reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2003 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee is
				responsible for the organization and management of a pain management
				clinic.
B. A licensee shall:
1. Adopt policies and procedures for the
				administration and operation of a pain management clinic;
2. Designate a medical director who:
a. Is licensed:
i. As a physician according to A.R.S. Title
				32, Chapter 13 or 17; or
ii. As a
				nurse practitioner according to A.R.S. Title 32, Chapter 15 with advanced pain
				management certification from a nationally recognized accreditation or
				certification entity; and
b. May be the same individual as the
				licensee;
3. Ensure that
				there are a sufficient number of personnel members and employees with the
				required knowledge and qualifications to:
a.
				Meet the requirements of this Article,
b. Ensure the health and safety of a patient,
				and
c. Meet the needs of a patient
				based on the patient's medical evaluation; and
4. Ensure the following are conspicuously
				posted on the premises:
a. The current pain
				management clinic license issued by the Department;
b. The current telephone number and address
				of the unit in the Department responsible for licensing the pain management
				clinic;
c. An evacuation map posted
				in all hallways; and
d. A phone
				number for:
i. An opioid assistance and
				referral hotline, and
ii. A poison
				control hotline.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2004 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
A medical director shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate opioid-related adverse reactions or other incidents;
b. A method to collect data on services
				provided to patients;
c. A method
				to use the data to identify concerns about the delivery of services related to
				patient care;
d. A method to make
				changes or take action in response to a concern identified according to
				subsection (1)(c); and
e. The
				frequency with which the documented report required in subsection (2) will be
				submitted to the licensee;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2005 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A medical director shall ensure that:
1. Medications are stored in a locked area on
				the premises;
2. Only personnel
				members designated by policies and procedures have access to the locked area
				containing medications;
3. Expired,
				mislabeled, or unusable medications are disposed of according to policies and
				procedures;
4. If an opioid is
				administered at a pain management clinic, an opioid antagonist is available on
				the premises;
5. A medication error
				or an adverse reaction, including any actions taken in response to the
				medication error or adverse reaction, is:
a.
				Immediately reported to the medical director and licensee, and
b. Recorded in the patient's medical record;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2006 - Pain Management Services

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A medical director shall ensure that a medical practitioner or nurse
				anesthetist remains on the premises until all patients who received a procedure
				at the pain management clinic are discharged.
B. A medical director shall ensure that, if a
				procedure other than the administration of an opioid is used to provide pain
				management services:
1. Before the procedure
				is initially used on a patient, the patient is evaluated by:
a. A medical practitioner or
b. A nurse anesthetist, according to A.R.S.
				§
											32-1634.04;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2007 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee
				shall ensure that a patient is afforded the following rights and is informed of
				these rights:
1. To refuse treatment or
				withdraw consent for treatment;
2.
				To have patient medical records kept confidential; and
3. To be informed of proposed treatment and
				associated risks, possible complications, and alternatives before pain
				management services are provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2008 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. A medical
				director shall ensure that a medical record is established and maintained for a
				patient that contains:
1. Patient
				identification, including:
a. The patient's
				name, address, and date of birth;
b. The patient's representative, if
				applicable; and
c. The name and
				telephone number of an individual to contact in an emergency;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2009 - Equipment and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A medical director shall ensure that:
1. The
				equipment is:
a. Sufficient to accommodate:
i. The services stated in the pain management
				clinic's scope of services, and
ii.
				An individual accepted as a patient by the pain management clinic;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 20 - PAIN MANAGEMENT CLINICS › Section R9-10-2010 - Environmental and Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee shall ensure that the premises:
1. Provide lighting and ventilation to ensure
				the health and safety of a patient;
2. Are maintained in a clean
				condition;
3. Are free from a
				condition or situation that may cause a patient to suffer physical
				injury;
4. Are maintained free from
				insects and vermin;
5. Are
				smoke-free; and
6. Are sufficient
				to accommodate:
a. The services stated in the
				pain management center's scope of services, and
b. An individual accepted as a patient by the
				pain management center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-401
				  and R9-10-101, the following applies in this Article unless otherwise
				  specified: "Recovery care services" has the same meaning as in A.R.S. §
									36-448.51.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2102 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				a recovery care center;
2.
				Establish in writing:
a. A recovery care
				center's scope of services, and
b.
				Qualifications for an administrator;
3. Designate an administrator, in writing,
				who has the qualifications established in subsection (A)(2)(b);
4. Grant, deny, suspend, or revoke the
				clinical privileges of a medical staff member according to medical staff
				bylaws;
5. Adopt a quality
				management program according to R9-10-2103;
6. Review and evaluate the effectiveness of
				the quality management program at least once every 12 months;
7. Designate, in writing, an acting
				administrator who has the qualifications established in subsection (A)(2)(b) if
				the administrator is:
a. Expected not to be
				present on a recovery care center's premises for more than 30 calendar days,
				or
b. Not present on a recovery
				care center's premises for more than 30 calendar days; and
8. Except as provided in subsection (A)(7),
				notify the Department according to A.R.S. §
										36-425(I)
				 when there is a change in the administrator
				and identify the name and qualifications of the new administrator.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2103 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
1. A plan
				is established, documented, and implemented for an ongoing quality management
				program that, at a minimum, includes:
a. A
				method to identify, document, and evaluate incidents;
b. A method to collect data to evaluate
				services provided to patients;
c. A
				method to evaluate the data collected to identify a concern about the delivery
				of services related to patient care;
d. A method to make changes or take action as
				a result of the identification of a concern about the delivery of services
				related to patient care; and
e. The
				frequency of submitting a documented report required in subsection (2) to the
				governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2104 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2105 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. The qualifications,
				skills, and knowledge required for each type of personnel member:
a. Are based on:
i. The type of physical health services or
				behavioral health services expected to be provided by the personnel member
				according to the established job description, and
ii. The acuity of the patients receiving
				physical health services or behavioral health services from the personnel
				member according to the established job description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2106 - Medical Staff

