Ariz. Admin. Code § R9-10-815 - Directed Care Services
A. A manager
shall ensure that a resident's representative is designated for a resident who
is unable to direct self-care.
B. A
manager of an assisted living facility authorized to provide directed care
services shall not accept or retain a resident who, except as provided in
R9-10-814(B)(2):
1. Is confined to a bed or chair because of
an inability to ambulate even with assistance; or
2. Has a stage 3 or stage 4 pressure sore, as
determined by a registered nurse or medical practitioner.
C. In addition to the requirements in
R9-10-808(A)(3), a
manager shall ensure that the service plan for a resident receiving directed
care services includes:
1. The requirements in
R9-10-814(F)(1) through
(3) ;
2. If applicable, the determination in
R9-10-814(B)(2)(b)(iii)
;
3. Cognitive stimulation and
activities to maximize functioning;
4. Strategies to ensure a resident's personal
safety;
5. Encouragement to eat
meals and snacks;
6. Documentation:
a. Of the resident's weight, or
b. From a medical practitioner stating that
weighing the resident is contraindicated; and
7. Coordination of communications with the
resident's representative, family members, and, if applicable, other
individuals identified in the resident's service plan.
D. A manager shall ensure that an employee
does not provide non-prescription medication to a resident receiving directed
care services unless the resident has an order from a medical practitioner for
the non-prescription medication.
E.
A manager shall ensure that:
1. A bell,
intercom, or other mechanical means to alert employees to a resident's needs or
emergencies is available in a bedroom being used by a resident receiving
directed care services; or
2. An
assisted living facility has implemented another means to alert a caregiver or
assistant caregiver to a resident's needs or emergencies.
F. A manager of an assisted living facility
authorized to provide directed care services shall ensure that:
1. Policies and procedures are established,
documented, and implemented that ensure the safety of a resident who may
wander;
2. There is a means of
exiting the facility for a resident who does not have a key, special knowledge
for egress, or the ability to expend increased physical effort that meets one
of the following:
a. Provides access to an
outside area that:
i. Allows the resident to
be at least 30 feet away from the facility, and
ii. Controls or alerts employees of the
egress of a resident from the facility;
b. Provides access to an outside area:
i. From which a resident may exit to a
location at least 30 feet away from the facility, and
ii. Controls or alerts employees of the
egress of a resident from the facility; or
c. Uses a mechanism that meets the Special
Egress-Control Devices provisions in the International Building Code
incorporated by reference in
R9-10-104.01 ;
and
3. A caregiver or an
assistant caregiver complies with the requirements for incidents in
R9-10-804 when a resident who is
unable to direct self-care wanders into an area not designated by the governing
authority for use by the resident.
Notes
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