that construction and installation of emergency generator service complies with requirements of all adopted State, Federal, or local codes, ordinances, and regulations.
B. An emergency generator shall be provided to deliver emergency electrical service during interruption of the normal electrical service and shall be provided to the distribution system as follows:
1. Exit lights and exit directional signs;
2. Exit access corridor lighting;
3. Lighting of means of egress and staff work areas;
4. Fire detection and alarm systems;
5. In patient care areas;
6. Signal system;
7. Equipment necessary for maintaining telephone service;
8. Elevator service that will reach every patient floor when rooms are located on other than the ground floor;
9. Fire pump;
10. Equipment for heating patient rooms;
11. Public restrooms;
12. Essential mechanical equipment rooms;
13. Battery-operated lighting and a receptacle in the vicinity of the emergency generator;
14. Alarm systems, water flow alarm devices, and alarms required for medical gas systems;
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2003 - Fire Reports. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall immediately notify the Department by email to firewatch@dhec.sc.gov or other email address prescribed by the Department regarding any fire, regardless of size or damage that occurs in the facility, and followed by a complete written report to include fire department reports, if any, to be submitted within a time period determined by the facility, but not to exceed 7 business days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2004 - Fire Safety. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall comply with the provisions of the codes officially adopted by the South Carolina Building Codes Council, and the South Carolina State Fire Marshal.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2005 - Plans and Training for Fires. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each facility shall develop, in coordination with its supporting fire department and/or disaster preparedness agency, suitable written plans for actions to be taken in the event of fires. All employees shall be made familiar with these plans and instructed as to required actions.
B. Each employee shall receive fire protection training.
C. A fire drill shall be conducted for each shift at least quarterly. Records of drills shall be maintained to report the date, time, shift and a description and evaluation of the drill.
D. Drills shall be designed and conducted to:
1. Assure that all personnel are capable of performing assigned tasks or duties;
2. Assure that all personnel know the location, use and how to operate firefighting equipment;
3. Assure that all personnel are thoroughly familiar with the fire plan; and
4. Evaluate the effectiveness of plans and personnel.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2006 - Tests and Inspections. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall maintain and test all fire protection and suppression systems in accordance with the provisions of the codes officially adopted by the South Carolina Building Codes Council and the South Carolina State Fire Marshal applicable to the Facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2007 - Gases

Current through Register Vol. 48, No. 6, June 28, 2024
The Facility shall take safety precautions against fire and other hazards when oxygen is dispensed, administered, or stored. "No Smoking" signs shall be posted conspicuously, and cylinders shall be properly secured in place.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2000 - FIRE PROTECTION, PREVENTION AND LIFE SAFETY. (I) › Section 61-16.2008 - Furnishings and Equipment. (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The Facility shall maintain the physical plant free of fire hazards or impediments to fire prevention.
B. The Facility shall not permit portable electric or unvented fuel heaters.
C. The Facility shall require all wastebaskets, window dressings, portable partitions, cubicle curtains, mattresses, and pillows to be noncombustible, inherently flame-resistant, or treated or maintained flame-resistant.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2100 - PREVENTIVE MAINTENANCE OF LIFE SUPPORT EQUIPMENT

Current through Register Vol. 48, No. 6, June 28, 2024
A written preventive maintenance program for all life support equipment including, but not limited to, all patient monitoring equipment, isolated electrical systems, conductive flooring, patient grounding systems, and medical gas systems shall be developed and implemented. This equipment shall be checked and/or tested at such intervals to ensure proper operation and a state of good repair. After repairs and/or alterations are made to any equipment or system, the equipment or system shall be thoroughly tested for proper operation before returning it to service. Records shall be maintained on each piece of life support equipment to indicate its history of testing and maintenance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-16 - Minimum Standards for Licensing Hospitals and Institutional General Infirmaries › Sec2 61-16.2200 - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions which have not been covered in these regulations
				shall be handled in accordance with the best practices as interpreted by the
				Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.100 - DEFINITIONS AND REFERENCES › Section 61-17.100.101 - Definitions

