Which of the following health conditions would require a facility to be licensed as a health facility?

The requirement for a facility to be licensed as a health facility is determined primarily by the level of medical care that residents need due to their health conditions. Stage 3 and 4 dermal ulcers represent severe pressure injuries that often require specialized medical care, including wound management and possibly the intervention of healthcare professionals such as nurses or doctors. These advanced ulcers indicate a high level of risk and necessitate ongoing medical treatment, which is indicative of the need for a health facility license.

In contrast, while the other conditions listed may require some level of medical attention, they generally do not necessitate the comprehensive level of medical oversight that severe dermal ulcers demand. Insulin-dependent diabetes, for instance, is typically managed through medication and diet, allowing for care in a less intensive environment. Similarly, colostomies and ileostomies can often be managed with basic support and education rather than the intensive care framework required for advanced dermal ulcers. Lastly, fecal impaction, enemas, and suppositories can usually be addressed in outpatient settings or residential care that doesn’t require a full health facility license. The level of care and supervision needed for managing severe dermal ulcers aligns with the standards for health facility licensing.