Ariz. Admin. Code § R9-10-814 - Personal Care Services
A. A manager of
an assisted living facility authorized to provide personal care services shall
not accept or retain a resident who:
1. Is
unable to direct self-care;
2.
Except as specified in subsection (B), is confined to a bed or chair because of
an inability to ambulate even with assistance; or
3. Except as specified in subsection (C), has
a stage 3 or stage 4 pressure sore, as determined by a registered nurse or
medical practitioner.
B.
A manager of an assisted living facility authorized to provide personal care
services may accept or retain a resident who is confined to a bed or chair
because of an inability to ambulate even with assistance if:
1. The condition is a result of a short-term
illness or injury; or
2. The
following requirements are met at the onset of the condition or when the
resident is accepted by the assisted living facility:
a. The resident or resident's representative
requests that the resident be accepted by or remain in the assisted living
facility;
b. The resident's primary
care provider or other medical practitioner:
i. Examines the resident at the onset of the
condition, or within 30 calendar days before acceptance, and at least once
every six months throughout the duration of the resident's condition;
ii. Reviews the assisted living facility's
scope of services; and
iii. Signs
and dates a determination stating that the resident's needs can be met by the
assisted living facility within the assisted living facility's scope of
services and, for retention of a resident, are being met by the assisted living
facility; and
c. The
resident's service plan includes the resident's increased need for personal
care services.
C. A manager of an assisted living facility
authorized to provide personal care services may accept or retain a resident
who has a stage 3 or stage 4 pressure sore, as determined by a registered nurse
or medical practitioner, if the requirements in subsection (B)(2) are
met.
D. A manager of an assisted
living facility authorized to provide personal care services may accept or
retain a resident who:
1. Is receiving nursing
services from a home health agency or a hospice service agency; or
2. Requires intermittent nursing services if:
a. The resident's condition for which nursing
services are required is a result of a short-term illness or injury,
and
b. The requirements of
subsection (B)(2) are met.
E. A manager shall ensure that a bell,
intercom, or other mechanical means to alert employees to a resident's needs or
emergencies is available and accessible in a bedroom or residential unit being
used by a resident receiving personal care services.
F. In addition to the requirements in
R9-10-808(A)(3), a
manager shall ensure that the service plan for a resident receiving personal
care services includes:
1. Skin maintenance to
prevent and treat bruises, injuries, pressure sores, and infections;
2. Offering sufficient fluids to maintain
hydration;
3. Incontinence care
that ensures that a resident maintains the highest practicable level of
independence when toileting; and
4.
If applicable, the determination in subsection (B)(2)(b)(iii).
G. A manager shall ensure that an
employee does not provide non-prescription medication to a resident receiving
personal care services unless the resident has an order from the resident's
primary care provider or another medical practitioner for the non-prescription
medication.
Notes
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No prior version found.