rules and regulations for assisted living facilities level ii - Arkansas ...

c. A second administrator shall be employed full-time when:
504.2.2 Registered Nurse (RN)
1. The total number of beds for all long-term care programs
within the facility is more than seventy (70), and
2. The number of beds for each long-term care program
within the facility is more than forty (40) per program.
The facility shall employ or contract with at least one (1) RN. The assisted living
facility RN need not be physically present at the facility, but must be available to
the facility by phone or pager. Except for participants of the Assisted Living
1915 (c) home and community based services Medicaid Waiver, the assisted
living facility RN shall be responsible for the preparation, coordination, and
implementation of the direct care services plan portion of the resident’s
occupancy admission agreement. An RN employed by the Division of Aging and
Adult Services and who works with the Assisted Living 1915 (c) Home and
Community Based Services Medicaid Waiver Program shall be responsible for
Medicaid waiver participants’ direct care services plan portions of the occupancy
admission agreement. The assisted living facility RN, in conjunction with the
physician, shall be responsible for the preparation, coordination and
implementation of the health care services plan portion of the resident’s
occupancy admission agreement and shall review and oversee all LPN, CNA and
PCA personnel. The assisted living facility RN may perform all job functions and
duties of LPNs, CNAs or PCAs. The RN must be licensed by, and in good
standing with, the Arkansas State Board of Nursing, and must comply with all
requirements, including continuing education requirements, as established by law
or regulation.
504.2.3 Licensed Practical Nurses (LPN)
The facility shall employ or contract with LPNs to provide nursing or direct care
services to residents. LPNs may administer medication and deliver nursing
services as provided by Arkansas law or applicable regulation. The LPN can
perform all job functions and duties of a CNA or PCA. All LPNs must be
licensed by, and in good standing with, the Arkansas State Board of Nursing, and
must comply with all requirements, including continuing education, as established
by law or regulation.
504.2.4 Certified Nursing Assistants (CNA)
The facility shall employ CNAs to provide direct care services to residents.
CNAs shall be permitted to perform the nurse aide duties set forth in Part II, Unit
VII of the Rules and Regulations governing Long Term Care Facility Nursing
Assistant Training Curriculum. These nurse aide duties include taking vital signs
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Assisted Living Facilities Level II R. 08/01/11