1. Program Definition and Services 

Skilled Nursing Facilities (SNFs) provide a higher level of medical care than traditional nursing homes. Services include: 

• 24-hour skilled nursing care 

• Rehabilitation services (physical, occupational, and speech therapy) 

• Medication management 

• Wound care 

• Post-surgical care 

• Intravenous therapy 

2. Regulations 

Skilled Nursing Facilities in Maine are governed by: 

• Chapter 110 of the Maine Department of Health and Human Services regulations 

• Federal regulations under 42 CFR Part 483 

3. Licensing or Certification 

Both state licensing and federal certification are required to operate as a Skilled Nursing Facility in Maine. 

4. Responsible State Agency 

The Maine Department of Health and Human Services (DHHS), specifically the Division of Licensing and Certification (DLC), is responsible for licensing and certifying Skilled Nursing Facilities. 

5. Application Process 

The application process involves both state licensure and federal certification: 

• State licensure: Apply through the Maine DHHS 

• Federal certification: Coordinated by the state agency on behalf of the Centers for Medicare & Medicaid Services (CMS) 

6. Required Documentation 

Providers typically need to submit: 

• Completed application forms 

• Proof of compliance with state and federal regulations 

• Staff qualifications and training records 

• Facility policies and procedures 

• Floor plans and safety inspection reports 

7. Timeline for Approval 

The specific timeline for approval is not provided in the available results. However, the process may take several months due to the comprehensive nature of the requirements and necessary inspections. 

8. Pre-Application Process 

While there's no formal pre-application process mentioned, potential providers should thoroughly review state and federal regulations and ensure they can meet all standards before applying. 

9. Pre-Application Training 

There are no specific pre-application training requirements mentioned. However, the facility must ensure that staff members meet the following training requirements: 

• Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) must be licensed in Maine 

• Certified Nursing Assistants (CNAs) must complete a state-approved training program and be listed on the Maine Registry of Certified Nursing Assistants and Direct Care Workers 

10. Additional Notes 

• Facilities must maintain specific staffing ratios, including at least one RN on duty for 8 consecutive hours, 7 days a week 

• A full-time Director of Nursing (DON) is required 

• Facilities must comply with resident rights regulations and provide care that promotes dignity and quality of life 

• Regular state and federal inspections are conducted to ensure ongoing compliance