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

700.4 Ancillary Services
All ancillary services (both core services [Section 601.3(a)] and any other
ancillary services identified as wanted by the resident or his or her responsible
party to be provided by the facility at additional cost to the resident or his or her
responsible party [Section 700.1.3, Section 700.2.3 and Section 700.3.3]) that are
identified in the resident’s needs assessment or evaluation and shall be included in
the resident’s occupancy admission agreement.
701 DIRECT CARE SERVICES
701.1 (a) Direct care services directly help a resident with certain activities of daily
living such as assistance with mobility and transfers; hands-on or cuing assistance
to a resident to eat meals or food, grooming, shaving, trimming or shaping
fingernails and toenails, bathing, dressing, personal hygiene, bladder and bowel
requirements, including incontinence; and assistance with medication only to the
extent permitted by the state Nurse Practice Act and interpretations thereto by the
Arkansas State Board of Nursing.
701.1 (b) The assisted living facility shall ensure the resident receives direct care services
in accordance with the services plan portion of the occupancy admission
agreement. Direct care services needs of all residents in the facility shall be
reviewed at least annually, and the services plan portion of the occupancy
admission agreement revised, if necessary.
701.1 (c) Revision of the services plan portion of the occupancy admission agreement
shall be revised within fourteen (14) days upon any significant enduring change to
the resident.
701.1.2 An initial needs assessment or evaluation is to be completed for each resident to
identify all needed direct care
701.1.3 If the needs assessment or evaluation indicates that the resident has
general service needs, a resident direct care services plan portion of the
occupancy admission agreement shall be developed. The resident’s direct
care services plan portion of the occupancy admission agreement shall
include, but not be limited to, the resident’s needs for assisted living
facility services, including but not limited to, assistance with activities of
daily living (ADL).
701.1.4 If the resident does not have any direct care service needs, a resident direct
care services plan portion of the occupancy admission agreement is not
needed. However, the facility must document how and where the
evaluation was performed and that the resident does not have any direct
care service needs.
701.1.5 If the needs assessment or evaluation indicates that the resident will need
63
Assisted Living Facilities Level II R. 08/01/11