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

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703.2.5 Prescriptive medications must be properly labeled in accordance with current applicable laws and regulations pertaining to the practice of pharmacy. 7032.6 All medications in the control or care of the facility shall have an expiration date that is not expired. 703.2.7 Medications must be individually labeled with the resident’s name and kept in the original container unless the resident or responsible party transfers the medication into individual dosage containers. Under no circumstances may an owner or personnel of the facility repackage medication. 703.2.8 Any medication that is stored by the facility that has been prescribed for but is no longer in use by a resident must be destroyed or disposed of in accordance with state law or may be given to the resident’s family in accordance with this section. Any medication stored by the facility that has been placed on hold status by the resident’s physician or advance practice nurse may be transferred to a locked medication cabinet in a locked office for future use by the resident. Upon physician notice to resume the mediation, all current medication labeling must be in accordance with 703.2.5 Scheduled II, III, IV and V drugs dispensed by prescription for a resident and no longer needed by the resident must be delivered in person or by registered mail to: Drug Control Division, Arkansas Department of Health, along with the Arkansas Department of Health’s Form (PHA-DC- 1) Report of Drugs surrendered for Disposition According to Law. When unused portions of controlled drugs go with a resident who leaves the facility, the person who assumes responsibility for the resident and the person in charge of the medications for the facility shall sign the Controlled Drug Record in the facility. This shall be done only on the written order of the physician or advance practice nurse and at the time that the resident is discharged, transferred or visits home. All other medications not taken out of the facility when the resident leaves the facility shall be destroyed or returned in accordance with law and applicable regulations. 703.2.9 Under no circumstance will one resident’s medication that is under the facility’s control be shared with another resident. 703.2.10 For all medication that is stored by the facility, the facility must remove from use: 1. Outdated or expired medication or drugs; 72 Assisted Living Facilities Level II R. 08/01/11
2. Drug containers with illegible or missing labels; 3. Drugs and biologicals discontinued by the physician or advance practice nurse. All such medications shall be destroyed or returned in accordance with law and applicable regulations. 703.2.11 All controlled drugs or substances stored by the facility shall be stored in a locked, permanently affixed, substantially constructed cabinet within a locked room designed for the storage of drugs. When mobile medication carts for unit-dose or multiple day card systems are used, the cart must be: 1. In a locked room when the cart is not in use and the unit contains controlled drugs; 2. When the cart is in use, the facility shall ensure that the cart remains in the observation of staff utilizing the cart, and that residents are not able to access the cart or obtain medications from the cart. Controlled substances of less than minimal quantity shall be stored in a separately locked compartment within the cart. Minimal quantity means a twenty-four (24) hour or less supply. 703.2.12 In all cases in which the facility destroys drugs, destruction shall be made by a nurse, and witnessed by a non-licensed employee. A record shall be made of the date, quantity, prescription number and name, resident’s name, and strength of the medication. Destruction shall comply with state laws and regulations governing the destruction of drugs. The record of the destruction shall be recorded in a bound ledger, in ink, with consecutively numbered pages, and retained by the facility as a permanent, retrievable record. 703.2.13 Reporting Misappropriation of controlled Substances. Reporting misappropriation of controlled substances shall be in accordance with the Arkansas Department of Health Pharmacy Services Branch rules and regulations. 703.3 Medication Charting 703.3.1 If a facility stores a resident’s medications, the facility shall maintain a list of those medications. 703.3.2 If the facility stores and supervises a resident’s medication, a notation must be made on the individual record for each resident who refuses, either through affirmative act, omission, or silence, or is unable, to selfadminister his or her medications. The notation shall include the date, time and dosage of medication that was not taken or administered to or by 73 Assisted Living Facilities Level II R. 08/01/11
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RULES AND REGULATIONS FOR ASSISTED
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1005 STATE MONITORING .............
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200 PURPOSE The purpose of these ru
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arrangement with an outside service
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esident will return. A discharge oc
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medication. Medication - Self Admin
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Separate Premises - Buildings housi
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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: or recommendations on the prescript
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.
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1100 INFORMAL DISPUTE RESOLUTION (I
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APPENDIX FORMS 125
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COPIES FOR: ATY GEN______________ P
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STEPS TAKEN TO PREVENT CONTINUED AB
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Name of Facility: Facility Investig
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(Attach Additional Pages as Necessa
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Section IV- Notification/ Status Ad
Page 137 and 138:
Facility Investigation Report for R
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C. If privately owned list Ownershi
Page 141 and 142:
INSTRUCTIONS A. Enclosed are two (2
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