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall require that:
1. The organized
				medical staff is directly accountable to the governing authority for the
				quality of care provided by a medical staff member to a patient in a recovery
				care center;
2. The medical staff
				bylaws and medical staff regulations are approved according to the medical
				staff bylaws and governing authority requirements;
3. A medical staff member complies with
				medical staff bylaws and medical staff regulations;
4. The medical staff includes at least two
				physicians who have clinical privileges to admit patients to the recovery care
				center;
5. A medical staff member
				is available to direct patient care;
6. Medical staff bylaws or medical staff
				regulations are established, documented, and implemented for the process of:
a. Conducting peer review according to A.R.S.
				Title 36, Chapter 4, Article 5;
b.
				Appointing members to the medical staff, subject to approval by the governing
				authority;
c. Establishing
				committees, including identifying the purpose and organization of each
				committee;
d. Appointing one or
				more medical staff members to a committee;
e. Requiring that each patient has a medical
				staff member who coordinates the patient's care;
f. Defining the responsibilities of a medical
				staff member to provide medical services to the medical staff member's
				patient;
g. Defining a medical
				staff member's responsibilities for the transfer of a patient;
h. Specifying requirements for oral,
				telephone, and electronic orders, including which orders require identification
				of the time of the order;
i.
				Establishing a time-frame for a medical staff member to complete a patient's
				medical record; and
j. Establishing
				criteria for granting, denying, revoking, and suspending clinical privileges;
				and
7. The organized
				medical staff reviews the medical staff bylaws and the medical staff
				regulations at least once every three years and updates the bylaws and
				regulations as needed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2107 - Admission

