Definitions of Operating Certificate Categories and other CON related Terms:

References are to NYCRR Title 10 unless otherwise stated.

Abortion

means those services related to the termination of pregnancy including services associated with verification of the pregnancy, abortion counseling services and post-procedure examinations. Sterilization procedures done as outpatient surgery shall be included in this category as well. [86-4.13 (b)(4)]

Adult care facility

means a family-type home for adults, a shelter for adults, a residence for adults or an adult home, which provides temporary or long-term residential care and services to adults who, though not requiring continual medical or nursing care as provided by facilities licensed or operated pursuant to article 28 of the Public Health Law or articles 19, 23, 29 and 31 of the Mental Hygiene Law, are, by reason of physical or other limitations associated with age, physical or mental disabilities or other factors, unable or substantially unable to live independently. [18 NYCRR 485.29(a)]

Adult Day Health Care Program (ADHCP)

means the health care, services and activities provided to a group of registrants with functional impairments to maintain their health status and enable them to remain in the community. These services are provided by a residential health care facility. [425.1]

Adult home

means an adult-care facility established and operated for the purpose of providing long-term residential care, room, board, housekeeping, personal care and supervision to five or more adults unrelated to the operator. [18 NYCRR 485.29(b)]

AIDS ADHCP

means an ADHCP for registrants with AIDS.

AIDS Beds

means acute care beds designated primarily for the care of patients with AIDS.

AIDS - RHCF

means a nursing home approved by the commissioner pursuant to Part 710 as a provider of specialized services for residents with AIDS. [415.37]

Alcohol Detox Beds

means acute care beds designated primarily for persons in the acute phase of alcohol detoxification.

Alcohol Rehab Beds

means a program of 24 hour per day care and services providing active treatment under professional direction for alcoholism. [OASAS regulations 374.3 (g) (3)]

Alcohol Rehabilitation, Outpatient

means a program of less than 24 hour per day care and services providing active treatment under professional direction for alcoholism.

Audiology

means audiometric examinations or testing, hearing aid evaluations, conformity evaluations and hearing aid prescriptions or recommendations if indicated. [18 NYCRR 505.31 (a)(2)]

Baseline Services

- RHCF means the minimum services required to be provided by all nursing homes.

Bereavement

means those supportive services provided to the family to assist them in coping with the death of the patient. [700.2 (c)]

Birthing

means any health facility, place or institution established under Public Health Law, Article 28, which is not a hospital and where births are planned to occur away from the mother's usual place of residence. [715.4]

Bone Marrow Transplant Beds

means acute care beds designated primarily for the care of bone marrow transplant patients. Such beds are designated pursuant to Part 709.8 of Title 10.

Burns Care Beds

means acute care beds designated primarily for the care of patients with severe burns

Burns Program

means a facility with the trained personnel and equipment to provide complete care of moderate uncomplicated burn injuries including rehabilitation. [708.2 (b) (2) (ii) (b)]

Cancer Detection

means screening for malignancies.

Cardiac Catheterization Adult, Diagnostic

means the passage of a catheter through a blood vessel into the heart or great vessels in a patient aged 18 or older for diagnostic purposes. Procedure is conducted in a specially designed laboratory.

Cardiac Catheterization Adult, Interventional

means the passage of a catheter through a blood vessel into the heart or great vessels in a patient aged 18 or older for therapeutic or interventional purposes. Procedure is conducted in a specially designed laboratory.

Cardiac Catheterization Pediatric, Diagnostic

means the passage of a catheter through a blood vessel into the heart or great vessels in a patient less than 18 years old for diagnostic purposes. Procedure is conducted in a specially designed laboratory.

Cardiac Catheterization Pediatric,

Interventional means the passage of a catheter through a blood vessel into the heart or great vessels in a patient less than 18 years of age for therapeutic or interventional purposes. Procedure is conducted in a specially designed laboratory.

Cardiac Surgery (Adult)

means any operation on the heart or great vessels with or without extracorporeal circulation on a patient aged 18 years or older.

Cardiac Surgery (Pediatric)

means any operation on the heart or great vessels with or without extracorporeal circulation on a patient less than 18 years of age.

