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Title: Section 717.4 - Functional areas in hospice residences

Effective Date


717.4 Functional areas in hospice residences.

(a) A hospice residence shall be residential in character and physical structure, and shall not be located in a facility licensed under Article 28 of the Public Health Law. The physical layout shall be designed to accommodate the functional and operational program for the facility. All residents shall be provided opportunities for individual privacy, and all resident areas and functions shall be designed to accommodate the physically disabled.

(b) Each hospice residence shall comply with the following standards:

(1) The maximum bedroom capacity shall be one resident.

(2) Each resident bedroom shall be of sufficient size to accommodate wheelchair access to all functional areas of the room. All necessary equipment and accessories for daily living shall be residential in scale and appropriate for care of the resident.

(3) Common space(s) adequate to accommodate staff, residents, family members and other visitors, shall be provided for congregate meals, recreational, religious and social activities.

(4) Provisions for the preparation and serving of meals shall be conveniently located. Such dietary/kitchen facilities shall be available for use by staff, residents, family members and other visitors.

(5) Private areas shall be provided to accommodate visitation by family members and others.

(6) A hospice residence may be approved to operate a maximum of twenty five percent (25%) of its total residence capacity as dually certified beds at any given time, which beds may be used alternately for the provision of residential hospice care and inpatient hospice care, provided there is existing hospice inpatient bed need remaining in the county where the residence shall be located. Inpatient care shall be provided, as needed, to patients residing in the residence to ensure continuity of care and avoid transfer to an inpatient facility or unit. Patients shall be admitted directly from the community into a dually certified bed for inpatient care only when such patients shall continue to reside in the residence to receive routine home care following cessation of inpatient care. First priority for inpatient care in a dually certified bed shall be given to patients already residing in the residence. Should a dually certified bed be unavailable to an existing resident due to a community admission, the community admission shall be transferred to another inpatient facility.

(7) A hospice residence shall not be combined with a hospice inpatient unit. The hospice residence shall be separate and distinct from an inpatient unit, and physically separated by walls, doors or other physical structures.  The inpatient unit and the hospice residence, when adjacent to each other, shall have separate entrances onto each unit, but may share a common exterior main entrance and common areas for meals, family interactions, and spiritual and recreational activities.


VOLUME D (Title 10)