Current through Register Vol. 48, No. 6, June 28, 2024
For the purpose of this regulation, the following definitions
				  shall apply:
A. Abuse. Physical abuse
				or psychological abuse.
1. Physical Abuse. The
				act of intentionally inflicting or allowing to be inflicted physical injury on
				a resident by an act or failure to act. Physical abuse includes, but is not
				limited to, slapping, hitting, kicking, biting, choking, pinching, burning,
				actual or attempted sexual battery, use of medication outside the standards of
				reasonable medical practice for the purpose of controlling behavior, and
				unreasonable confinement. Physical abuse also includes the use of a restrictive
				or physically intrusive procedure to control behavior for the purpose of
				punishment except that a therapeutic procedure prescribed by a physician or
				other legally authorized healthcare professional or that is part of a written
				ICP by a physician or other legally authorized healthcare professional is not
				considered physical abuse. Physical abuse does not include altercations or acts
				of assault between residents.
2.
				Psychological Abuse. The deliberate use of any oral, written, or gestured
				language or depiction that includes disparaging or derogatory terms to a
				resident or within the resident's hearing distance, regardless of the
				resident's age, ability to comprehend, or disability, including threats or
				harassment or other forms of intimidating behavior causing fear, humiliation,
				degradation, agitation, confusion, or other forms of serious emotional
				distress.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.100 - DEFINITIONS AND REFERENCES › Section 61-17.100.102 - References

Current through Register Vol. 48, No. 6, June 28, 2024
A. The following
				Departmental standards and/or publications are referenced in these regulations:
1. Regulation Regulation
				61-4, Controlled
				Substances;
2. Regulation
				Regulation
				61-19, Vital
				Statistics;
3. Regulation
				Regulation
				61-20, Communicable
				Diseases;
4. Regulation Regulation
				61-25, Retail Food
				Establishments;
5. Regulation
				Regulation
				61-58, State Primary Drinking
				Water Regulations;
6. Regulation
				Regulation
				61-105, Infectious Waste
				Management.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.200 - LICENSE REQUIREMENTS AND FEES › Section 61-17.200.201 - License Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				License. No person, private or public organization, political subdivision, or
				governmental agency shall establish, operate, maintain, or represent itself
				(advertise or market) as a nursing home in South Carolina without first
				obtaining a lice nse from the Department. (I)
1. When it has been determined by the
				Department that nursing care is being provided at a location to accommodate two
				(2) or more unrelated persons over a period exceeding twenty-four (24) hours,
				and the owner has not been issued a license from the Department to provide such
				care, treatment, and/or services, the owner shall cease operation immediately
				and assure the health and safety of the residents. (I)
2. A facility shall provide only the care,
				treatment, and/or services of which it is capable and equipped to provide, and
				has been authorized by the Department to provide. (I)
3. Current or previous violations of the
				South Carolina Code of Laws and/or Department regulations may jeopardize the
				issuance of a license for the facility or the licensing of any other facility
				or activity or addition to an existing facility that is owned or operated by
				the licensee. (I)
4. No license
				may be issued, reissued, or renewed until all monetary penalties finally
				assessed against a facility have been paid and/or other enforcement actions
				resolved.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.200 - LICENSE REQUIREMENTS AND FEES › Section 61-17.200.202 - License Fees

Current through Register Vol. 48, No. 6, June 28, 2024
A. Licensing
				Fees. A nonrefundable initial and annual licensing fee of twenty dollars
				($20.00) per licensed bed, or four hundred dollars ($400.00), whichever is
				greater, shall be submitted to the Department. Such fee shall be made payable
				by credit card, check or money order to the Department.
B. Late Fee. Failure to submit a license
				renewal application or fee to the Department by the license expiration date may
				result in a late fee of seventy-five dollars ($75.00) or twenty-five percent
				(25%) of the licensing fee amount, whichever is greater, in addition to the
				licensing fee. Continual failure to submit completed and accurate renewal
				applications and/or fees by the time period specified by the Department may
				result in enforcement actions. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.200 - LICENSE REQUIREMENTS AND FEES › Section 61-17.200.203 - Exceptions to Licensing Standards