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that a physician only admits patients to the recovery care center
				who require recovery care services, as defined in A.R.S. §
									36-448.51.
B. An administrator shall ensure that the
				following documents are in a patient's medical record at the time the patient
				is admitted to the recovery care center:
1. A
				medical history and physical examination performed or approved by a member of
				the recovery care center's medical staff within 30 calendar days before the
				patient's admission to the recovery care center,
2. A discharge summary from the referring
				health care institution or physician,
3. Physician orders, and
4. Documentation concerning health care
				directives.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2108 - Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. For a patient,
				an administrator shall ensure that discharge planning:
1. Identifies the specific needs of the
				patient after discharge, if applicable;
2. If a discharge date has been determined,
				identifies the anticipated discharge date;
3. Includes the participation of the patient
				or the patient's representative;
4.
				Is completed before discharge occurs;
5. Provides the patient or the patient's
				representative with written information identifying classes or subclasses of
				health care institutions and the level of care that the health care
				institutions provide that may meet the patient's assessed and anticipated needs
				after discharge, if applicable; and
6. Is documented in the patient's medical
				record.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2109 - Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
Except for a transfer of a patient due to an emergency, an
				  administrator shall ensure that:
1. A
				personnel member coordinates the transfer and the services provided to the
				patient;
2. According to policies
				and procedures:
a. An evaluation of the
				patient is conducted before the transfer;
b. Information from the patient's medical
				record, including orders that are in effect at the time of the transfer, is
				provided to a receiving health care institution; and
c. A personnel member explains risks and
				benefits of the transfer to the patient or the patient's representative;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2110 - Patient Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure:
1. The
				requirements in subsection (B) and the patient rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a patient or the
				patient's representative receives a written copy of the requirements in
				subsection (B) and the patient rights in subsection (C); and
3. Policies and procedures include:
a. How and when a patient or the patient's
				representative is informed of the patient rights in subsection (C),
				and
b. Where patient rights are
				posted as required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2111 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				patient's medical record is established and maintained for each patient
				according to A.R.S. Title 12, Chapter 13, Article 7.1;
2. An entry in a patient's medical record is:
a. Recorded only by an individual authorized
				by policies and procedures to make the entry;
b. Dated, legible, and authenticated;
				and
c. Not changed to make the
				initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical staff according
				to policies and procedures; and
c.
				If the order is a verbal order, authenticated by the medical staff issuing the
				order;
4. If a
				rubber-stamp signature or an electronic signature is used to authenticate an
				order, the individual whose signature the rubber-stamp signature or electronic
				signature represents is accountable for the use of the rubber-stamp signature
				or electronic signature;
5. A
				patient's medical record is available to an individual:
a. Authorized according by policies and
				procedures to access the patient's medical record;
b. If the individual is not authorized
				according to policies and procedures, with the written consent of the patient
				or the patient's representative; or
c. As permitted by law;
6. Policies and procedures that include the
				maximum time-frame to retrieve an onsite or off-site patient's medical record
				at the request of a medical staff or authorized personnel member; and
7. A patient's medical record is protected
				from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2112 - Nursing Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall appoint a registered nurse as the director of nursing who
				has the authority and responsibility to manage nursing services at a recovery
				care center.
B. A director of
				nursing shall:
1. Ensure that policies and
				procedures are developed, documented, and implemented to protect the health and
				safety of a patient that cover nursing assessments;
2. Designate, in writing, a registered nurse
				to manage nursing services when the director of nursing is not present on a
				recovery care center's premises;
3.
				Ensure that a recovery care center is staffed with nursing personnel according
				to the number of patients and their health care needs;
4. Ensure that a patient receives medical
				services, nursing services, and health-related services based on the patient's
				nursing assessment and the physician's orders; and
5. Ensure that medications are administered
				by a nurse licensed according to A.R.S. Title 32, Chapter 15 or as otherwise
				provided by law.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2113 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2114 - Ancillary Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Laboratory services are provided on the
				premises, or are available through contract, with a laboratory that holds a
				certificate of accreditation or certificate of compliance issued by the U.S.
				Department of Health and Human Services under the 1988 amendments to the
				Clinical Laboratories Improvement Act of 1967; and
2. Pharmaceutical services are provided on
				the premises, or are available through contract, by a pharmacy licensed
				according to A.R.S. Title 32, Chapter 18.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2115 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				recovery care center has a license or permit as a food establishment under 9
				A.A.C. 8, Article 1;
2. A copy of
				the recovery care center's food establishment license or permit is maintained;
				and
3. If a recovery care center
				contracts with a food establishment, as established in 9 A.A.C. 8, Article 1,
				to prepare and deliver food to the recovery care center:
a. A copy of the contracted food
				establishment's license or permit under 9 A.A.C. 8, Article 1 is maintained by
				the recovery care center; and
b.
				The recovery care center is able to store, refrigerate, and reheat food to meet
				the dietary needs of a patient.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2116 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for providing emergency
				treatment are established, documented, and implemented that protect the health
				and safety of patients and include:
1. Basic
				life support procedures, including the administration of oxygen and
				cardiopulmonary resuscitation; and
2. Transfer arrangements for patients who
				require care not provided by the recovery care center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2117 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure the recovery care center's infection control
				policies and procedures include:
1.
				Development and implementation of a written plan for preventing, detecting,
				reporting, and controlling communicable diseases and infection;
2. Handling and disposal of biohazardous
				medical waste; and
3.
				Sterilization, disinfection, and storage of medical equipment and
				supplies.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 21 - RECOVERY CARE CENTERS › Section R9-10-2118 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that recovery care center's patient rooms and
				service areas comply with the applicable physical plant health and safety codes
				and standards, incorporated by reference in R9-10-104.01, in effect on the date
				the recovery care center submitted architectural plans and specifications to
				the Department for approval, according to
				R9-10-104.
B. An administrator shall ensure that the
				premises and equipment are sufficient to accommodate:
1. The services stated in the recovery care
				center's scope of services; and
2.
				An individual accepted as a patient by the recovery care center.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2201 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-401
				  and
				  R9-10-101, the
				  definitions in A.R.S. §
									36-551
				  apply in this Article unless otherwise specified.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2202 - Supplementary Application Requirements and Documentation Submission Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. In
				addition to the license application requirements in A.R.S. § 36-422 and
				R9-10-105,
				an applicant for a license as a nursing-supported group home shall include:
1. In a Department-provided format, whether
				the applicant is requesting authorization:
a.
				To admit residents who:
i. Are on a
				ventilator,
ii. Have a tracheostomy
				tube, or
iii. Receive total
				parenteral nutrition; or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2203 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				a nursing-supported group home;
2.
				Establish, in writing, the nursing-supported group home's scope of
				services;
3. Designate, in writing,
				an administrator for the nursing-supported group home who:
a. Is at least 21 years old; and
b. Meets one of the following:
i. Is a registered nurse,
ii. Is a nursing care institution
				administrator, or
iii. Has a
				minimum of three-years' experience working as an administrator or personnel
				member in a nursing-supported group home or other health care institution
				licensed under this Chapter;
4. Adopt a quality management program
				according to R9-10-2204;
5. Review
				and evaluate the effectiveness of the quality management program at least once
				every 12 months;
6. Designate, in
				writing, an acting administrator who meets the requirements in subsection
				(A)(3), if the administrator is:
a. Expected
				not to be present on the premises of the nursing-supported group home for more
				than 30 calendar days, or
b. Not
				present on the premises of the nursing-supported group home for more than 30
				calendar days; and
7.
				Except as permitted in subsection (A)(6), when there is a change of
				administrator:
a. Notify the Department
				according to A.R.S. §
											36-425(I),
				and
b. Submit to the Department a
				copy of documentation demonstrating the new administrator's compliance with the
				requirements in subsection (A)(3).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2204 - Quality Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A plan is established, documented, and
				implemented for an ongoing quality management program that, at a minimum,
				includes:
a. A method to identify, document,
				and evaluate incidents;
b. A method
				to collect data to evaluate services provided to residents;
c. A method to evaluate the data collected to
				identify a concern about the delivery of services related to resident
				care;
d. A method to make changes
				or take action as a result of the identification of a concern about the
				delivery of services related to resident care; and
e. The frequency of submitting a documented
				report required in subsection (2) to the governing authority;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2205 - Contracted Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Contracted services are provided according
				to the requirements in this Article, and
2. Documentation of current contracted
				services is maintained that includes a description of the contracted services
				provided.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2206 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. A personnel member is:
a. At least 21 years old, or
b. At least 18 years old and is licensed or
				certified under A.R.S. Title 32 and providing services within the personnel
				member's scope of practice;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2207 - Admissions

