Utah Admin. Code R432-270-4 - Definitions

(1) Section R432-1-3 additionally applies.

(2) "Activities of Daily Living" (ADL) means those personal functional activities required for an individual for continued well-being, including:

(a) personal grooming, including oral hygiene and denture care;

(b) dressing;

(c) bathing;

(d) toileting and toilet hygiene;

(e) eating and nutrition;

(f) administration of medication; and

(g) transferring, ambulation and mobility.

(3) ADL's are divided into the following levels:

(i) "Assistance" means the resident can perform some part of an ADL, but cannot do it entirely alone;

(ii) "Dependent" means the resident cannot perform any part of an ADL and it is done entirely by someone else; and

(iii) "Independent" means the resident can perform the ADL without help.

(4) "Adult Day Care" means the care and support to three or more functionally impaired adults through a comprehensive program that provides a variety of social, recreational, and related support services in a licensed health care setting.

(5) "Assessment" means documentation of each resident's ability or current condition in the following areas:

(a) memory and daily decision-making ability;

(b) ability to communicate effectively with others;

(c) physical functioning and ability to perform ADLs;

(d) continence;

(e) mood and behavior patterns;

(f) weight loss;

(g) medication use and the ability to self-medicate;

(h) special treatments and procedures;

(i) medical diagnoses that have a relationship to current ADL status, behavior status, medical treatments, or risk of death;

(j) leisure patterns and interests;

(k) assistive devices; and

(l) prosthetics.

(6) "Certification in Cardiopulmonary Resuscitation (CPR)" refers to certification issued after completion of an in-person course, to include skills testing and evaluation on-site with a licensed instructor.

(7) "Core competencies" mean:

(a) communication;

(b) person centered care principles and practices;

(c) observation;

(d) crisis prevention and intervention;

(e) safety;

(f) professionalism and ethics;

(g) empowerment and advocacy;

(h) health and wellness;

(i) community living skills and supports;

(j) cultural competency and community inclusion;

(k) dementia care competencies; and

(l) training and self-development.

(8) "Home-like" means a place of residence, that creates an atmosphere supportive of the resident's preferred lifestyle. Home-like is also supported by the use of residential building materials and furnishings.

(9) "Hospice patient" means an individual who is admitted to a hospice program or agency.

(10) "Legal representative" means an individual who is legally authorized to make health care decisions on behalf of another individual.

(11) "Monitoring device" means a video surveillance camera, microphone, or other device that captures audio, but does not include:

(a) a device that is specifically intended to intercept wire, electronic, or oral communication without notice to or the consent of a party to the communication; or

(b) a device that is connected to the internet or that is set up to send data via an electronic communication.

(12) "Licensed health care professional" means a registered nurse, physician assistant, advanced practice registered nurse, or physician licensed by the Utah Department of Commerce who has education and experience to assess and evaluate the health care needs of the resident.

(13) "Responsible person" means an individual who:

(a) is designated in writing by a resident to receive communication on behalf of the resident; or

(b) a legal representative.

(14) "Self-direct medication administration" means the resident can:

(a) recognize medications offered by color or shape; and

(b) identify and report differences in the usual routine of medications.

(15) "Service Plan" means a written plan of care for services that meets the requirements of Section R432-270-14.

(16) "Services" means activities that help the residents develop skills to increase or maintain their level of psycho-social and physical functioning, or, that assists them in activities of daily living.

(17) "Significant assistance" means the resident cannot perform any part of an ADL and is dependent upon staff or others to accomplish the ADL.

(18) "Significant change" means a major change in a resident's status that is self-limiting or impacts on more than one area of the resident's health status.

(19) "Social care" means:

(a) providing opportunities for social interaction in the facility or in the community; or

(b) providing services to promote independence or a sense of self-direction.

(20) "Unit" means an individual living space, including living and sleeping space, bathroom, and optional kitchen area.

(21) "Vulnerable adult" is defined in Subsection 26B-6-201(30).

Notes

Utah Admin. Code R432-270-4

Amended by Utah State Bulletin Number 2020-19, effective 9/15/2020 Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023