Classification

(A) The Department will license long-term care facilities according to the level of care provided: Level I, II, III and IV. (B) A facility shall not be classified to provide more than one level of care unless such facility provides one or more identifiable units for each level of care. As used in 105 CMR 153.027, classification is not a form of a license within the meaning of M.G.L. c. 30A, § 13. (C) Written approval for change in classification must be obtained from the Commissioner. (1) In the case of a downgrading, the facility must file a notice of intent and submit architectural plans if construction and renovation is associated with the reclassification. (2) In case of an upgrading, the facility must secure a determination of need when required by 105 CMR 100.000: Determination of Need. If no determination of need is required, the facility must submit a notice of intent and architectural plans if construction and renovation is associated with the reclassification.