411-054-0030 Resident Services (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). (b) Personal and other laundry services; (c) A daily program of social and recreational activities that are based upon individual and group interests, physical, mental, and psychosocial needs, and creates opportunities for active participation in the community at large; (d) Equipment, supplies and space to meet individual and group activity needs; (e) Services to assist the resident in performing all activities of daily living, on a 24-hour basis, including: (A) Assistance with mobility, including one-person transfers; (B) Assistance with bathing and washing hair; (C) Assistance with personal hygiene (e.g., shaving and caring for the mouth); (D) Assistance with dressing and undressing; (E) Assistance with grooming (e.g., nail care and brushing/combing hair); (F) Assistance with eating (e.g., supervision of eating, cueing, or the use of special utensils); (G) Assistance with toileting and bowel and bladder management; (H) Intermittent cuing, redirecting and environmental cues for cognitively impaired residents; and (I) Intermittent intervention, supervision and staff support for residents who exhibit behavioral symptoms. (f) Medication administration; and (g) Household services essential for the health and comfort of the resident that are based upon the resident's needs and preferences (e.g., floor cleaning, dusting, bed making, etc.) (2) The facility must provide or arrange for the following: (a) Transportation for medical and social purposes; and (b) Ancillary services for medically related care (e.g., physician, pharmacist, therapy, podiatry, barber or beauty services, social or recreational opportunities, hospice, and home health) and other services necessary to support the resident. (3) 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. Statutory/Other Authority: ORS 410.070 & 443.450 Statutes/Other Implemented: ORS 443.400 - 443.455 & 443.991 History: APD 23-2020, amend filed 06/20/2020, effective 06/24/2020 APD 53-2019, temporary amend filed 12/23/2019, effective 01/01/2020 through 06/28/2020 SPD 14-2007, f. 8-31-07, cert. ef. 11-1-07