Page:United States Statutes at Large Volume 101 Part 2.djvu/964

 101 STAT. 1330-170

PUBLIC LAW 100-203—DEC. 22, 1987 being of each resident (consistent with requirements estabhshed under subsection (f)(5)). "(B) REQUIRED NOTICES.—If a change occurs in— "(i) the persons with an ownership or control interest (as defined in section 1124(a)(3)) in the facility, "(ii) the persons who are officers, directors, agents, or managing employees (as defined in section 1126(b)) of the facility, "(iii) the corporation, association, or other company responsible for the management of the facility, or "(iv) the individual who is the administrator or director of nursing of the facility, the skilled nursing facility must provide notice to the State agency responsible for the licensing of the facility, at the time of the change, of the change and of the identity of each new person, company, or individual described in the respective clause. "(C)

SKILLED NURSING

FACILITY ADMINISTRATOR.—The

administrator of a skilled nursing facility must meet standards established by the Secretary under subsection (f)(4). "(2) LICENSING AND LIFE SAFETY CODE.—

"(A) LICENSING.—A skilled nursing facility must be licensed under applicable State and local law. "(B) LIFE SAFETY CODE.—A skilled nursing facility must meet such provisions of such edition (as specified by the Secretary in regulation) of the Life Safety Code of the National Fire Protection Association as are applicable to nursing homes; except that— "(i) the Secretary may waive, for such periods as he deems appropriate, specific provisions of such Code which if rigidly applied would result in unreasonable hardship upon a facility, but only if such waiver would not adversely affect the health and safety of residents or personnel, and ' (ii) the provisions of such Code shall not apply in any State if the Secretary finds that in such State there is in effect a fire and safety code, imposed by State law, which adequately protects residents of and personnel in skilled nursing facilities. "(3) SANITARY AND INFECTION CONTROL AND PHYSICAL ENVIRON-

MENT.—A skilled nursing facility must— "(A) establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment in which residents reside and to help prevent the development and transmission of disease and infection, and "(B) be designed, constructed, equipped, and maintained in a manner to protect the health and safety of residents, personnel, and the general public. "(4) MISCELLANEOUS.— "(A) COMPUANCE WITH FEDERAL, STATE, AND LOCAL LAWS

AND PROFESSIONAL STANDARDS.—A skilled nursing facility must operate and provide services in compliance with all applicable Federal, State, and local laws and regulations (including the requirements of section ^^^ 1124) and with accepted professional standards and principles which apply to professionals providing services in such a facility. 'Copy read "sections".

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