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

plan does not have to be included in the resident’s occupancy admission
agreement. However, the facility must document that the health care
assessment was performed and that the resident does not have any health
care service needs.
702.2.4 Assessment of the health care services needs of all residents in the facility
shall be performed at least 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 change to the
resident.
703 Medications
703.1 Administration
703.1.1 Each assisted living facility must have written policies and procedures to
ensure that residents receive medications as ordered. In-service training
on facility medications policies and procedures (see Sections 504.4(b)(1)
and 504.4.1) shall be provided at least annually for all facility personnel
supervising or administering medications.
703.1.2 Facilities must comply with applicable state laws and regulations
governing the administration of medications and restrictions applicable to
non-licensed personnel/staff/employees. However, licensed nursing
personnel (RN, LPN) may administer medication in accordance with
Sections 504.2.2 and 504.2.3 of these regulations in cases in which the
resident is assessed as being unable to self-administer his or her
medication. In such cases, the facility shall document, and shall be
responsible to ensure, that medications are administered by licensed
nursing personnel/staff/employees, and are administered without an error
rate greater than 5% (see 703.1.2.1).
703.1.2.1 Medication Errors
a. The facility must ensure that:
1. It is free of medication error rates of five percent (5%) or greater;
and
2. Residents are free of any significant medication errors.
b. Medication error means the observed preparation or administration of
drugs or biologicals which is not in accordance with:
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Assisted Living Facilities Level II R. 08/01/11