26 TAC 558.243 — Administrative and Supervisory Responsibilities

What this rule requires your agency to do

• 1The administrator must designate in writing an agency employee to provide HHSC surveyors entry per §558.523(e) when the administrator and alternate are unavailable (subsec. (b)(3)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 2An agency must adopt and enforce a written policy on supervision of branch offices or alternate delivery sites consistent with the cited licensing/standards sections (subsec. (d)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 3An administrator or alternate administrator must be available to agency personnel, in person or by telephone, during operating hours per §§558.210, 558.404(h)(2), 558.523, 558.527 (subsec. (b)(2)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 4An agency providing licensed home health, licensed and certified home health, or hospice services must directly employ or contract a §558.244-qualified supervising nurse and designate in writing a similarly qualified alternate (subsec. (c)(1)-(2)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 5Designate an individual meeting §558.244 qualifications to serve as agency administrator, and designate in writing an alternate administrator meeting administrator qualifications to act in the administrator's absence (subsec. (a)(1)-(2)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 6The supervising nurse/alternate must always be available to personnel; participate in activities relevant to services including personnel qualifications and assignment; ensure the client's plan of care/care plan is executed as written; and ensure an appropriate health care professional reassesses client needs on significant status change, at physician request, or after hospital discharge (subsec. (c)(2)(A)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)
• 7The administrator must implement and supervise administrative policies/operations and administratively supervise all client services day-to-day, including managing daily operations, directing agency functions, ensuring accurate and timely documentation, employing/contracting qualified personnel, and ensuring adequate staff education and evaluations per §558.245(b) (subsec. (b)(1)).(26 TAC 558.243 — Administrative and Supervisory Responsibilities)