Clinical Laboratory Services

means the microbiological, serological, chemical, hematological, biophysical, cytological or pathological examination of materials derived from the human body, for the purposes of obtaining information for the diagnosis, prevention, or treatment of disease or the assessment of health condition. [34.2(a)]

Coma Recovery

means an acute care traumatic head injury program, designed specifically to serve medically stable, traumatically brain injured individuals in a coma. The program provides goal-oriented, comprehensive, interdisciplinary and coordinated services directed at restoring the individual to the optimal level of physical, emotional, cognitive and behavioral functioning. [405.18(e)]

Coma Recovery - RHCF

means a planned combination of services provided in a nursing home unit approved by the commissioner under Part 710 as a provider of specialized services for head-injured residents on a designated resident care unit of at least 20 beds. The head-injury program shall be designed specifically to serve medically stable, traumatically brain-injured individuals with an expected length of stay from 3 to 12 months. The program shall provide goal-oriented, comprehensive, interdisciplinary and coordinated services directed at restoring the individual to the optimal level of physical, cognitive and behavioral functioning. [415.36]

Comprehensive Epilepsy Center

means a planned combination of services including inpatient and outpatient care which shall include, but not be limited to: electroencephalographic monitoring, selection of appropriate anticonvulsant medication through neuropharmacological monitoring, surgical interventions, if indicated, and management of a patient's psychological and social needs through a coordinated interdisciplinary team approach. For purposes of this section, extended screening and monitoring services are considered rehabilitative care. [405.22 (h) (1)]

Comprehensive Psych Emergency Program

means a planned combination of services including inpatient and outpatient care which shall include, but not be limited to counseling, psychoactive medication, and management of a patient's psychological and social needs through a coordinated interdisciplinary team approach.

Coronary Care means

the delivery of care to patients who, because of heart seizure, open heart surgery or threatening conditions, require intensified, comprehensive observation and care of a more specialized nature than that provided to the usual Medical, Surgical and Pediatric patient. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support or treatment equipment. [444.18]

CT Scanner

means an imaging machine, which combines the information generated by a scanning X-ray source and detector system with a computer to reconstruct an image of the full body, including the head. [708.2(b)(5)(ii)]

Dental, Outpatient

means the provision of preventive and emergency dental care under the supervision of a dentist or other licensed dental personnel. Additional activities include but are not limited to the following: examination and treatment of patients; consulting with patients and attending physicians. [455.29]

Designated AIDS Center

means a hospital approved by the commissioner pursuant to Part 710 of this Title as a provider of designated, comprehensive and coordinated services for AIDS patients in accordance with the requirements of this section. These services shall include inpatient, outpatient, community and support services for the screening, diagnosis, treatment, care and follow-up of patients with AIDS. [405.22 (g) (1)]

Drug Abuse Screening

means detection of psychoactive substances by laboratory testing or other means.

Drug Detoxification

means a process whereby individuals are systematically withdrawn from addicting drugs in an inpatient or outpatient setting, typically under the care of a physician. Detoxification is a precursor of treatment.

Drug Detox Beds

means acute care beds designated primarily for the care of patients undergoing drug detoxification.

Drug Rehabilitation, Outpatient

means substance abuse services provided to individuals who require medical management of their substance abuse and treatment. The program, under the supervision of a physician and other medical personnel, provides comprehensive, intensive and short?term medical services and substance abuse counseling. [OASAS regulations Section 1034.1]

Electrocardiography

means the recording of electrical currents traversing the heart muscle just prior to each heart beat and the study and interpretation of the recordings.

Electroencephalography

means the recording of electric potentials of the brain derived from electrodes attached to the scalp and the study and interpretation of the recordings.

Emergency Department

means staff, facilities and resources to evaluate, initially manage, treat or transfer patients to another facility that can provide definitive treatment. [708.2(b) (8)(i)]

Enriched housing program

means an adult-care facility established and operated for the purpose of providing long-term residential care to five or more adults, primarily persons 65 years of age or older, in community-integrated settings resembling independent housing units. Such program shall provide or arrange the provision of room, and provide board, housekeeping, personal care and supervision. [18 NYCRR 485.29(c)]

Family Planning, Outpatient

means the planning and spacing of children by medically acceptable methods, not including the performance of abortions, to achieve pregnancy or to prevent unintended pregnancy. Nothing herein precludes approval of a family planning center to provide abortion services under Part 756 of this Title or limits the ability of a family planning center to offer information and referral services concerning abortion. [753.1]

Health Education

means designing, implementing, and evaluating programs that enable individuals, families, groups, organizations, and communities to play active roles in achieving, protecting, and sustaining health. Its purpose is to contribute to health and well being by promoting lifestyles, community actions, and conditions that make it possible to live healthful lives.

