Initial Requests for Nurse Waiver

7014.1.4 - Initial Requests for Nurse Waiver (Rev. 63, Issued: 09-10-10, Effective: 09-10-10, Implementation: 09-10-10) The first time that a nursing facility applies for a waiver, the State conducts an onsite survey before it may grant a waiver. The purpose of the survey is to establish that the waiver will not endanger the health and safety of residents. A full survey is not required. However, the survey must be of sufficient scope to ensure that the granting of the waiver will not endanger the health and safety of the residents. While the acuity of illness of skilled nursing facility level residents makes an onsite visit desirable to confirm that the facility actually meets the requirements for a nurse staffing waiver, it is not required. The waiver determination may be made based on documentation of these requirements submitted by the skilled nursing facility.