Current through Register Vol. 48, No. 6, June 28, 2024
The Department may make exception(s) to these standards,
				  providing an option for compliance, when it is determined that the health and
				  safety of residents are not compromised and provided the standard(s) is not
				  specifically required by statute. In the event of a licensee change, exceptions
				  are not transferable to the new licensee unless approved by the
				  Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.300 - ENFORCING REGULATIONS › Section 61-17.300.301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall utilize inspections, investigations,
				  consultations, and other pertinent documentation regarding a proposed or
				  licensed facility in order to enforce this regulation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.300 - ENFORCING REGULATIONS › Section 61-17.300.302 - Inspections and Investigations

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				An inspection shall be conducted prior to initial licensing. Inspections shall
				be conducted as deemed appropriate by the Department. (I)
B. All facilities, proposed facilities, or
				unlicensed facilities are subject to inspection or investigation at any time
				without prior notice by individuals authorized by South Carolina Code of Laws.
				(II)
C. Individuals authorized by
				the Department shall be granted access to all properties and areas, objects,
				and records. If photocopies are made for the Department inspector, they shall
				be used only for purposes of enforcement of regulations and confidentiality
				shall be maintained except to verify individuals in enforcement action
				proceedings. Physical area of inspections shall be determined by the extent to
				which there is potential impact or effect upon residents as determined by the
				inspector. (I)
D. A facility or
				proposed facility found noncompliant with the standards of this regulation
				shall submit an acceptable written plan of correction to the Department that
				shall be signed by the Administrator and returned by the date specified by the
				Department. The written plan of correction shall describe: (II)
1. The actions taken to correct each cited
				deficiency;
2. The actions taken to
				prevent recurrences (actual and similar);
3. The actual or expected completion dates of
				those actions.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.300 - ENFORCING REGULATIONS › Section 61-17.300.303 - Consultations

Current through Register Vol. 48, No. 6, June 28, 2024
Consultations may be provided by the Department as requested
				  by the facility or as deemed appropriate by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.400 - ENFORCEMENT ACTIONS › Section 61-17.400.401 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. When the
				Department determines that a licensee, proposed licensee, or an unlicensed
				facility owner is in violation of statutory provisions, rules, or regulations
				relating to the operation of a facility, the Department, upon proper notice to
				the licensee, may impose a monetary penalty and/or deny, suspend, revoke, or
				refuse to issue or renew a license.
B. Food service permits may be revoked or
				suspended for violations in accordance with R.61-25.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.601 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Direct care
				staff members shall undergo a criminal background check prior to being employed
				or contracting with a licensed nursing home facility pursuant to S.C. Code
				Section
				44-7-2910.
				Staff members of the facility shall not have a prior conviction or pled no
				contest (nolo contendere) for child or adult abuse, neglect, or mistreatment,
				or pursuant to S.C. Code Section
				16-1-10(A),
				any Class A, B, C, or D felony or Class E or F felony involving criminal sexual
				conduct, physical or sexual abuse of children, elderly or infirm, or crimes
				where the victim is a patient or resident of a health care facility. The
				facility shall coordinate with appropriate abuse-related registries prior to
				the employment of staff. (I)
B.
				Direct care staff members, in addition to meal service staff, shall have at
				least the following qualifications: (I)
1.
				Ability to render care and services to residents in an understanding and gentle
				manner;
2. Sufficient education to
				be able to perform their duties;
3.
				A working knowledge of regulations applicable to their scope of work;
4. Be an adult, or, if not an adult, the
				facility shall assure that there is compliance with state, federal, and local
				laws pertaining to the employment of children.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.602 - Administrator

