Or. Admin. Code § 411-071-0005 - Definitions
(1) "Act" means the
provisions of ORS 410.505 to
410.545 and ORS
410.890.
(2) "Activities of Daily Living (ADL)" means
those personal functional activities required by an individual for continued
well being and are essential for health and safety. This includes eating,
dressing/grooming, bathing/personal hygiene, mobility, bowel and bladder
management, and cognition..
(3)
"Admission Assessment" means a professional program that provides an assessment
of the long-term care needs of an individual applying for or considering
admission to a nursing facility who is not or does not appear to be Medicaid
eligible. The admission assessment includes mandatory services necessary to
comply with the federal pre-admission screening requirements and optional
information regarding appropriate care settings and services, including nursing
facilities and community-based options.
(4) "Adult Foster Home" means any family home
or other facility in which care is provided for compensation to five or fewer
elderly or disabled adults who are not related to the provider by blood or
marriage.
(5) "Applicant" means a
hospital or private agency applying for certification to conduct admission
assessments according to the provisions of the Act.
(6) "Application for Certification" means the
application form designated and distributed by the Department to
applicants.
(7) "Area Agency on
Aging (AAA)" means the agency designated by the Department and charged with the
responsibility of providing a comprehensive and coordinated system of services
to the elderly and people with disabilities in a planning and service
area.
(8) "Assessment Fee" means
the amount of money charged by a certified program to the Department or to an
individual for admission assessment services.
(9) "Assisted Living Facility" means a
program approach, within a physical structure that provides or coordinates a
range of services, available on a 24-hour basis, for support of an individual's
independence in a residential setting. Assisted living promotes resident
self-direction and participation in decisions and emphasizes choice, dignity,
privacy, individuality, independence and home-like surroundings.
(10) "Certification" means the process of
being certified by the Department to conduct admission assessments for
non-Medicaid individuals. Hospitals and private agencies wishing to conduct
admission assessments must be certified by the Department.
(11) "Certification Fee" means a fee charged
to an applicant program to become certified under ORS
410.505 et seq.
(12) "Certified Program" means a hospital,
private agency, an Area Agency on Aging, or an individual certified by the
Department to conduct admission assessments in accordance with ORS
410.530.
(13) "Continuing Care Retirement Community"
means a facility as defined in ORS
101.020.
(14) "Civil Penalty" means a penalty imposed
on a nursing facility by the Department in the manner provided in ORS
441.705 to
745.
(15) "Community-Based Care" means services
provided in local communities including, but not limited to, adult foster care,
assisted living, residential care, and in-home services.
(16) "Decertify" means to revoke the
certification to conduct admission assessments.
(17) "Department" means the Department of
Human Services/Seniors and People with Disabilities.
(18) "Exception" means a variance from the
provisions of these rules granted by the Department to a certified
program.
(19) "Exemption" means an
individual who does not have a diagnosis of mental illness or mental
retardation and is not subject to the requirement for an admission assessment
prior to admission to a nursing facility in accordance with ORS
410.520(2).
(20) "Facility" means, unless otherwise
indicated, a nursing facility as defined under these Rules.
(21) "Financial Interest" means ownership in
any nursing facility or other facility licensed by the Department, or receiving
placement fee from a facility. This includes ownership as an individual or as a
fiduciary, a relationship in a capacity as a director, or an advisor or any
other participant holding legal or equitable interest.
(22) "Hospital" means an acute care facility,
as defined in ORS 442.015(13)(a),
licensed by the Health Services under 441.020 - 441.097.
(23) "Individual" means the person applying
for or considering admission to a nursing facility and who is not or does not
appear to be Medicaid eligible.
(24) "Legally Designated Representative"
means a legal guardian or a person holding the power of attorney for health
care as defined in ORS 127.305(10).
(25) "Level II Evaluation" means a
comprehensive assessment implemented by the Department of individuals with
mental illness or mental retardation/developmental disabilities to evaluate and
determine whether nursing facility services and Specialized Services are
needed.
(26) "Long-Term Care" means
community-based services and nursing facility care funded by public and/or
private money.
(27) "New Admission"
for pre-admission screening means an individual admitted to any nursing
facility for the first time. With the exception of certain hospital discharges
in accordance with OAR
411-071-0015, new admissions are
subject to Pre-Admission Screening.
(28) "Nursing Facility" means a facility
licensed to provide nursing care. Unless indicated otherwise, "nursing
facility" means a Medicaid certified nursing facility.
(29) "Placement" means a nursing facility or
community-based care setting where an individual will reside and receive
services.
(30) "Program" means a
certified program as defined under these rules.
(31) "Recommend Placement" means to
communicate to an individual information about a specific facility and/or
service(s) that have been determined to be most appropriate to the individual's
needs and preferences.
(32)
"Referral" means the process by which an individual may receive assessment
services from a different assessment source.
(33) "Resident" means any individual who is
residing in a hospital or nursing facility.
(34) "Residential Care Facility" means a
facility that provides care for six or more persons over the age of 18 on a
24-hour basis in one or more buildings on contiguous
property.
Notes
Stat. Auth.: ORS 410.070
Stats. Implemented: ORS 410.505
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