{"ref":"MI-HSP-FAC-03","title":"Hospice Residence Operations","category":"Hospice care","summary":"Applies only if the Agency holds a Michigan hospice residence license. Sets out the licensing conditions, the 51 percent home care test, the duties of a residence that gives care at the home care level, the registered nurse staffing ratios for each shift, family accommodations and visiting at any hour, unannounced state inspections, the physical plant rules, and the federal standards for a hospice that provides inpatient care directly.","inShort":["This policy applies only if we hold a Michigan hospice residence license.","Every shift needs enough registered nurses: at least 1 to each 8 patients in the morning, 1 to each 12 in the afternoon and 1 to each 15 at night, and more when needs rise.","Families may visit at any hour, children too, and may stay overnight.","Keep call devices working and answer calls quickly. Isolate patients with an infectious disease under the infection control plan.","State inspectors can arrive without notice. Welcome them and tell the person in charge at once."],"primaryCitation":"MCL 333.21413(2)-(3)","citations":["MCL 333.21401(1)(b)","MCL 333.21411(3), (6)","MCL 333.21413(2)-(3)","MCL 333.20155(1), (14)","MCL 333.20156","Mich. Admin. Code R 325.45345(2)","Mich. Admin. Code R 325.45355","Mich. Admin. Code R 325.45261 to R 325.45323","Mich. Admin. Code R 325.45283(2)","Mich. Admin. Code R 325.45285","Mich. Admin. Code R 325.45321"],"federalCitations":["42 CFR §418.110","42 CFR §418.113(d)(3)","42 CFR §418.60"],"surveyorAsks":["Show me your hospice residence license and how you meet the 51 percent home care requirement.","Show me the nurse staffing schedule for last week: how many patients and registered nurses on each shift?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MCL 333.21413(2)-(3))","5. Licensing Conditions","6. Duties of a Residence That Gives Care at the Home Care Level","7. Nurse Staffing","8. Family Life in the Residence","9. Building and Physical Plant","10. Medications in the Residence","11. Restraint and Seclusion (Inpatient Level)","12. Inspections","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","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}}