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each facility
				shall have a full-time licensed Administrator. (II)
B. The facility Administrator shall be
				licensed as a nursing home Administrator in accordance with S.C. Code Section
				40-35-30.
				In addition, all other applicable provisions of S.C. Code Title 40, Chapter 35,
				shall be followed. (II)
C. The
				Administrator shall exercise judgment that reflects that he or she is in
				compliance with these regulations and shall demonstrate adequate knowledge of
				these regulations. (II)
D. A staff
				member shall be designated, by name or position, in writing, to act in the
				absence of the Administrator, for example, a listing of the lines of authority
				by position title, including the names of the individuals filling these
				positions. (II)
E. The
				Administrator shall have sufficient freedom from other responsibilities and
				duties to carry out the functions associated with the position.
F. No individual may be the Administrator of
				more than one (1) nursing home. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.603 - Direct Care Staff (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				There shall be direct care staff adequate in number and skill in the facility
				at all times to provide nursing and related care and services to attain or
				maintain the highest practicable physical, mental, and psychosocial health and
				safety of each resident, as determined by resident assessments and ICPs. Direct
				care staff shall be assigned only duties for which they are trained.
B. Licensed nurse staff members shall be
				currently and continuously licensed to practice nursing in South Carolina
				during the period they are staff members. Only individuals appropriately
				licensed may perform duties requiring a registered or licensed practical nurse.
				(I)
C. Persons working in the
				facility as nurse aides shall be certified in South Carolina. As an exception,
				facility nonlicensed staff who are enrolled in a nurse aide training and
				competency evaluation program approved by the S.C. Department of Health and
				Human Services and who have been working in the facility four (4) months or
				less are exempt from Section 603.C. Licensed nurses or applicants for such
				licensure who have been granted a permit to practice nursing in accordance with
				rules adopted by the South Carolina Board of Nursing are exempt from Section
				603.C. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.604 - Medical Staff (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall have a medical director who is a physician
				  who shall be responsible for implementation of policies and procedures that
				  pertain to the care and treatment of the residents and the coordination of
				  medical care in the facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.605 - Staff (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Licensed
				Nursing Staff. An adequate number of licensed nurses shall be on duty to meet
				the total nursing needs of residents. Licensed nursing staff shall be assigned
				to duties consistent with their scope of practice as determined through their
				licensure and educational preparation.
1. The
				facility shall designate a registered nurse as a full-time Director of Nursing.
				Another registered nurse, who is employed by the licensee, shall be designated
				in writing to act in his or her absence. In facilities with a licensed bed
				capacity of twenty-two (22) or fewer beds, the Director of Nursing may be
				included in the requirements of Section 605.A.2.
2. There shall be at least one (1) licensed
				nurse per shift for each staff work area. If there are more than forty-four
				(44) residents per staff work area, there shall be two (2) licensed nurses on
				first shift and at least one (1) licensed nurse on second and third
				shift.
3. At least one (1)
				registered nurse shall be on duty in the facility, or on call, whenever
				residents are present in the facility.
4. An Administrator who is a registered nurse
				or licensed practical nurse shall not be included in meeting the staffing
				requirements of this section.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.606 - Inservice Training (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Staff members shall be provided the necessary training to perform the duties
				for which they are responsible.
B.
				Before performing any duties, all newly-hired staff members shall be oriented
				to the facility organization and physical plant, specific duties and
				responsibilities of staff members, and residents' needs. All staff members
				shall be instructed in the provisions of S.C. Code Section
				43-35-5
et seq.
, "Omnibus Adult Protection Act" and S.C. Code Section
				44-81-10
et seq.
, "Bill of Rights for Residents of Long-Term Care
				Facilities" as well as other rights and assurances as required in this
				regulation.
C. All staff shall be
				provided inservice training programs that identify training needs related to
				problems, needs, care of residents and infection control and are sufficient to
				assure staff's continuing competency. Training for the tasks each staff member
				performs shall be conducted in order to provide the care, treatment,
				procedures, and/or services delineated in Section 1000.
D. All licensed nurses shall possess a valid
				Healthcare Provider cardio-pulmonary resuscitation (CPR) certificate within six
				(6) months of their first day on the job in the facility. (I)
E. Those staff members who operate motor
				vehicles that transport residents shall have a valid driver's
				license.
F. Training shall be
				provided to staff members by appropriate resources, for example, licensed or
				registered individuals, video tapes, books, in context with their job duties
				and responsibilities, prior to their date of initial resident contact (unless
				otherwise as noted below) and at a frequency determined by the facility, but at
				least annually. (I)
1. All staff members:
a. Emergency procedures and disaster
				preparedness to address various types of potential disasters such as
				evacuation, bomb threat, earthquake, flood, hurricane, tornado and others
				within forty-eight (48) hours of their first day on the job in the facility
				(See Section 1500);
b. Fire
				response training (See Section 1603);
c. Confidentiality of resident information
				and records and the protection of resident rights (review of "Bill of Rights
				for Residents of Long-Term Care Facilities").
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.607 - Health Status (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All
				staff members who have contact with residents shall have a health assessment
				(in accordance with Section 101.Z) within twelve (12) months prior to date of
				hire or initial resident contact.
B. The health assessment shall include
				tuberculosis screening in the manner designated by guidelines established by
				the Department.
C. If a staff
				member is working at multiple facilities operated by the same licensee, copies
				of his or her record for tuberculin testing results and the pre-employment
				health assessment shall be acceptable at each facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.608 - Volunteers

