Section R. 325.9228 - Extended care services program (swing bed) review; maximum number of patient days variationRule 228.
(1) A request for extended care services program certificate of need review under section 22210 of the code may be made electronically or in paper format. The request shall include justification for the project and demonstration of compliance with the requirements in section 22210 of the code.(2) Evidence that the hospital has had difficulty in placing patients in skilled nursing home beds during the 12 months immediately preceding the date of application include, but not limited to, evidence that the average occupancy rate for all existing and operating nursing homes within a 20 mile radius of the hospital has been at least 85% for the last 4 quarters based upon the departments staffing/bed utilization ratios report.(3) The department may grant a 1 year variation from the maximum number of patient days established under section 22210(3)(e) of the code if the applicant demonstrates immediate need for the project by showing that the average occupancy rate for all existing and operating nursing homes within a 100-mile radius of the hospital has been at least 85% for the last 4 quarters based upon the departments Staffing/Bed Utilization Ratios Report.Mich. Admin. Code R. 325.9228