801. General (I).
A.Individuals seeking admission shall be identified as appropriate for the level of care, services, or
assistance offered. The facility shall establish admission criteria that are consistently applied and comply
with local, state, and Federal laws and regulations.
B.The facility shall admit and retain only those persons appropriate for placement in a CRCF in
compliance with the standards of this regulation.
C.The facility shall not admit or retain any of the following persons in compliance with the standards of
this regulation:
1. Any person who is likely to endanger him/herself or others as determined by a physician or other
authorized healthcare provider;
2. Any person other than an adult; (II)
3. Any person needing hospitalization or nursing home care;
4. Any person needing daily skilled monitoring/observation due to an unstable or complex medical
condition, e.g., brittle diabetes, dialysis patients with complications such as infections in the blood;
5. Any person needing medications that require frequent dosage adjustment, regulation, and/or
monitoring, e.g.diabetics receiving sliding scale insulin;
6. Any person needing intravenous medications or fluids, regular intra-muscular and subcutaneous
injections by staff or by the responsible party. This does not include injections administered on a part-time or
intermittent basis by non-staff licensed nurses. Routine injection(s) of insulin scheduled daily or less
frequently are permitted;
7. Any person needing the care of urinary catheter that cannot be managed independently by the resident;
8. Any person needing treatment of stage 2, 3, or 4 decubitus ulcers, or multiple pressure sores, or other
widespread skin disorder (important considerations include: signs of infection, full-thickness tissue loss, or
the requirement of sterile technique);
9. Any person needing nasogastric tube feeding or having to be fed by a syringe or straw due to
difficulties in swallowing. Gastronomy tube feedings that cannot be managed independently by the resident;
10. Any person needing suctioning of the nose and/or mouth;
11. Any person needing tracheostomy or sterile care of the tracheostomy that cannot be managed
independently by the resident; or
12. Any person receiving oxygen for the first time, which requires adjustment and evaluation of
oxygen concentration.
D.The facility shall not retain any of the following persons in compliance with the standards of this
regulation:
1. Any person who has serious aggressive, violent, or socially inappropriate behavioral symptoms
which cannot be controlled or improved in the facility.
2. Any person who has a dependency in all activities of daily living for more than fourteen (14)
consecutive days, e.g., bedridden; incapable of locomotion; unable to transfer; totally incontinent of urinary
and/or bowel function; must be totally bathed and dressed and toileted and needs extensive assistance to
eat. The facility shall develop a plan for transfer on the fifteenth (15th) day of total dependency if the
the resident is not improving.
3. Any person needing the continuous daily attention of a licensed nurse, e.g. care of a urinary catheter
that cannot be managed independently, treatment of stage 2, 3, or 4 decubitus ulcers. Nursing care maybe
furnished to residents in need of short-term intermittent nursing care (no more than fourteen (14)
consecutive days) while convalescing from illness or injury, provided the nursing services, e.g., the
utilization of a home health nurse for sterile dressing changes or for observation related to a surgical site,
are furnished by a licensed nurse facility staff member or a home health nurse.
E.Residents whose condition changes to a degree that nursing home care, the daily attention of a nurse,
or hospitalization may be required, or have a contagious disease, shall be examined by a physician or other
authorized healthcare provider regarding the possible necessity for transfer to a facility where the resident’s
eligibility for admission is appropriate.
F. When the provision of care/services in the facility, combined with other appropriately licensed
services, in accordance with facility policy, e.g., hospice, home health, as may be ordered by a physician
or other authorized healthcare providers, does not meet the needs of the resident, or if any resident becomes
in need of continuous medical or nursing supervision, or if the facility does not have the capability to
provide necessary care/services, the resident shall be transferred within 30 days to a location which shall
meet those needs. The administrator shall coordinate this transfer with the resident, next-of-kin/responsible
party, and sponsor.