HFRD Laws & Regulations

The Legal Services unit of the Healthcare Facility Regulation Division (HFRD) exists to support the priorities of the Department by providing guidance and legal expertise to members of the Division, the Department, and other stakeholders. The HFRD Legal Services unit is also responsible for fulfilling open records requests related to facilities licensed by HFRD. Additionally, the Legal Services unit processes several types of hearing requests, including requests from providers and facilities contesting an adverse action from the Department, requests for patients and representatives contesting a discharge from a long-term care facility, and requests from certified nurse aides contesting an entry of abuse, neglect, or misappropriation in the nurse aide registry. The contact information for the HFRD Legal Services unit is included below. 

To request a hearing contesting an adverse action of the Department: [email protected]
To request a long-term care discharge appeal: [email protected]
To request Open Records from HFRD: [email protected]

The HFRD Legal Services Unit process hearing requests for adverse actions resulting from citations and sanctions related to rule violations for the following licensed facility and provider types:

• Adult Day Centers, Chapter 111-8-1
• Ambulatory Surgical Centers, Chapter 111-8-4
• Anatomical Gifts, Chapter 111-8-5
• Assisted Living Communities (25 or more residents), Chapter 111-8-63
• Birth Centers,  Chapter 111-8-7
• Birthing Centers
• Blood Labeling, Chapter 111-8-9
• Community Living Arrangements - Updated 02/16/16
• Criminal Background Checks - Posted 8/21/19
• Disaster Preparedness Plans, Chapter 111-8-16
• Drug Abuse Treatment and Education Programs, Chapter 111-8-19
• End Stage Renal Disease Facilities, Chapter 111-8-22
• Enforcement of General Licensing and Enforcement Requirements, Chapter 111-8-25
• Eye Banks, Chapter 111-8-28
• Health Maintenance Organizations
• Health Maintenance Organizations, Chapter 111-8-29
• Home Health Agencies, Chapter 111-8-31
• Hospices
• Hospitals, Chapter 111-8-40
• Hospital Transparency, Chapter 111-8-41
• Intermediate Care Homes
• Laser Radiation, Chapter 111-8-91
• Laboratory Rule Update - NEW - Posted 07/01/21
• Long-Term Care Facilities: Residents’ Bill of Rights, Chapter 111-8-50
• Narcotic Treatment Programs, Chapter 111-8-53
• NEW No Patient Left Alone Act Notice, one-page version
• NEW No Patient Left Alone Act Notice, two-page version
• Nursing Homes, Chapter 111-8-56
• PCG Signature Page (Non-Medication HMAs) and Instructions Final  - Posted 03/08/23
• PCG Skills Competency Checklist for Insulin Pens and Instructions Pens Final  - Posted 03/08/23
• Personal Care Homes, Chapter 111-8-62
• Plan of Care for HMAs and Addendum with Instructions  - Posted 09/19/19
• Private Home Care Providers, Chapter 111-8-65
• Proxy Care Informed Consent  - Posted 03/08/23
• Proxy Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100, effective May 2018
• Resident Specific Medication Administration Skills Competency Checklist and Instructions  - Posted 09/19/19
• Residential Mental Health Facilities For Children And Youth, Chapter 111-8-68
• Skills Competency Checklist for Insulin by Syringe  - Posted 09/19/19
• Traumatic Brain Injury Facilities, Chapter 118-8-71
• X-Ray, Chapter 111-8-90