Hospice Residential Units and Freestanding Inpatient Facilities
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.
- Policy number
- FL-HSP-FAC-03
- Version
- 1.0
- Main rule
- Rule 59A-38.016, F.A.C.
- Library
- Florida hospice · 60 policies
- Category
- Hospice care
- Sections
- 18
In short
- 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.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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