Minimum operational requirements

No facility shall operate as a REH unless: (1) The facility satisfies the emergency department requirements for a critical access hospital set forth in OAC 310:667-39-14; (2) The facility satisfies the emergency department requirements for a REH as promulgated by CMS; 3  (3) The facility provides rural emergency hospital services; (4) The facility has in effect a transfer agreement with a level I or level II trauma center that meets the requirements of OAC 310:667-59, Classification of Hospital Emergency Services; (5) The facility complies with state and federal law, CMS staffing requirements and all CMS conditions of participation; (6) The facility may not have inpatient beds, except that such hospital may have a unit that is a distinct part of such hospital and that is licensed as a skilled nursing facility to provide post-hospital extended care services; and (7) The facility may own and operate an entity that provides ambulance services.