CMS SOM App. U, Tag R180

management of the RNHCI.

Interpretive Guidelines: §403.738(b)(2)

One qualified full-time administrator must assume overall administrative responsibility

for the entirety of RNHCI operation. The administrator should be knowledgeable

regarding the services required by the patients who are served by the RNHCI.

Furthermore, the administrator should be aware of any equipment or non-medical

nursing services required by the organization to ensure patient care is provided within

the scope of the organization.

The administrator is responsible for ensuring that personnel records contain all

appropriate documentation required by the RNHCI.

Survey Procedures:

• Interview the Administrator. Ask him/her to describe their roles and

responsibilities within the RNHCI.

• Review agreements with outside agencies to ensure that entities entering into

affiliations with the RNHCI for purposes of management and operations meet the

ownership requirements at §403.720(a)(7) and §403.738(c).