rules and regulations for assisted living facilities level ii - Arkansas ...
rules and regulations for assisted living facilities level ii - Arkansas ...
rules and regulations for assisted living facilities level ii - Arkansas ...
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703.5 Influenza Immunization of Residents<br />
a. The facility shall ensure that all Medicare-eligible residents receive<br />
annual influenza immunizations except when:<br />
1. Objection is made on religious grounds; or,<br />
2. Immunization is medically contra-indicated.<br />
b. The facility shall record the following in<strong>for</strong>mation:<br />
1. The name of the resident;<br />
2. The date that the immunization occurred;<br />
3. The exception applicable to each resident who was not<br />
immunized.<br />
c. The facility shall place the documentation in each resident’s<br />
medical chart <strong>and</strong> retain the record in the same manner, <strong>and</strong> <strong>for</strong> the<br />
same time period, as medical records.<br />
704 COMPLIANCE AGREEMENTS<br />
The Level II licensed <strong>assisted</strong> <strong>living</strong> facility shall not admit any resident whose<br />
needs are greater than the facility is licensed to provide. The <strong>assisted</strong> <strong>living</strong><br />
facility shall not provide services to residents who:<br />
a. need 24-hour nursing services;<br />
b. are bedridden;<br />
c. has a temporary (more than fourteen (14) consecutive days) or terminal<br />
condition unless a physician or advance practice nurse certifies the<br />
resident’s needs may be safely met by a service agreement developed by<br />
the <strong>assisted</strong> <strong>living</strong> facility, the attending physician or advance practice<br />
nurse, a registered nurse, the resident or his or her responsible party if the<br />
resident is incapable of making decisions, <strong>and</strong> other appropriate health<br />
care professionals as determined by the resident’s needs;<br />
d. have transfer assistance needs that the facility cannot meet with current<br />
staffing;<br />
e. present a danger to self or others or engages in criminal activities.<br />
The choice <strong>and</strong> independence of action of a resident may need to be limited when<br />
77<br />
Assisted Living Facilities Level II R. 08/01/11