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

1. Assessment of the health care services needs of all residents in the
facility shall be performed annually, except that those residents
who have a health care services plan portion of the occupancy
admission agreement shall be reassessed quarterly and revisions
made as needed. The health care services plan portion of the
occupancy admission agreement shall be revised within fourteen
(14) days upon any significant enduring change to the resident;
2. Monitoring of the conditions of the residents on a periodic basis;
3. Notification of the registered nurse if there are significant changes
in a resident’s condition;
4. Assessment of the resident’s need for referral to a physician or
advance practice nurse or community agencies as appropriate; and
5. Maintenance of records as required.
e. In the planning of health care services:
1. The assisted living facility shall arrange for health care services to
be provided to residents as needed or ordered by the resident’s
physician or advance practice nurse and documented in the health
care services plan portion of the occupancy admission agreement.
2. At the time of admission, arrangements shall be made between the
assisted living facility and the resident or his or her responsible
party regarding the physician or advance practice nurse and dentist
to be called in case of illness or the person to be called for a
resident who, because of religious affiliation or personal choice, is
opposed to medical treatment, if any.
3. The initial health care assessment shall be documented by the
facility and shall be updated as required, in accordance with
professional standards of practice or upon a significant change of
condition. In no event shall the health care assessment be updated
less frequently than annually.
The resident’s physician or advance practice nurse shall be notified
of any significant change in the resident’s physical or
psychological condition and any intervention by the physician or
advance practice nurse shall be recorded. Intervention includes,
but is not limited to, orders given by the physician or advance
practice nurse or documentation that the physician or advance
practice nurse did not issue an order after notice of the significant
change of condition. For purposes of documentation, the facility
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Assisted Living Facilities Level II R. 08/01/11