Minimum standards for nursing homes
Chapter 59A-4 questions and answers
2023 update
The licensee or applicant shall make application for an initial, renewal, or change of ownership
license to operate a nursing home facility and shall provide - answer a) all of the information
required by this rule on the Health Care Licensing Application Nursing Homes
b) proof of financial ability to operate
The license fees must be included with the application. The license fees are: - answer a biennial
fee of $100.00 per bed and a resident protection fee of .50 cents per bed and the Data
Collection and Analysis Assessment of 12.00 per bed
A nursing home licensee may request an inactive license for part of a facility - answer to use an
occupied contiguous portion of the facility for an alternative use.
Prior to providing alternative services, the facility must submit a written request to the agency.
A request may be - answer submitted at any time during the licensure period and must provide:
the intended use of the inactive portion, a floor plan of the building identifying the inactive
area, the total number of inactive beds and prospective date the beds will become inactive.
Upon receipt of written approval by the Agency to continue with the plan for partial inactive
license - answer the licensee must submit a completed Health Care Licensing Application,
Nursing Homes, AHCA Form, to the agency within 60 days of the approval and a bed change
request form for beds certified through the Centers for Medicare and Medicaid Services. The
appropriate facility licensure application for the alternative use must accompany this
application, unless the space will be utilized for services the authorized under the existing
nursing home licensure.
If the alternative service license is approved, - answer a partial inactive license will be issued
concurrently with the issuance of the license for alternative use.
,The expiration date of the partial inactive license will be the - answer same date that the
licensee's nursing home must file for renewal of their nursing home license.
The licensee must indicate the intent to continue the partial inactive license - answer at each
nursing home renewal.
Licensure fees will remain at the standard rate whether - answer active or inactive, at the time
of renewal and will not be assessed for another Agency for the alternative use of the inactive
beds.
Notification to reactivate the inactive portion of the building and the appropriate change
request form for beds certified through the Centers for Medicare and Medicaid Services, must
be - answer submitted to the Agency at least 30 days prior to the planned date to admit
residents to the previously inactive beds.
The licensee of each nursing home must have full legal authority and responsibility for the -
answer operation of the facility.
The licensee of each facility must designate - answer one person, who is licensed by the Florida
Department of Health, Board of Nursing Home Administrators as the Administrator who
oversees the day to day administration and operation of the facility
Each nursing home must be organized according to a - answer written table of organization.
The licensee for each nursing home it operates, must maintain - answer fiscal records in
accordance with the requirements of Chapter 400
Name of the accounting systems that must be used to reflect transactions of business - answer
accrual or cash system
, Records and accounts of transactions, such as general ledgers and disbursement journals must
be brought current - answer no less than quarterly and shall be available for review by
authorized representatives of appropriate state and federal agencies.
A licensee must obtain a surety bond, it must - answer - be based on twice the average monthly
balance in the resident trust fund during the prior fiscal year or 5,000, whichever is greater
- a licensee who owns more than one nursing home may purchase a single surety bond to cover
the residents' funds held in nursing homes located within the state.
- a surety bond must contain the same language as is found in the Nursing Home Patient Trust
Surety Bond, AHCA from which is incorporated by reference, and may be obtained online.
The surety bond must be filed with - answer the Agency for Health Care Administration
A self insurance pool - answer a) may be an interest bearing account
b) may be established for non certified facilities only to provide compensation to any resident
suffering financial loss in accordance with the provisions of Section 400, as the result of one or
more of the member licenses violating the provisions of 400.
c) must be administered under the direction of an elected board of trustees. The membership
of the board of trustees must be composed of one representative from each participating
licensee.
An application for establishing a self insurance pool - answer - must be made by the trustees to
the Agency
- such application shall contain the following information: the names, complete addresses, and
affiliation of the trustees; the name and complete address of each licensee participating in the
pool: the total dollar amount of the pool; and the name and complete address of the bank in
which the account is maintained and the account number.
The application for establishing a self insurance pool must be accompanied by: - answer - an
individual application from each licensee applying for membership in the self insurance pool.
Such application must contain the following information: the name, telephone number, and
complete address of the facility and the licensee, the name of the facility's administrator,
manager or supervisor, his or her license and renewal number; the names of all employees
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