Idaho Admin. Code r. 16.03.22.010 - DEFINITIONS AND ABBREVIATIONS A THROUGH E

01. Abuse. A non-accidental act of sexual, physical, or mental mistreatment or injury of a resident through the action or inaction of another individual. (3-15-22)

02. Accident. An unexpected, unintended event that can cause a resident injury. (3-15-22)

03. Activities. All organized and directed social and rehabilitative services a facility provides, arranges, or cooperates with. (3-15-22)

04. Activities of Daily Living. Self-care actions necessary to sustain an individual in daily living, including bathing, dressing, toileting, grooming, eating, communicating, and managing medications. (3-15-22)

05. Administrator. An individual licensed by the Idaho Bureau of Occupational Licenses as a Residential Assisted Living Facility Administrator. (3-15-22)

06. Administrator's Designee. A person authorized in writing to act in the absence of the administrator who is knowledgeable of facility operations, the residents and their needs, emergency procedures, the location and operation of emergency equipment, and how the administrator can be reached in the event of an emergency. (3-15-22)

07. Adult. A person who has reached eighteen (18) years of age. (3-15-22)

08. Advance Directive. A written instruction, such as a living will or durable power of attorney for health care, recognized under state law, whether statutory or as recognized by the courts of the State, related to the provision of medical care when the individual is unable to communicate. (3-15-22)

09. Advocate. An authorized or designated representative of a program or organization operating under federal or state mandate to represent the interests of a population group served by a facility. (3-15-22)

10. Ambulatory Person. A person who, unaided by any other person, is physically and mentally capable of walking a normal path to safety, including the ascent and descent of stairs. (3-15-22)

11. Assessment. Information gathered that identifies resident strengths, weaknesses, risks, and needs, to include functional, social, medical, and behavioral needs. (3-15-22)

12. Authentication. The process or action of proving or showing authorship to be true, genuine, or valid. (3-15-22)

13. Authorized Provider. An individual who is a nurse practitioner, clinical nurse specialist, or physician assistant. (3-15-22)

14. Behavior Plan. A written plan that decreases the frequency, duration, or intensity of maladaptive behaviors, and increases the frequency of adaptive behaviors. (3-15-22)

15. Call System. A signaling system whereby a resident can contact staff directly from their sleeping room, toilet room, and bathing area. The system may be voice communication, or an audible or visual signal, and may include wireless technology. The call system cannot be configured in such a way as to breach a resident's right to privacy at the facility, including in the resident's living quarters, in common areas, during medical treatments, while receiving other services, in written and telephonic communications, or in visits with family, friends, advocates, and resident groups. (3-15-22)

16. Chemical Restraint. A medication used to control behavior or to restrict freedom of movement and is not a standard treatment for the resident's condition. (3-15-22)

17. Cognitive Impairment. When a person experiences loss of short or long-term memory, orientation to person, place, or time, safety awareness, or loses the ability to make decisions that affect everyday life. (3-15-22)

18. Complaint. A formal expression of dissatisfaction, discontent, or unhappiness by, or on behalf of, a resident concerning the care or conditions at the facility. This expression could be oral, in writing, or by alternative means of communication. (3-15-22)

19. Complaint Investigation. A survey to investigate the validity of allegations of noncompliance with applicable state requirements. Allegations will be investigated by the Licensing Agency as described in Section 39-3355, Idaho Code. (3-15-22)

20. Core Issue. A core issue is any one (1) of the following: (3-15-22)

a. Abuse; (3-15-22)

b. Neglect; (3-15-22)

c. Exploitation; (3-15-22)

d. Inadequate care; (3-15-22)

e. A situation in which the facility has operated for more than thirty (30) days without a licensed administrator overseeing the day-to-day operations of the facility; (3-15-22)

f. Inoperable fire detection or extinguishing systems with no fire watch in place pending the correction of the system; or (3-15-22)

g. Surveyors denied access to records, residents, or facilities. (3-15-22)

21. Criminal Offense. Any crime as defined in Section 18-111, Idaho Code, 18 U.S.C. Section 4B 1.2(a), and 18 U.S.C. Sections 1001 through 1027. (3-15-22)

22. Deficiency. A determination of noncompliance with a specific rule or part of a rule. (3-15-22)

23. Dementia. A chronic deterioration of intellectual function and other cognitive skills severe enough to interfere with the ability to perform activities of daily living. (3-15-22)

24. Department. The Idaho Department of Health and Welfare. (3-15-22)

25. Developmental Disability. A developmental disability, as defined in Section 66-402, Idaho Code, means a chronic disability of a person which appears before twenty-two (22) years of age and: (3-15-22)

a. Is attributable to an impairment, such as an intellectual disability, cerebral palsy, epilepsy, autism, or other conditions found to be closely related or similar to one (1) of these impairments that requires similar treatment or services, or is attributable to dyslexia resulting from such impairments; (3-15-22)

b. Results in substantial functional limitations in three (3) or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity of independent living, or economic self-sufficiency; and (3-15-22)

c. Reflects the need for a combination and sequence of special, interdisciplinary or direct care, treatment, or other services which are of life-long or extended duration, and individually planned and coordinated. (3-15-22)

26. Direct Resident Access. In-person access with any resident who resides at the facility, or any access to the residents' personal belongings or information. (3-15-22)

27. Director. The Director of the Idaho Department of Health and Welfare or their designee. (3-15-22)

28. Electronic Signature. The system for signing electronic documents by entering a unique code or password that verifies the identity of the person signing and creates an individual "signature" on the record. (3-15-22)

29. Elopement. When a resident who is cognitively, physically, mentally, emotionally, or chemically impaired, physically leaves the facility premises or the secured unit or yard without personnel's knowledge. (3-15-22)

30. Exit Conference. A meeting with the facility administrator or designee to:

(1) provide review, discussion, and written documentation of non-core issues, and

(2) to provide preliminary findings of core issues. (3-15-22)

31. Exploitation. The misuse of a resident's funds, property, resources, identity, or person for profit or advantage. This includes charging a resident for services or supplies not provided or disclosed in the written admission agreement and staff accepting gifts or money for extra services. (3-15-22)

Notes

Idaho Admin. Code r. 16.03.22.010