Chapter 514 - Nursing Facility Services - DHHR - State of West ...

The nursing facility administrator or designee assumes responsibility for the provision ofservices directly or through outside resources to meet the needs of each resident. Theresidents and their representatives or volunteers may not perform direct care services forindividuals. At a minimum, the administrator or designee of the nursing facility is required toensure the facility complies with WV Legislative Rule 64 CSR 13 for services to be providedin a licensed nursing home or an extended care unit of a licensed hospital.The nursing facility must assure that all staff are properly licensed and competent to provideappropriate care.514.4.4 General AdministrationThe governing body is responsible to ensure the nursing facility is administered in a manner thatenables it to use its resources effectively and efficiently to attain or maintain the highestpracticable physical, mental, and psychosocial well-being of each resident.Policies must be documented as to the provision of services to residents in order to addressquality of life, quality of care, resident rights and any other services within the scope of nursingfacility services.514.4.5 Governing Body and ManagementThe management of the nursing facility must identify an individual or individuals as thegoverning authority of the facility in accordance with 42 CFR 483.410 and WV Legislative Rule64CSR13.514.4.6 Physical Environment RequirementsIn order to participate in the West Virginia Medicaid Title XIX Program nursing facilities must beequipped and maintained to provide a functional, sanitary and comfortable environment for allresidents admitted for care.The nursing facility must be in compliance with the 2005 Edition of the National Fire ProtectionAssociation (NFPA) of “NFPA 99 Standards for Health Care Facilities” as promulgated andmandatory references issued by CMS as currently published or modified in the future.Additionally, BMS requires adherence to the Guidelines for Design and Construction of Hospitaland Health Care Facilities in establishing the Standard Appraised Value (SAV) for the capitalcomponent of the nursing facility rate.BMS pays for an annual SAV inspection. If the first SAV inspection has been completed and thenursing facility requests an additional SAV inspection, the nursing facility is responsible forpayment to the appraisal company approved by BMS, who completes the additional SAVinspection.When the nursing facility has proposed changes to the physical plant, the governing body ordesignee of the nursing facility is responsible to notify BMS, in writing.Department of Health and Human Resources Chapter 514: Nursing Facility Services Page 21January 1, 2013DISCLAIMER: This manual does not address all the complexities of Medicaid policies and procedures,and must be supplemented with all State and Federal Laws and Regulations.