KRS 216B.332: Requirements for certificate of compliance -- Assessment of residents in

nursing home beds -- Limitations upon admission to nursing home beds --

Move-out notice and alternative living arrangements -- Certificate of need not

required to provide home health services to on-campus residents.

(1) To be eligible for a certificate of compliance, a continuing care retirement

community shall certify in writing to the cabinet and shall disclose in writing to

each of its residents that:

(a) None of the health facilities or health services operated by the continuing care

retirement community shall apply for or become certified for participation in

the Medicaid program; and

(b) No claim for Medicaid reimbursement shall be submitted for any person for

any health service provided by the continuing care retirement community.

(2) A continuing care retirement community may establish one (1) bed at the nursing

home level of care for every four (4) living units or personal care beds operated by

the continuing care retire ment community collectively. All residents in nursing

home beds shall be assessed using the Health Care Financing Administration or

Centers for Medicare and Medicaid Services approved long -term care resident

assessment instrument.

(3) Admissions to continu ing care retirement community nursing home beds shall be

exclusively limited to on -campus residents. A resident shall not be admitted to a

continuing care retirement community nursing home bed prior to ninety (90) days of

residency in the continuing care r etirement community unless the resident

experiences a significant change in health status documented by a physician. No

resident admitted to a nursing home bed shall be transferred or discharged without

thirty (30) days prior written notice to the resident or his or her guardian.

(4) A continuing care retirement community shall assist each resident upon a move -out

notice to find appropriate living arrangements. Each continuing care retirement

community shall share information on alternative living arrangeme nts provided by

the Department for Aging and Independent Living at the time a move -out notice is

given to a resident. The written agreement executed by the resident and the

continuing care retirement community shall contain provisions for assisting any

resident who has received a move -out notice to find appropriate living

arrangements, prior to the actual move-out date.

(5) Home health services provided by a continuing care retirement community to its on-

campus residents shall not require a certificate of need.