(a) Licensees of an
expanded ARCH shall admit nursing facility level residents as determined and
certified by the resident's physician or APRN.
(1) A Type I expanded ARCH shall provide
services to no more than two nursing facility level residents at any one time
provided that more nursing facility level residents may be allowed at the
discretion of the department; and
(2) A Type II expanded ARCH shall provide
services to nursing facility level residents not to exceed twenty percent of
the licensed capacity, provided that more nursing facility residents may be
allowed at the discretion of the department;
provided further that the department shall exercise its
discretion for a resident presently residing in a Type I or Type II home to
allow the resident to remain as an additional nursing facility resident based
upon the best interest of the resident. The best interest of the resident shall
be determined by the department after consultation with the resident, the
resident family, primary physician, case manager, primary care giver and home
operator.
(b)
Upon admission of a resident, the expanded ARCH licensee shall have the
following information:
(1) A current
physician's report on the expanded ARCH resident's physical examination and
diagnosis, including mental, functional, and behavioral status;
(2) Orders for diet, medication, specialized
care, or activities signed by the physician;
(3) Evidence of compliance with the
department's uniform tuberculosis policy;
(4) Evidence of current immunizations for
pneumococcal and influenza as recommended by the ACIP; and a written care plan
addressing resident problems and needs.
Notes
Haw. Code R. §
11-100.1-84
[Eff SEP 18 2008]
(Auth: HRS §§
321-1,
321-9,
321-10,
321-11,
321-15.1,
321-15.6,
321-15.61,
321-15.62)
(Imp: HRS §§
321-1,
321-9,
321-10,
321-11,
321-15.1,
321-15.6,
321-15.61,
321-15.62)
