1. Define the Program or Service 

Skilled Nursing Services in Nebraska are provided in skilled nursing facilities (SNFs) and offer 24-hour nursing care, medical services, and rehabilitative therapies to individuals who require a higher level of care than what can be provided in assisted living settings. These services include assessment, treatments, injections, administration of medications, and various therapies such as physical, occupational, and speech therapy. 

2. Regulations Governing the Program 

The program is governed by: 

• Nebraska Revised Statutes §§71-401 to 71-479, which cover the Health Care Facility Licensure Act. 

• Title 175 NAC Chapter 12, which outlines licensing requirements and operational standards for skilled nursing facilities. 

• Nebraska Nursing Home Act, Neb. Rev. Stat. §§71-6008 to 71-6037, which provides additional regulations for nursing facilities. 

3. Licensing or Certification Requirements 

To operate a skilled nursing facility, a license is required. Facilities must comply with all applicable state regulations and standards. 

4. Responsible State Agency 

The Nebraska Department of Health and Human Services (DHHS) is responsible for issuing licenses and overseeing compliance for skilled nursing facilities. 

5. Application Process 

The application process involves submitting a written application to DHHS. The application must include detailed information about the facility, its ownership, management, and operational capabilities. While specific online platforms are not detailed, applications typically require original signatures and supporting documents, which may need to be mailed to DHHS. 

6. Required Documentation 

Applicants must provide: 

• A completed application form. 

• Full name and address of the facility. 

• Type of facility. 

• Name of the administrator. 

• Ownership details. 

• Proof of compliance with physical plant standards. 

• Proof of staff qualifications and training plans. 

• Payment of licensing fees as stipulated in 175 NAC 12. 

7. Timeline for Approval 

Once a complete application is received, DHHS will review it and schedule an onsite inspection if necessary. The timeline for approval can vary based on the completeness of the application and readiness for inspection. 

8. Pre-Application Process 

There is no formal pre-license application process; however, applicants should ensure they meet all operational standards and have necessary documentation ready before submitting their application. 

9. Pre-Application Training 

While specific pre-application training is not mandated, providers must comply with all applicable regulations and standards. Training may include understanding operational standards, quality assurance, and performance improvement programs. 

10. Additional Notes 

• Skilled nursing facilities must appoint a Nebraska-licensed administrator responsible for day-to-day management. 

• Facilities must ensure compliance with all applicable statutes and regulations, including periodic reviews of quality assurance and performance improvement programs.