28 TAC § 3.3007. Policy Definition of Convalescent Nursing Home or Extended Care Facility
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Texas Administrative Code › Title 28 INSURANCE › Part 1 TEXAS DEPARTMENT OF INSURANCE › Chapter 3 LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES › 28 TAC § 3.3007
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The term "convalescent nursing home" or "extended care facility" shall be defined in relation to its status, facilities, and available services.
(1) Except as provided in these sections, a definition of such home or facility may not be more restrictive than one requiring that it:
(A) be an institution licensed and operated pursuant to law; and
(B) be primarily engaged in providing, in addition to room and board accommodations, skilled nursing care under the supervision of a duly licensed physician; and
(C) provide continuous 24 hours a day nursing service by or under the supervision of a registered graduate professional nurse (RN); and
(D) maintain a daily medical record on each patient.
(2) The definition of such home or facility, except where prohibited by law, may exclude:
(A) any home, facility or part thereof used primarily for rest; or
(B) a home or facility primarily for the aged or for the care of drug addicts or alcoholics; or
(C) a home or facility primarily used for the care and treatment of tuberculosis, mental diseases or disorders or custodial or education care.
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