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A resident is admitted only:
a. On a physician's order or based on a
				placement evaluation by the Division;
b. If the resident has or is at risk for
				having a developmental disability or cognitive disability;
c. If the resident's placement evaluation
				indicates that the resident requires continuous nursing services;
d. If the resident's placement evaluation
				indicates that the resident's needs can be met by the nursing-supported group
				home; and
e. Except when the
				resident's placement evaluation states that the resident would benefit from
				being part of a group that includes residents of different ages or social
				needs, if the resident can be assigned to a room within the nursing-supported
				group home with other residents of similar ages or social needs;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2208 - Transfer; Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator, in coordination with the Division if applicable, shall ensure
				that:
1. A resident is transferred or
				discharged if:
a. The nursing-supported group
				home is not authorized or not able to meet the needs of the resident,
b. The resident no longer requires continuous
				nursing services, or
c. The
				resident's behavior is a threat to the health or safety of the resident or
				other individuals at the nursing-supported group home; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2209 - Transport

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsections (B) and (C), an administrator shall ensure that:
1. A personnel member authorized by policies
				and procedures coordinates the transport and the services provided to the
				resident;
2. According to policies
				and procedures:
a. An evaluation of the
				resident is conducted before and after the transport,
b. Information from the resident's medical
				record is provided to a receiving health care institution, and
c. A personnel member explains risks and
				benefits of the transport to the resident or the resident's representative;
				and
3. Documentation in
				the resident's medical record includes:
a.
				Communication with an individual at a receiving health care
				institution;
b. The date and time
				of the transport;
c. The mode of
				transportation; and
d. If
				applicable, the name of the personnel member accompanying the resident during a
				transport.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2210 - Transportation; Resident Outings

