When construction or remodeling is planned, who must submit the construction documents for approval?

The requirement for the owner or the owner's appointed representative to submit the construction documents for approval ensures that the entity responsible for the facility has a direct role in overseeing compliance with regulatory standards. This process typically involves submitting detailed plans that not only meet safety and health regulations but also align with building codes and standards specific to nursing homes.

This responsibility emphasizes accountability, as the owner or their representative is often the best positioned to understand the operational needs and regulatory obligations of the facility. By requiring this submission to the relevant state or local regulatory authority, such as the health department, it also facilitates necessary oversight that helps maintain the quality of care and safety within the nursing home environment.

The other options are not the correct answers because the facility staff may not possess the authority or expertise to submit official documents, while the local health department and the fire department are agencies that review and approve documents but do not have the responsibility to submit them. Thus, the owner or their appointed representative is critical in ensuring that all necessary approvals are obtained for any construction-related activities.