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

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100 SCOPE ............................................................................................................................................ 4 200 PURPOSE ....................................................................................................................................... 5 300 DEFINITIONS ............................................................................................................................... 6 400 LICENSURE .................................................................................................................................15 401 LICENSING INFORMATION ..................................................................................................16 402 INITIAL LICENSURE ..............................................................................................................17 403 COMPLIANCE ..........................................................................................................................17 404 APPLICATION, EXPIRATION AND RENEWAL OF LICENSE ...........................................17 405 CHANGE IN OWNERSHIP ......................................................................................................20 406 PROVISIONAL LICENSURE ..................................................................................................21 500 ADMINISTRATION ....................................................................................................................23 501 GOVERNING BODY ................................................................................................................23 502 GENERAL PROGRAM REQUIREMENTS .............................................................................23 503 CONTRACTUAL AGREEMENTS ...........................................................................................23 504 PERSONNEL AND GENERAL POLICIES AND PROCEDURES .........................................23 505 GENERAL REQUIREMENTS CONCERNING RESIDENTS ................................................32 506 QUALITY ASSURANCE..........................................................................................................37 507 REPORTING SUSPECTED ABUSE, NEGLECT, OR MISAPPROPRIATION OF RESIDENT PROPERTY ..........................................................................................................................37 508 RESIDENT RECORDS .............................................................................................................41 600 ADMISSION, DISCHARGE AND TRANSFER ........................................................................44 601 ADMISSIONS............................................................................................................................44 602 INVOLUNTARY TRANSFER OR DISCHARGE OF RESIDENT .........................................49 603 BILL OF RIGHTS ......................................................................................................................52 700 SERVICES .....................................................................................................................................57 701 DIRECT CARE SERVICES ......................................................................................................63 702 HEALTH CARE SERVICES <strong>and</strong> HEALTH CARE SERVICES PLAN ..................................64 704 COMPLIANCE AGREEMENTS ..............................................................................................77 800 ALZHEIMER’S SPECIAL CARE UNITS - DEFINITIONS ...................................................80 801 GENERAL ADMINISTRATION ..............................................................................................82 802 ASSESSMENTS ........................................................................................................................84 803 STANDARDS FOR ALZHEIMER’S SPECIAL CARE UNITS ..............................................86 804 EGRESS CONTROL .................................................................................................................89 805 STAFFING .................................................................................................................................89 806 ADMISSIONS, DISCHARGES, TRANSFERS ........................................................................93 807 THERAPEUTIC ACTIVITIES ..................................................................................................94 900 PHYSICAL ENVIRONMENT ....................................................................................................96 901 NEW CONSTRUCTION, REMODELING OR ADDITIONS ..................................................96 902 CONVERTED FACILITIES ....................................................................................................101 903 FURNISHINGS AND EQUIPMENT ......................................................................................102 904 REQUIREMENTS FOR RESIDENT GENERAL USE/COMMON AREAS .........................104 905 APARTMENTS .......................................................................................................................107 906 SAFETY STANDARDS ..........................................................................................................109 907 WATER SUPPLY ....................................................................................................................110 908 SEWAGE .................................................................................................................................111 909 PLUMBING .............................................................................................................................111 910 ELECTRICAL..........................................................................................................................111 911 HEATING/COOLING .............................................................................................................111 912 ZONING CODES .....................................................................................................................112 913 LOT REQUIREMENTS ..........................................................................................................112 1000 IMPOSITION OF REMEDIES - AUTHORITY .....................................................................113 1001 INSPECTIONS BY DEPARTMENT ......................................................................................113 1002 GENERAL PROVISIONS .......................................................................................................114 1003 REMEDIES ..............................................................................................................................115 1004 TEMPORARY ADMINISTRATION ......................................................................................116 2 Assisted Living Facilities Level II R. 08/01/11
