{"ref":"FL-HSP-FAC-03","title":"Hospice Residential Units and Freestanding Inpatient Facilities","category":"Hospice care","summary":"Applies only if the Agency operates a hospice residential unit or a freestanding hospice inpatient facility. It sets the Florida construction and certificate of need rules, the residential unit standards in Rule 59A-38.016, F.A.C. (a principal advocate for each resident; at least two staff at all times, one a licensed nurse; 1:4 over 24 hours and never below 1:6 for units over eight patients), pharmacist and dietitian services, the In-Person Visitation law (s. 408.823, F.S.: essential caregiver at least 2 hours daily, end-of-life visits, policies on the website within 24 hours and given to AHCA), and, if Medicare-certified, the inpatient facility standards in 42 CFR §418.110.","inShort":["A residential unit always has at least two staff on duty, one a licensed nurse.","Units with more than eight patients keep 1 staff to 4 patients over the day, and never fewer than 1 to 6.","Every resident has a named principal advocate and contact person.","Visitors are welcome at any hour. Each patient may name an essential caregiver who can visit at least 2 hours every day.","Never turn away family at the end of life. Call the Administrator if there is a problem with a visitor.","All staff on duty help evacuate patients in an emergency."],"primaryCitation":"Rule 59A-38.016, F.A.C.","citations":["Rule 59A-38.016, F.A.C.","Rule 59A-38.017, F.A.C.","s. 400.6051, F.S.","s. 400.601(5), F.S.","s. 400.606(4), F.S.","s. 400.609(4), F.S.","s. 408.823, F.S.","s. 408.821(2), (4), F.S.","Rule 59A-38.004(3)(a)6., 10., F.A.C.","Rule 59A-38.014(2), F.A.C."],"federalCitations":["42 CFR §418.110","42 CFR §418.113(b)(6), (d)(3)"],"surveyorAsks":["Show me the staffing schedule for the residential unit for the last month, by shift.","Who is each resident’s principal advocate and contact person?"],"forms":[{"ref":"FL-HSP-FAC-03-A","title":"Visitation Policy and Essential Caregiver Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rules 59A-38.016-.017, F.A.C.; s. 408.823, F.S.; 42 CFR §418.110)","5. Before Opening, Building or Renovating","6. Residential Units","7. Inpatient Facility Standards (if Medicare-certified)","8. Pharmacy and Dietary Services","9. In-Person Visitation (s. 408.823, F.S.)","10. Emergencies in the Facility","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}