(a) A limited services rural hospital (LSRH) shall
obtain a license before admitting patients.
(b) An applicant for an LSRH license shall submit a
license application to the Texas Health and Human Services Commission
(HHSC) in a form and manner prescribed by HHSC.
(c) An applicant shall submit a license application
in accordance with §511.12 of this subchapter (relating to Application
and Issuance of Initial License). The applicant shall retain copies
of all application documents submitted to HHSC.
(d) During the licensing period, an LSRH shall comply
with the other provisions of Texas Health and Safety Code Chapter
241 (relating to Hospitals), to the extent they do not conflict with
Subchapter K (relating to Limited Services Rural Hospitals), and Code
of Federal Regulations Title 42 Part 485 Subpart E (relating to Conditions
of Participation: Rural Emergency Hospitals (REHs)) and this chapter.
(e) HHSC issues an LSRH license for the premises and
person named in the application.
(1) An LSRH license shall not include off-site outpatient
facilities.
(2) An LSRH may share a building with other licensed
facilities.
(A) The LSRH must be licensed separately from the other
licensed facilities.
(B) No identifiable part of the building may be dually
licensed by more than one facility.
(C) Each licensed facility in the building shall comply
with the requirements of §511.165 of this chapter (relating to
Building with Multiple Occupancies).
(3) A licensed LSRH shall not hold or pursue dual licensure
as any other facility type.
(f) An LSRH shall prominently and conspicuously display
the LSRH license in a public area of the licensed premises that is
readily visible to patients, employees, and visitors.
(g) An LSRH shall not alter the LSRH license.
(h) An LSRH license is nontransferable. The LSRH shall
comply with the provisions of §511.15 of this subchapter (relating
to Change of Ownership) in the event of a change in the ownership
of an LSRH.
(i) An LSRH shall notify HHSC in writing and in accordance
with HHSC instructions, of any changes affecting the LSRH's license
before the change occurs. Changes may include:
(1) addition or deletion of services indicated on the
license application; or
(2) any construction, renovation, or modification of
the hospital buildings.
(j) An LSRH shall notify HHSC, in writing and in accordance
with HHSC instructions, at the time of the occurrence of any of the
following:
(1) cessation of operation of the LSRH, whether temporary
or permanent;
(2) change in certification or accreditation status;
(3) change in the LSRH name, telephone number, or administrator;
or
(4) change in the emergency contact name or emergency
contact phone number.
(k) A written notice of cessation of operation under
subsection (j)(1) of this section shall include the location where
the LSRH will store medical records and the identity and telephone
number of the custodian of the medical records.
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