Home Health Aide services

means health care tasks, personal hygiene services, housekeeping tasks and other related supportive services essential to the patient's well being. [700.2(c)(15)]

Homemaker services

means assistance and instruction in managing and maintaining a household, dressing, feeding and incidental household tasks for persons at home because of illness, incapacity or the absence of a caretaker relative. Persons who meet the standards in Title 18 of NYCRR shall provide such services. [700.2(c)(17)]

Housekeeper service

means the provision of light work or household tasks that do not require the services of a trained homemaker. Persons who meet the standards established in Title 18 of NYCRR might provide such services, for persons at home because of illness, incapacity or the absence of a caretaker relative. [700.2(c)(18)]

Immunization

means an adequate dose or doses of an immunizing agent against a disease which meets standards approved by the United States public health service for such biological products and which is approved by the state department of health under such conditions as may be specified by the public health council. [66-2.1]

Inpatient Services

- Hospice means care provided in a participating Medicare or Medicaid facility for pain control, symptom management and respite services. Such care can be provided in a hospice that meets the federal conditions of participation for providing inpatient care directly, or in a hospital or skilled nursing facility.

Intensive care

means services provided in a routine patient care unit to patients which require extraordinary observation and care on a concentrated exhaustive and continuous basis. [441.179]

Laboratory Services.

See Clinical Laboratory Services.

Linear Accelerator,

also called LINAC, means type of particle accelerator used in cancer treatment that imparts a series of relatively small increases in energy to subatomic particles as they pass through a sequence of alternating electric fields set up in a linear structure. The small accelerations add together to give the particles a greater energy than could be achieved by the voltage used in one section alone.

Lithotripsy

means the crushing of a stone in the renal pelvic, ureter, or bladder, by mechanical force or sound waves.

Magnetic Resonance Imaging

means the use of computer-controlled radio waves and magnetic fields to measure the response of the body's cells (how much energy they release) with a computer. From these responses, the computer is able to create a three-dimensional picture of the inside of the body. MRI makes use of the fact that all living cells have a certain magnetic quality to them; because of this, MRI can provide a look at the biochemistry of living cells.

Maternity beds

means those services provided in a particular hospital where, as a regular practice, maternity patients and newborn infants receive care on a continuum ranging from preconception services to care during all stages of pregnancy, parturition, postpartum and neonatal care. [405.21(b)(1)]

Medical Rehabilitation

means comprehensive services provided to persons with injuries, who have behavioral deficits and functional disabilities. The facility shall provide services that include goal-directed assessment, treatment and support services for the purpose of preventing or minimizing chronic disabilities, restoring the individual to the optimal level of physical, cognitive and behavioral functioning, or maintaining optimal functional abilities. [Based on 758.1]

Medical Social Services

means the identification, assessment and management of social problems related to illness, the receipt of medical care and the attainment and maintenance of health as performed by qualified social workers. [700.2(c)(51)]

Medical supply equipment and appliances

means those items primarily and customarily used to serve a medical purpose and which are generally not useful to a person in the absence of an injury or illness. [700.2 (c) (52)]

Med/Surg Beds

means acute care beds designated primarily for the care of routine medical or surgical patients.

Methadone Maintenance

means urinalysis drug testing, dispensing of methadone, medical supervision and arranging for appropriate laboratory tests for the initial and annual physical examinations, preparation and monitoring of treatment plans, maintenance of patient medical histories, prescribing methadone dosage, counseling as prescribed in the patients' individual treatment plan, and maintenance of records. [86-4.39(c)]

Multiphasic Screening

means testing for disease using laboratory tests and questionnaires.

Neonatal Continuing Care

means a unit that provides care for low birthweight neonates who are not sick, but require frequent feeding, and neonates who no longer require intermediate care but still require more hours of nursing care than do normal neonates. [708.2(b)(6)(ii)(c)]

Neonatal Intensive Care

means a special unit that provides constant nursing and continuous cardiopulmonary and other support for severely ill infants. [708.2(b)(6)(ii)(a)]

Neonatal Intermediate Care

means a special unit that provides care for sick neonates who do not require intensive care, but require six to eight nursing hours each day. [708.6(b)(b)(ii)(b)]

Non-surgical eye care

means optometric care, including vision screening.

