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

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shall document:<br />

A. The name <strong>and</strong> address of the physician or advance practice<br />

nurse whom the facility contacted;<br />

B. The date <strong>and</strong> time of the notice to the physician or advance<br />

practice nurse whom the facility contacted;<br />

C. The in<strong>for</strong>mation provided to the physician or advance<br />

practice nurse whom the facility contacted, regarding the<br />

significant change of condition; <strong>and</strong>,<br />

D. The response of the physician or advance practice nurse<br />

whom the facility contacted.<br />

f. Residents or their responsible parties shall be permitted free choice of<br />

physician or advance practice nurse <strong>and</strong> of pharmacy. A facility may<br />

make a selection of a treating physician or advance practice nurse or<br />

pharmacy only when the resident or his or her responsible party is fully<br />

in<strong>for</strong>med of his or her right of choice <strong>and</strong> waives that right in writing. The<br />

facility shall maintain any written waives in the resident's file.<br />

702.2 Health Care Services<br />

702.2.1 If the resident needs assessment or evaluation indicates that the resident<br />

requires health care services, a written health care service plan shall be<br />

completed <strong>and</strong> become a part of the resident’s occupancy admission<br />

agreement within 30 days of the date of admission by a registered nurse<br />

using an assessment instrument that meets the requirement of Section<br />

702.3 Based on the health care assessment, a written health care service<br />

plan shall be developed as part of the resident’s occupancy admission<br />

agreement. The health care service plan shall include, but not be limited<br />

to, the following:<br />

1. Orders <strong>for</strong> treatment or services, medications <strong>and</strong> diet, if needed;<br />

2. The resident’s needs <strong>and</strong> preferences;<br />

3. The specific goals of treatment or services, if appropriate;<br />

4. The time intervals at which the resident’s response to treatment<br />

will be reviewed;<br />

5. The measures to be used to assess the effects of treatment.<br />

702.2.2 Each resident health care assessment shall include, at a minimum,<br />

66<br />

Assisted Living Facilities Level II R. 08/01/11

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