Chapter NHA 1

Chapter NHA 1

AUTHORITY AND DEFINITIONS

NHA 1.01   Authority.

NHA 1.02   Definitions.

Ch. NHA 1 Note Note: Chapter NHA 1 as it existed on June 30, 1980, was repealed and a new chapter NHA 1 was created effective July 1, 1980.

NHA 1.01 NHA 1.01 Authority. The rules in chs. NHA 1 to 5 are adopted pursuant to ss. 15.08 (5) (b), 227.11 (2), and 456.02, Stats.

NHA 1.01 History History: Cr. Register, June, 1980, No. 294, eff. 7-1-80; correction made under s. 13.93 (2m) (b) 7., Stats., Register, May, 1986, No. 365; correction made under s. 13.93 (2m) (b) 7., Stats., Register, September, 1989, No. 405; am. Register, September, 1997, No. 501, eff. 10-1-97; CR 18-054: am. Register June 2021 No. 786, eff. 7-1-21.

NHA 1.02 NHA 1.02 Definitions. As used in chs. NHA 1 to 5:

NHA 1.02(1) (1) “Accredited college or university” means an educational institution that is accredited by a regional or national accrediting agency recognized by the U.S. department of education.

NHA 1.02(1g) (1g) “Board” means the nursing home administrator examining board.

NHA 1.02(1m) (1m) “Credit hour” means, for purposes of education completed to obtain an initial credential, a period of at least 50 minutes of instruction for a term of not less than 16 sessions. For purposes of continuing education, one earned semester credit hour shall be granted 4 contact hours of continuing education credit, and one earned quarter credit hour shall be granted 2 contact hours of continuing education credit.

NHA 1.02(2) (2) “Experience in the field of institutional administration” means work experience acquired in any consecutive 36-month period within the 5-year period immediately preceding the date of application for licensure, as an employee, student, trainee, or intern in the total operation and activities of a nursing home under the supervision of persons licensed under ch. 456, Stats., or holding the equivalent license in another state recognized by the board, and exposure to and knowledge of each of the following:

NHA 1.02(2)(a) (a) Fiscal management, including all of the following:

NHA 1.02(2)(a)1. 1. Financial planning, forecasting, and budgeting.

NHA 1.02(2)(a)2. 2. Accounting practices and principles.

NHA 1.02(2)(a)3. 3. Fiscal intermediaries.

NHA 1.02(2)(a)4. 4. Public finance programs.

NHA 1.02(2)(a)5. 5. Management of residents’ funds.

NHA 1.02(2)(b) (b) Environmental services, including all of the following:

NHA 1.02(2)(b)1. 1. Preventive maintenance programs for buildings and equipment.

NHA 1.02(2)(b)2. 2. Sanitation procedures, practices, and policies.

NHA 1.02(2)(b)3. 3. Design needs of the disabled.

NHA 1.02(2)(b)4. 4. Environmental safety practices, policies, and procedures and accident prevention.

NHA 1.02(2)(b)5. 5. Maintenance, housekeeping, laundry, and security functions.

NHA 1.02(2)(b)6. 6. Relationship between health facility management.

NHA 1.02(2)(b)7. 7. Government environmental service providers.

NHA 1.02(2)(c) (c) Resident services, including all of the following:

NHA 1.02(2)(c)1. 1. Therapy services.

NHA 1.02(2)(c)2. 2. Physician services.

NHA 1.02(2)(c)3. 3. Social services.

NHA 1.02(2)(c)4. 4. Resident food services.

NHA 1.02(2)(c)5. 5. Resident activities.

NHA 1.02(2)(c)6. 6. Patient care.

NHA 1.02(2)(c)7. 7. Drug handling and control.

NHA 1.02(2)(c)8. 8. Nursing services.

NHA 1.02(2)(c)9. 9. Rehabilitative and restorative.

NHA 1.02(2)(d) (d) Personnel management, including all of the following:

NHA 1.02(2)(d)1. 1. Recruiting, interviewing, hiring, and training.

NHA 1.02(2)(d)2. 2. Reviewing, disciplining, and supervising employees.

NHA 1.02(2)(d)3. 3. Recordkeeping.

NHA 1.02(2)(d)4. 4. Preparation of statistical reports.

NHA 1.02(2)(d)5. 5. Wage and salary administration.

NHA 1.02(2)(d)6. 6. Health care staffing patterns.

NHA 1.02(2)(d)7. 7. Human relations.

NHA 1.02(2)(d)8. 8. Administering fringe benefit programs.

NHA 1.02(2)(d)9. 9. State and federal employment regulations.

NHA 1.02(2)(e) (e) State and federal inspections for compliance with applicable nursing home laws, rules, and regulations.

NHA 1.02(2n) (2n) “Inspection” means any type of inspection conducted by the Wisconsin department of health services pursuant to s. 50.04, Stats., or 42 CFR Part 488.

NHA 1.02(3) (3) “NAB” means the National Association of Long Term Care Administrator Boards.

NHA 1.02(3m) (3m) “Nursing home” has the meaning given in s. 456.01 (2), Stats.

NHA 1.02(4) (4) “One contact hour” means a period of attendance in a continuing education program of at least 50 minutes.

NHA 1.02(5m) (5m) “Pattern of serious violations of federal or state statutes, rules, or regulations” means the occurrence of any of the following:

NHA 1.02(5m)(a) (a) One or more class “A” violations, as defined in s. 50.04 (4) (b) 1., Stats., in each of at least 2 inspections within any consecutive 36-month period.

NHA 1.02(5m)(b) (b) One or more deficiencies related to participation requirements under 42 CFR 483.13, 483.15, or 483.25, which constitute immediate jeopardy to a resident’s health or safety, in each of at least 2 inspections within any consecutive 36-month period.

NHA 1.02(5m)(c) (c) One or more deficiencies related to participation requirements under 42 CFR 483.13, 483.15, or 483.25, which constitute a pattern of actual harm, but which does not constitute immediate jeopardy to a resident’s health or safety, in each of at least 2 inspections within any consecutive 36-month period.

NHA 1.02(5m)(d) (d) One or more deficiencies related to participation requirements under 42 CFR 483.13, 483.15, or 483.25, which constitute widespread actual harm, but which does not constitute immediate jeopardy to a resident’s health or safety, in each of at least 2 inspections within any consecutive 36-month period.

NHA 1.02(5m)(e) (e) One class “A” violation, as defined in s. 50.04 (4) (b) 1., Stats., and one deficiency of any type specified in par. (b), (c), or (d), within 36 months of each other, but resulting from different inspections.