TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 1. TEXAS DEPARTMENT OF HUMAN SERVICES

Chapter 19. NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

Subchapter V. ENFORCEMENT

2. LICENSING REMEDIES

40 TAC §19.2111

The Texas Department of Human Services (DHS) adopts an amendment to §19.2111 with changes to the proposed text published in the July 14, 2000, issue of the Texas Register (25 TexReg 6692).

The department has authority under section 242.072, Health and Safety Code to order the suspension of admissions to a nursing facility when violations of the state licensing law and rules threaten the health and safety of a resident. There is a federal Medicaid regulation that allows denial of payment for new admissions to a facility in the Medicaid program when Medicaid requirements are not being met. The justification of this rule is to distinguish between the Medicaid denial of payment for new admissions and the state licensing suspension that is not limited to new admissions. The department recognized that there may be circumstances when it is appropriate to allow a person to enter a facility while a suspension is in effect. Since a suspension is imposed when resident health and safety is threatened, the department decided that only the commissioner or his designee should decide when to grant a waiver to the suspension.

The department received comments from the Texas Health Care Association (THCA). A public hearing was held on September 25, 2000, and comments were received from THCA, the Texas Chapter of the National Academy of Elder Law Attorneys, Advocates for Nursing Home Reform, the Texas Association of Homes and Services for the Aging, and the Legal Hotline for Older Texans. The following is a summary of comments received both during the Texas Register comment period and the public hearing.

Comment: Several of the comments stated that the proposed rule may be in conflict with federal law and supersedes federal authority.

Response: The department disagrees that there is a conflict with federal regulations or the federal definition of new admission. The department has authority to license facilities and to impose licensing enforcement actions under Chapter 242, Health and Safety Code. Section 242.072 gives the department authority to impose suspension of admissions when a violation of Chapter 242 or a rule adopted under that chapter threatens the health and safety of a resident. Denial of payment for new admissions is a remedy in federal rules governing the Medicaid program and may be imposed when a facility is not in substantial compliance with Medicaid requirements. The federal rule does not suspend admissions but provides that Medicaid payments will not be made for new admissions. Federal regulations do not require the department to allow a facility to accept or retain residents when there is a threat to the health and safety of the residents. This rule does not define new admissions but makes it clear that both new admissions and persons returning to the facility after a 24 hour absence are covered by the suspension. While the term admissions is used in both licensing and Medicaid actions the distinctions between the actions warrant the different rules.

Comment: The department should amend its rule to include a non- exhaustive list of criteria for the Commissioner to consider in his decision to grant a waiver from the rule.

Response: The department concurs and has made the following changes in response to comment:

(a) If the commissioner finds that a nursing facility has committed an act for which a civil penalty may be imposed under §242.065, Health and Safety Code, the commissioner may order the nursing facility to immediately suspend admissions. For the purpose of this remedy, the Texas Department of Human Services defines an admission as the entry into a facility of a new resident or of a resident who has been absent from the facility for 24 or more hours.

(1) A waiver to allow a resident to be admitted may be considered by the commissioner or his designee.

(2) In determining whether to grant a waiver under paragraph (1) of this subsection, factors that the commissioner or his or her designee may consider include, but are not limited to:

(A) the reason(s) for which admissions at the facility are suspended;

(B) the facility's ability to correct the reasons for which admissions at the facility are suspended;

(C) the relation between the reasons for which admissions at the facility are suspended and the health care needs of the resident who seeks to return to the facility;

(D) whether the resident who wants to return to the facility has a spouse or relative in the facility; or

(E) the effect that barring the resident's return to the facility or other alternative placement will have on the ability of the resident to maintain contact with the resident's attending physician, family, responsible party, and agent (if any) under a medical power of attorney.

(3) A facility, with regard to which admissions are suspended, must inform a resident or his responsible party upon leaving that facility, that if he leaves for more than 24 hours, he may not be able to return.

Comment: There were several comments expressing concerns that residents would be unfairly harmed if they were out of the facility when the suspension went into effect and could not be readmitted.

Response: The department recognizes that a suspension may adversely affect some residents; however, the department believes that is preferable to returning to a facility where health and safety is threatened. The department also recognizes that there may be circumstances where return to the facility may be appropriate so the rule allows for waiver of the suspension on a case by case basis.

The amendment is adopted under the Health and Safety Code, Chapter 242, which authorizes the department to license and regulate nursing facilities.

The amendment implements the Health and Safety Code, §§242.001- 242.268.

§19.2111.Suspension of Admissions.

(a)

If the commissioner finds that a nursing facility has committed an act for which a civil penalty may be imposed under §242.065, Health and Safety Code, the commissioner may order the nursing facility to immediately suspend admissions. For the purpose of this remedy, the Texas Department of Human Services defines an admission as the entry into a facility of a new resident or of a resident who has been absent from the facility for 24 or more hours.

(1)

A waiver to allow a resident to be admitted may be considered by the commissioner or his designee.

(2)

In determining whether to grant a waiver under paragraph (1) of this subsection, factors that the commissioner or his or her designee may consider include, but are not limited to:

(A)

the reason(s) for which admissions at the facility are suspended;

(B)

the facility's ability to correct the reasons for which admissions at the facility are suspended;

(C)

the relation between the reasons for which admissions at the facility are suspended and the health care needs of the resident who seeks to return to the facility;

(D)

whether the resident who wants to return to the facility has a spouse or relative in the facility; or

(E)

the effect that barring the resident's return to the facility or other alternative placement will have on the ability of the resident to maintain contact with the resident's attending physician, family, responsible party, and agent (if any) under a medical power of attorney.

(3)

A facility, with regard to which admissions are suspended, must inform a resident or his responsible party upon leaving that facility, that if he leaves for more than 24 hours, he may not be able to return.

(b)

A suspension of admissions is effective on the date a nursing facility receives notice of the order and of the manner in which the order may be appealed. The Texas Department of Human Services provides an opportunity for a hearing on the appeal of the order within 14 days of the date the suspension becomes effective.

(c)

During the time admissions are suspended, a nursing facility must post a notice of the suspension on all entrance and exit doors. The notice must contain the dates of the suspension.

(d)

A person commits a Class C misdemeanor if the person does not post the required notice or removes a notice while the suspension of admissions is in effect.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on January 11, 2001.

TRD-200100209

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 1, 2001

Proposal publication date: July 14, 2000

For further information, please call: (512) 438-3108