Nuclear Medicine (Diagnostic)

The injection or infusion of radioactive isotopes for diagnostic imaging; includes use of gamma camera.

Nuclear Medicine (Therapeutic)

means the branch of medicine concerned with the use of ionizing radiation and its appropriate delivery (with or without other therapeutic ancillary modalities) to treat human disease. [708.5(b)(1)]

Nursing

means the scientific application of principles of care related to prevention of illness and care during illness.

Nutritional

means the assessment of nutritional needs and food patterns, planning for and/or the provision of foods and drink appropriate for the individual's physical and medical needs and environmental conditions, and providing nutrition education and counseling to meet normal and therapeutic needs. [700.2(c)(34)]

Occupational Therapy, Outpatient

means teaching manual skills and independence in personal care to stimulate mental and emotional activity on the part of patients. This includes the utilization of modalities and tests of occupational therapy and rehabilitative nursing in a coordinated and integrated program of services under the direction of a physician. This consists of instructing patients in prescribed academic subjects to prevent mental deconditioning, improving patients' mental and physical conditions and aiding in the attainment of knowledge and skills that will further patients' progress toward vocational objectives. [455.32]

Optometry

means care provided by an optometrist licensed by the State Education Department.

Part-time clinic

means an ambulatory care program operated at a particular site less than 60 hours per month (as determined by the aggregate hours of program site operation) by a general hospital or a diagnostic or treatment center that is approved to operate part-time clinics. A part-time clinic site is a site other than the primary delivery site(s) listed on the primary facility's operating certificate; provided, however, that any health care services provided in elementary or secondary schools to students during regular school hours shall not qualify as part-time clinic sites under this Title. [700.2(a)(22)]

Pastoral Care

means services provided for the spiritual, religious and emotional support of the patient and family. [700.2 (c) (59)]

Pediatric

means care provided to patients less than 14 years old.

Pediatric Beds

means acute care beds reserved for the care of patients less than 14 years old.

Pediatric ICU Beds

means services provided in a routine patient care unit to patients less than 14 years old which require extraordinary observation and care on a concentrated exhaustive and continuous basis.

Personal care services

mean assistance to the patient with personal hygiene, dressing, feeding and household tasks essential to his or her health. [708.2(c)(17)]

Pharmaceutical Services

the procurement, preservation, storage, compounding, manufacturing, packaging, controlling, assaying and dispensing of medications (including intravenous solutions) carried out under the jurisdiction of a licensed pharmacist. Additional activities include but are not limited to the following: developing and maintaining formularies established by the medical staff; consulting and advising medical staff and nursing staff on drug therapy overdoses; adding drugs to I.V. solutions; analyzing incompatibility of drug combinations; and stocking of floor drugs and dispensing machines. [455.34]

Physical Medicine & Rehabilitation beds

means the process of providing, in a coordinated manner, those comprehensive services deemed appropriate to the needs of a person with a disability, in a program designated to achieve objectives of improved health, welfare, and realization of one's maximum physical, social, psychological, and vocational potential for useful and productive activity. [708.2(b)(7)]

Physical therapy

means employing therapeutic exercises and massage and utilizing effective properties of heat, light, cold water and electricity for diagnosis and rehabilitation of patients with neuromuscular, orthopedic and other impairments. Such services are provided in a coordinated and integrated program under the direction and prescription of a physician or a registered physical therapist. Additional activities include but are not limited to the following: the provision of clinical and consultative services; the direction of patients in the use, function and care of braces, artificial limbs and other devices; prescribing therapeutic exercises; counseling patients and their relatives; organizing and conducting medically prescribed physical therapy programs; applying diagnostic muscle tests; administering whirlpool and compact baths; changing linen on physical therapy department beds and treatment tables; assisting patients in changing clothes and other personal needs and participating in discharge coordination as required by the code. [455.31]

Physician Services - Hospice

means care provided by the attending physician, who is a doctor of medicine or osteopathy who is identified by the patient, at the time he/she elects hospice care, as having the most significant role in the determination and delivery of the individual's medical care. The medical director is a doctor of medicine or osteopathy, who assumes overall responsibility for the medical component of the hospice's patient care program.

