R9-10-402. Supplemental Application Requirements

In addition to the license application requirements in A.R.S. § 36- 422 and R9-10-105, an applicant for a license as a nursing care institution shall include: 1. In a Department-provided format whether the applicant: a. Has: i. A secured area for a resident with Alzheimer’s disease or other dementia, or ii. An area for a resident on a ventilator; b. Is requesting authorization to provide to a resident: i. Behavioral health services, ii. Clinical laboratory services, iii. Dialysis services, or iv. Radiology services and diagnostic imaging services; and c. Is requesting authorization to operate a nutrition and feeding assistant training program; and 2. If the governing authority is requesting authorization to operate a nutrition and feeding assistant training program, the information and documentation in R9-10- 116(B)(1)(a), (B)(1)(c), and (B)(2).