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). 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 History: APD 57-2024, amend filed 09/23/2024, effective 09/25/2024 APD 15-2024, temporary amend filed 03/28/2024, effective 04/01/2024 through 09/27/2024 APD 21-2020, amend filed 06/16/2020, effective 06/24/2020 APD 53-2019, temporary amend filed 12/23/2019, effective 01/01/2020 through 06/28/2020 APD 24-2019, minor correction filed 07/01/2019, effective 07/01/2019 APD 19-2019, adopt filed 06/20/2019, effective 07/01/2019