Poison Control Center

means a general hospital designated by the commissioner which provides expert information and consultation services to professional personnel in the region on the diagnosis, treatment and management of any suspected or actual poisoning(s); provides information, emergency care, and referral services to the general public; assures that tertiary referral treatment centers willing to accept poison patients are identified for the region; coordinates, develop and monitor poison prevention and medical management programs for medical professionals and the general public in the region; periodically reports and/or conducts investigations of new toxic risks and injuries, as indicated; and collect uniform data and engage in research activity to enhance poison prevention and control management. [68.3(a)]

Practitioner Services

means care provided to patients (1) by a New York State licensed physician who is appropriated credentialled by the governing body of the provider; or (2) by a New York State licensed physician's or specialist's assistant who is appropriately credentialled by the governing body, and is under the direction of an appropriately credentialled physician; or (3) by a licensed registered nurse certified as a nurse practitioner by the New York State Education Department and credentialled by the governing body of the provider.

Practitioner Services Dental

means care provided to patients by a person licensed under Article 133 of the Education Law, who is appropriated credentialled by the governing body of the provider.

Practitioner Services Optometry

means care provided to patients by a person licensed under Article 143 of the Education Law, who is appropriated credentialled by the governing body of the provider.

Practitioner Services Podiatry

means the provision of specialized diagnostic and therapeutic procedures in treatment of a patient by a podiatrist and/or podiatry staff. Additional activities include but are not limited to the following: examination of patients; consulting with patients and attending physicians. [455.28]

Practitioner Services Psychology

means the care provided to patients by a person licensed under Article ___ of the Education Law, who is appropriated credentialled by the governing body of the provider.

Prenatal Care

means active promotion of prenatal care for pregnant women during the first trimester of pregnancy and making services available to patients seeking initial care during each trimester; the initial prenatal care visit includes a complete history, physical examination, pelvic examination, laboratory screening, initiation of patient education, screening for nutritional status, nutrition counseling and use of a standardized prenatal risk assessment tool; arranging for repeat visits for follow-up prenatal care and education; nutrition counseling; psychosocial support services as needed; ongoing maternal and fetal risk assessment; prebooking for delivery; and providing HIV counseling and recommending voluntary testing to pregnant women. Counseling and/or testing, if accepted, shall be provided pursuant to Public Health Law Article 27-F. Information regarding the woman's HIV counseling and HIV status must be transferred as part of her medical history to the labor and delivery site. Women with positive test results shall be referred to the necessary health and social services within a clinically appropriate time. [405.21(c)(8)]

Primary Medical Care, Outpatient

means those non-critical or special care services that are provided to patients on a short-term basis to protect and promote the health and well being of the patients. Such services shall be provided to inpatients who are in need of clinical preventive services and/or the continuous management of non-critical medical conditions and to members of the community on an outpatient basis. [407.10 (a)]

Prisoner Beds

means acute care beds designated primarily for incarcerated persons.

Psychiatric

means Practitioner Services provided by a person credentialled by the governing body as a psychiatrist or psychiatric social worker.

Psychological

see Practitioner Services - Psychology

Public home

means an adult home, shelter for adults or residence for adults operated by a social services district. [18 NYCRR 485.2(h)]

Pulmonary Function Services

means respiratory care, including testing, medication administration, and oxygenation.

Radiology - Diagnostic

means the branch of medicine concerned with the use of ionizing radiation and its appropriate delivery (with or without other therapeutic ancillary modalities) to diagnose human disease.

Radiology - Therapeutic

means the branch of medicine concerned with the use of ionizing radiation and its appropriate delivery (with or without other therapeutic ancillary modalities) to treat human disease. [708.2(b)(1)]

Renal Dialysis

means a process by which waste products are removed from the body by diffusion from one fluid compartment to another across a semi-permeable membrane. There are two types of renal dialysis procedures in common clinical usage: hemodialysis and peritoneal dialysis. Both hemodialysis and peritoneal dialysis are acceptable modes of treatment for end-stage renal disease under Medicare.[HCFA Hospital Manual, ESRD Appendix]

Residence for adults

means an adult-care facility established and operated for the purposes of providing long-term residential care, room, board, housekeeping, case management, activities and supervision to five or more adults, unrelated to the operator, who are unable or substantially unable to live independently. [18 NYCRR 485.29(d)]

Respiratory Beds

means acute care beds designated primarily for the care of patients with respiratory conditions.