1005 STATE MONITORING ...........................................................................................................118 1006 DIRECTED PLAN OF CORRECTION ..................................................................................118 1007 DIRECTED IN-SERVICE TRAINING ...................................................................................118 1008 TRANSFER OF RESIDENTS OR CLOSURE OF THE FACILITY AND TRANSFER OF RESIDENTS ...........................................................................................................................................119 1009 TERMINATION OF LEVEL II ASSISTED LIVING FACILITY LICENSE ........................120 1010 DENIAL OR SUSPENSION OF NEW ADMISSIONS ..........................................................121 1011 CIVIL MONEY PENALTIES .................................................................................................121 1012 CLOSURE ................................................................................................................................121 1100 INFORMAL DISPUTE RESOLUTION (IDR) ........................................................................123 1101 REQUESTING AN INFORMAL DISPUTE RESOLUTION (IDR).......................................123 1102 MATTERS WHICH MAY BE HEARD AT IDR ....................................................................123 1103 APPEALS TO COURT ............................................................................................................124 APPENDIX ................................................................................................................................................125 FORMS ...................................................................................................................................................125 DMS-731 ................................................................................................................................................126 DMS-742 ................................................................................................................................................130 AUTHORIZATION FOR ADULT MALTREATMENT CENTRAL REGISTRY ............................... 5 Notarization Required ................................................................................................................................ 5 3 Assisted Living Facilities Level II R. 08/01/11
Page 1: RULES AND REGULATIONS FOR ASSISTED
Page 5 and 6: 200 PURPOSE The purpose of these ru
Page 7 and 8: arrangement with an outside service
Page 9 and 10: esident will return. A discharge oc
Page 11 and 12: medication. Medication - Self Admin
Page 13 and 14: Separate Premises - Buildings housi
Page 15 and 16: 400 LICENSURE 400.1 No Level II ass
Page 17 and 18: 402 INITIAL LICENSURE 402.1 Initial
Page 19 and 20: . The complete name and address of
Page 21 and 22: . Lease of any portion of facility
Page 23 and 24: 500 ADMINISTRATION 501 GOVERNING BO
Page 25 and 26: 2. minimal qualifications, to inclu
Page 27 and 28: through the administrator. Sharing
Page 29 and 30: c. A second administrator shall be
Page 31 and 32: esidents from 8:00 p.m. to 7:00 a.m
Page 33 and 34: a. Permit unrestricted visiting hou
Page 35 and 36: c. The facility shall hold personal
Page 37 and 38: 505.1.4 If a responsible party or p
Page 39 and 40: 1. All reports involving accident o
Page 41 and 42: 508 RESIDENT RECORDS 508.1 The assi
Page 43 and 44: times, unless removed pursuant to s
Page 45 and 46: esponsible party in place within th
Page 47 and 48: 1. For a fourteen-day (14) period b
Page 49 and 50: facility ensures all of the followi
Page 51 and 52: D. The name, address, and telephone
Page 53 and 54:
exercising these civil rights. 3. I
Page 55 and 56:
P. Have the right and be allowed to
Page 57 and 58:
700 SERVICES An assisted living fac
Page 59 and 60:
h. Electric systems, including appl
Page 61 and 62:
advance practice nurse and take app
Page 63 and 64:
700.4 Ancillary Services All ancill
Page 65 and 66:
1. Assessment of the health care se
Page 67 and 68:
evaluation of the following: 1. Phy
Page 69 and 70:
1. Physician’s orders; 2. Manufac
Page 71 and 72:
or recommendations on the prescript
Page 73 and 74:
2. Drug containers with illegible o
Page 75 and 76:
. The dosage prescribed and the dos
Page 77 and 78:
703.5 Influenza Immunization of Res
Page 79 and 80:
action identified as a cause for co
Page 81 and 82:
egarding Alzheimer's or related dem
Page 83 and 84:
1. Visitors shall be permitted at a
Page 85 and 86:
a. Psychosocial and Physical Assess
Page 87 and 88:
needs of residents with dementia. T
Page 89 and 90:
804 EGRESS CONTROL a. Egress Polici
Page 91 and 92:
(5) month period. 5. In addition to
Page 93 and 94:
3. Is designated by the Alzheimer
Page 95 and 96:
cooperation; delay deterioration of
Page 97 and 98:
plans and specifications shall be s
Page 99 and 100:
location of the various members. Sc
Page 101 and 102:
E. Sections describing material and
Page 103 and 104:
f. All furnishings and equipment in
Page 105 and 106:
community based residential facilit
Page 107 and 108:
905 APARTMENTS 2. The facility must
Page 109 and 110:
functionally distinct area within t
Page 111 and 112:
Health. 907.1 A contract to supply
Page 113 and 114:
1000 IMPOSITION OF REMEDIES - AUTHO
Page 115 and 116:
1. Regardless which remedy is appli
Page 117 and 118:
4. Not currently serve or, within t
Page 119 and 120:
may specify the time frames in whic
Page 121 and 122:
violation, in accordance with Ark.
Page 123 and 124:
1100 INFORMAL DISPUTE RESOLUTION (I
Page 125 and 126:
APPENDIX FORMS 125
Page 127 and 128:
COPIES FOR: ATY GEN______________ P
Page 129 and 130:
STEPS TAKEN TO PREVENT CONTINUED AB
Page 131 and 132:
Name of Facility: Facility Investig
Page 133 and 134:
(Attach Additional Pages as Necessa
Page 135 and 136:
Section IV- Notification/ Status Ad
Page 137 and 138:
Facility Investigation Report for R
Page 139 and 140:
C. If privately owned list Ownershi
Page 141 and 142:
INSTRUCTIONS A. Enclosed are two (2
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