Or. Admin. Code § 411-051-0110 - Pre-Admission
(1) PRE-ADMISSION
SCREENING AND ASSESSMENT.
(a) Before
admission, the licensee or administrator must conduct and document a screening
using the Department's current Adult Foster Home Screening and Assessment and
General Information form (SDS 0902) to determine if a prospective resident's
care needs exceed the license classification of the home. The screening must:
(A) Evaluate the ability of the prospective
resident to evacuate the home within three minutes along with all the occupants
of the home.
(B) Determine if the
licensee and caregivers can meet the prospective resident's needs in addition
to meeting the needs of the other residents of the home.
(C) Include medical diagnoses, medications,
personal care needs, nursing care needs, cognitive needs, communication needs,
night care needs, nutritional needs, activities, lifestyle preferences, and
other information, as needed, to assure the prospective resident's care needs
shall be met.
(b) The
screening process must include interviews with the prospective resident and the
prospective resident's family, prior care providers, and case manager, as
appropriate. The licensee or administrator must also interview, as necessary,
any physician, nurse practitioner, physician assistant, registered nurse,
pharmacist, therapist, or mental health or other licensed health care
professional involved in the care of the prospective resident. A copy of the
screening document must be:
(A) Given to the
prospective resident or their representative.
(B) Placed in the resident's record if
admitted to the home; or
(C)
Maintained for a minimum of three years if the prospective resident is not
admitted to the home.
(c) If the Department or AAA knows a person
who is on probation, parole, or post-prison supervision after being convicted
of a sex crime as defined in ORS
163A.005 is applying for
admission to an AFH, the Department or AAA shall notify the home of the
person's status as a sex offender.
(d) The licensee or administrator may refuse
to admit a person who is on probation, parole, or post-prison supervision after
being convicted of a sex crime as defined in ORS
163A.005.
(e) REQUIRED DISCLOSURES.
(A) The licensee or administrator must
disclose the home's policies to a prospective resident or the prospective
resident's representative, as applicable. A copy of the home's current
Residency Agreement identifying the home's policies shall be provided to the
prospective resident and their representative. (See OAR
411-050-0705).
(B) The licensee or administrator must inform
a prospective resident or the prospective resident's representative, if
appropriate, of the home's nondiscrimination policy. A copy of the home's
current nondiscrimination policy shall be provided to the prospective resident
and their representative. (See OAR
411-050-0745(2)(e)).
(C) LONG-TERM CARE ASSESSMENT. The licensee
or administrator must inform a prospective private-pay resident or the
prospective resident's representative, if appropriate, of the availability of
long-term care assessment services provided through the Department or a
certified assessment program. The licensee or administrator must document on
the Department's form (SDS 913) that the prospective private-pay resident has
been advised of the right to receive a long-term care assessment. The licensee
or administrator must maintain a copy of the form in the resident's record upon
admission and make a copy available to the Department upon request.
(2) BEFORE ADMISSION.
(a) The licensee or administrator must obtain
and document general information regarding a resident before the resident's
admission. The information must include the names, addresses, and telephone
numbers of the resident's relatives, significant persons, case managers, and
medical or mental health providers. The information must also include the date
of admission and, if available, the resident's medical insurance information,
birth date, prior living facility, and mortuary.
(b) Before admission, the licensee or
administrator must obtain and place in the resident's record:
(A) Prescribing practitioner's written or
verbal orders for medications, treatments, therapies, and special diets, as
applicable. Any verbal orders must be followed by written orders within seven
calendar days of the resident's admission. Attempts to obtain written orders
must be documented in the resident's record.
(B) Prescribing practitioner or pharmacist
review of the resident's preferences for over-the-counter medications and home
remedies.
(C) Any medical
information available, including the resident's history of accidents,
illnesses, impairments, or mental status that may be pertinent to the
resident's care.
(D) Legal name for
billing purposes
(E) For service
planning purposes, any variance from legal records, as indicated by the
resident regarding:
(i) Name.
(ii) Pronouns.
(iii) Gender identity.
(c) The licensee or administrator
must ask for copies of the resident's Advance Directive, Physician's Order for
Life Sustaining Treatment (POLST), and proof of court-appointed guardianship or
conservatorship, if applicable. Copies of these documents must be placed in a
prominent place in the resident's record and sent with the resident if the
resident is transferred for medical care.
(d) The licensee or administrator must review
the home's current Residency Agreement with the resident and the resident's
representative, as appropriate. These reviews must be documented by having the
resident, or the resident's representative, sign and date a copy of the
Residency Agreement. A copy of the signed and dated Residency Agreement must be
maintained in the resident's record.
(e) Upon admission of a resident, the
licensee or administrator 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.
(3) SCREENING BEFORE RE-ADMISSION.
When a resident temporarily leaves the home including, but not limited to, a
resident's hospitalization, the licensee or administrator shall conduct the
necessary elements of the pre-admission and screening assessment requirements,
and document those findings to:
(a) Determine
whether readmission to the home is appropriate for the classification of the
home.
(b) Determine whether the
licensee or administrator can continue to meet the resident's care and safety
needs in addition to those of the other residents.
(c) Demonstrate compliance with these
rules.
(d) If applicable,
demonstrate the basis for refusing the resident's re-admission to the home
according to reasons identified in OAR
411-050-0760(3).
Notes
Statutory/Other Authority: ORS 127.520, 409.050, 410.070, 413.085, 441.122, 441.373, 443.001, 443.004, 443.725, 443.730, 443.735, 443.738, 443.742, 443.760, 443.767, 443.775 & 443.790
Statutes/Other Implemented: ORS 409.050, 410.070, 413.085, 441.112, 441.114, 441.373, 443.001 - 443.004, 443.705 - 443.825, 443.875 & 443.991
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