Current through Register Vol. 48, No. 6, June 28, 2024
A. If the facility
				has a volunteer program, a facility staff person shall direct the program.
				Community groups such as Boy and Girl Scouts, church groups, civic
				organizations or individuals that may occasionally present programs,
				activities, or entertainment in the facility shall not be considered
				volunteers. Volunteers shall be subject to the same standards regarding
				resident confidentiality and practice as the facility staff. Volunteers shall
				consult with licensed staff prior to any changes in resident care or treatment.
				The facility may elect to prohibit volunteers to work in the facility.
B. The licensee is responsible for
				all the activities that take place in the facility including the coordination
				of volunteer activities. (II)
1. Volunteers
				shall receive the orientation, training, and supervision necessary to assure
				resident health and safety before performing any duties. The orientation
				program shall include, but not be limited to:
a. Resident rights;
b. Confidentiality;
c. Disaster preparedness;
d. Emergency response procedures;
e. Safety procedures and precautions;
				and
f. Infection control.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.600 - STAFF AND TRAINING › Section 61-17.600.609 - Private Sitters

Current through Register Vol. 48, No. 6, June 28, 2024
A. If a
				resident or responsible party has not agreed in writing with the facility to
				not have a private sitter and chooses to employ a private sitter for use in the
				facility, the facility may establish a formalized private sitter program that
				shall be directed by a facility staff member.
1. The facility shall assure that private
				sitters have been chosen in accordance with the Bill of Rights for Residents of
				Long-Term Care Facilities.
2. The
				facility shall establish written policies and procedures for the private sitter
				program, to include duties.
3.
				There shall be accurate current information maintained regarding private
				sitters including:
a. Name, address and
				telephone number;
b. Date of
				initial resident contact may be maintained by the facility, if
				applicable.
c. Prior to resident
				contact, the private sitter shall have documented orientation to the
				organization and environment of the facility. Orientation to the facility shall
				consist, at least, of the following:
1.
				Residents' rights;
2.
				Confidentiality;
3. Disaster
				preparedness;
4. Emergency response
				procedures;
5. Fire response
				training (See Section 1603) within twenty-four (24) hours of his or her first
				day as a private sitter and at least annually thereafter;
6. Safety procedures and
				precautions;
7. Infection control;
				and
8. Private Sitter Policies and
				Procedures.