Or. Admin. R. 411-086-0040 - Admission of Residents
(1)
Admission Conditions:
(a) The facility shall
not accept or retain residents whose care needs cannot be met by the
facility;
(b) No person shall be
admitted to the facility except on the order of a physician;
(c) Admission medical information shall
include a statement concerning the diagnosis and general condition of the
resident, a medical history and physical, or a medical summary. Other pertinent
medical information, orders for medication, diet, and treatments shall also be
provided;
(d) No resident shall be
admitted to a bed in any location other than those locations shown in the most
recent floor plan filed with the Division and under which the license was
issued;
(e) No facility shall admit
an individual who is mentally ill or mentally retarded unless the Division or
local representative thereof has determined that such placement is
appropriate.
(f) Upon admission of
a resident, the facility shall provide the resident or the resident's
representative with information developed by the Long-Term Care Ombudsman
describing the availability and services of the ombudsman. The facility shall
document that the facility provided this information as required.
(2) Admission Status, Preliminary
Care Plan, Preliminary Nursing Assessment:
(a) A licensed nurse shall document the
admission status of the resident within eight hours, including but not limited
to skin condition, nutritional status, hydration status, mental status, vital
signs, mobility, and ability to perform ADLs. This review of resident status
shall be sufficient to ensure that the immediate needs of the resident are
met;
(b) A licensed nurse shall
develop a preliminary resident care plan within 24 hours of admission. Staff
providing care for the resident shall have access to, be familiar with, and
follow this plan;
(c) Social
services shall be provided to the resident in accordance with the preliminary
resident care plan not later than three days after admission;
(d) A registered nurse shall complete and
document a comprehensive nursing assessment within 14 days of admission; (e) A
resident care plan shall be completed pursuant to OAR 411- 086-0060.
(3) Directives for Medical
Treatment. Each resident shall be provided the following information and
materials in written form within five days of admission, but in any event
before discharge:
(a) A copy of "Your Right to
Make Health Care Decisions in Oregon," copyright 1991, by the Oregon State Bar
Health Law Section, which summarizes the rights of individuals to make health
care decisions, including the right to accept or refuse any treatment or
medication and the right to execute directives and powers of attorney for
health care;
(b) Information on the
facility's policies with respect to implementation of those rights;
(c) A copy of the Advance Directive form set
forth in ORS
127.531 and a copy of
the Power of Attorney for Health Care form set forth in ORS
127.610, along with a
disclaimer attached to each form in at Page 8 least 16-point bold type stating
"You do not have to fill out and sign this form"; and
(d) The name and location of a person who can
provide additional information concerning the forms for directives and powers
of attorney for health care.
(4) Contracts, Agreements. Contracts,
agreements and all other documents provided to, or required to be signed by,
the resident shall not misrepresent or be inconsistent with the requirements of
Oregon law. See OAR 411-085- 0300 - 411-085-0350.
Notes
Publications: Publications referenced are available from the agency.
Statutory/Other Authority: ORS 410.090, 441.055 & ORS 410.070
Statutes/Other Implemented: ORS 441.055 & 441.615
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