Respiratory therapy

means the care for any portion of the respiratory tract, especially the lungs. This care may include but not be limited to the following: percussion or cupping, postural drainage, positive pressure machine and where appropriate, use of oxygen to administer drugs. [415.2 (p)]

Scheduled Short Term Care

in a nursing home means scheduled short term nursing home care provided on a temporary basis to an individual who needs this level of care but who is normally cared for in the community. The goal of scheduled short-term care is to provide relief for the caregiver(s) while providing nursing home care for the individual. Schedules for scheduled short term care are generally pre-arranged and shall be limited to one or more periods of from one to 30 days and shall not exceed 42 days in any one year except in extraordinary circumstances, such as sudden illness of the primary caregiver or temporary unfitness of the individual's principal residence. [410.1(a)]

Social Work Services

means the identification, assessment and management of social problems related to illness, the receipt of medical care and the attainment and maintenance of health as performed by qualified social workers. [700.2(c)(51)]

Speech Language Pathology

is the identification of persons with communicative or oropharyngeal disorders and delays in development of communication skills, including the diagnosis and appraisal of specific disorders and delays in those skills; referral for medical or other professional services necessary for the habilitation or rehabilitation of persons with communicative or oropharyngeal disorders and delays in development of communication skills; and provision of services for the habilitation, rehabilitation, or prevention of communicative or oropharyngeal disorders and delays in development of communication skills. [69-1.4 (k)(2)(xiv) (early intervention)]

Surgery, Ambulatory

is a service organized to provide those surgical procedures which need to be performed for safety reasons in an operating room on anesthetized patients requiring a stay of less than 24 hours. A list of procedures appropriate for ambulatory surgery is set forth in section 86-4.40 of this Title. [705.9(b)(1)]

Surgery, Outpatient

is a service organized to provide those surgical procedures of less intensity than ambulatory surgery which are performed in an outpatient treatment room for patients at low risk, require minimal pre- and post-procedure observation and treatment, are not likely to be time-consuming or followed by complications, are not associated with a condition which would require hospitalization and includes those procedures listed in section 85.6 of this Title. [708.2(a)(24)]

TB Respiratory

means pulmonary function services for TB patients, including directly observed therapy (DOT).

Transfusion Services - Full

means a service which issues blood, blood components or blood derivatives for administration into a person, but does not include a limited transfusion service. [58-2.1]

Transfusion Services - Limited

means a facility, home care services agency, physician's office, or other entity which transfuses blood and may temporarily store blood and distribute it within its own organization, but relies on a blood bank holding a permit in blood services-transfusion to perform laboratory tests required under section 58-2.17 of this Subpart. [58-2.1]

Transplant, Bone Marrow

means a program approved under Part 708.8 of Title 10.

Transplant Kidney

means a program approved by the State Health Department for the transplantation of kidneys.

Transplant, Heart

means a program approved under Part 709.9 of Title 10.

Transplant, Liver

means a program approved under Part 709.7 of Title 10.

Traumatic Brain Injured (TBI)

means intensive rehabilitation programs designed to prevent and/or minimize chronic disabilities while restoring the individual to the optimal level of physical, cognitive, and behavioral functioning. These programs are applicable to those individuals who have severe disabling impairments of recent onset and are able to participate daily (at least five days per week) in multi-disciplinary programs for a minimum of three hours per day. [709.11 (b)]

Traumatic Brain Injured - RHCF

means services for extended care residents with traumatic brain injury (TBI), who are persons at least three months post-injury and who have been diagnosed as having a cognitive and/or physical condition that has resulted from traumatically acquired, non-degenerative, structural brain damage, or anoxia, and who in addition: (i) have participated in an intensive inpatient rehabilitation program for persons with TBI in a hospital or nursing home; and (ii) have been assessed by a neurologist or physiatrist who determined that the individual would no longer benefit from an intensive rehabilitation program. [415.40]

Venereal Disease Services

means screening for and treatment of sexually transmitted diseases, as defined in Part 23.1 of 10 NYCRR.

Ventilator Dependent

means a nursing home which admits and cares for residents who require nursing home care and continuous or intermittent use of a ventilator. [415.38]

Vocational Rehabilitation

Therapy means a program to prepare a person for work.

Well Child

means care, including screening examinations and immunizations, provided to a child who is not ill.