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of a nursing-supported group home that uses a vehicle owned or
				leased by the nursing-supported group home to provide transportation to a
				resident shall ensure that:
1. The vehicle:
a. Is safe and in good repair,
b. Contains a first aid kit,
c. Contains drinking water sufficient to meet
				the needs of each resident present in the vehicle, and
d. Contains a working heating and air
				conditioning system;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2211 - Resident Rights

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				requirements in subsection (B) and the resident rights in subsection (C) are
				conspicuously posted on the premises;
2. At the time of admission, a resident or
				the resident's representative receives a written copy of the requirements in
				subsection (B) and the resident rights in subsection (C); and
3. Policies and procedures include:
a. How and when a resident or the resident's
				representative is informed of resident rights in subsection (C), and
b. Where resident rights are posted as
				required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2212 - Medical Records

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A medical
				record is established and maintained for each resident according to A.R.S.
				Title 12, Chapter 13, Article 7.1;
2. An entry in a resident's medical record
				is:
a. Recorded only by an individual
				authorized by policies and procedures to make the entry;
b. Dated, legible, and authenticated;
				and
c. Not changed to make the
				initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				resident's medical record and includes the time of the order;
b. Authenticated by a medical practitioner or
				behavioral health professional according to policies and procedures;
				and
c. If the order is a verbal
				order, authenticated by the medical practitioner or behavioral health
				professional issuing the order;
4. If a rubber-stamp signature or an
				electronic signature is used to authenticate an order, the individual whose
				signature the rubberstamp signature or electronic signature represents is
				accountable for the use of the rubber-stamp signature or electronic
				signature;
5. A resident's medical
				record is available to an individual:
a.
				Authorized to access the resident's medial record according to policies and
				procedures;
b. If the individual is
				not authorized to access the resident's medical record according to policies
				and procedures, with the written consent of the resident or the resident's
				representative; or
c. As permitted
				by law; and
6. A
				resident's medical record is protected from loss, damage, or unauthorized
				use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2213 - Nursing Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. Nursing
				services are provided 24 hours a day in a nursing-supported group
				home;
2. A director of nursing is
				appointed who:
a. Is a registered nurse,
				and
b. Is responsible for the
				direction of nursing services;
3. The director of nursing or an individual
				designated by the administrator participates in the quality management program;
				and
4. If the director of nursing
				is responsible for nursing services for 30 or more residents, the director of
				nursing does not provide direct care to residents on a regular basis.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2214 - Individual Program Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				comprehensive assessment of a resident:
a. Is
				conducted or coordinated by the director of nursing, in collaboration with an
				interdisciplinary team that includes:
i. The
				resident's designated medical practitioner or designee;
ii. A registered nurse;
iii. If the resident is receiving medications
				as part of physical health services or behavioral care, a pharmacist; and iv.
				Personnel members qualified to provide each type of habilitation services or
				rehabilitation services identified in a placement evaluation in
				R9-10-2207(1)(a) or the initial assessment required in R9-10-2207(3);
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2215 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A resident
				has a designated medical practitioner;
2. A physical examination is performed on a
				resident by the resident's designated medical practitioner or by a physician,
				physician assistant, or registered nurse practitioner designated by the
				resident's designated medical practitioner:
a.
				If indicated, based on the resident's placement evaluation or comprehensive
				assessment; and
b. At least once
				every 12 months after the date of admission, including an assessment of the
				acuity of the resident's medical condition;
3. The resident's designated medical
				practitioner, in conjunction with the director of nursing, develops a medical
				care plan of treatment for the resident, which is integrated into the
				resident's individual program plan; and
4. Vaccinations for influenza and pneumonia
				are available to each resident at least once every 12 months unless:
a. The resident's designated medical
				practitioner provides documentation that the vaccination is medically
				contraindicated;
b. The resident or
				the resident's representative refuses the vaccination or vaccinations and
				documentation is maintained in the resident's medical record that the resident
				or the resident's representative has been informed of the risks and benefits of
				a vaccination refused; or
c. The
				resident or the resident's representative provides documentation that the
				resident received a pneumonia vaccination within the last five years or the
				current recommendation from the U.S. Department of Health and Human Services,
				Center for Disease Control and Prevention.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2216 - Behavioral Care

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				resident who receives behavioral care from the nursing-supported group home is
				evaluated by a behavioral health professional or medical practitioner:
a. Within 30 calendar days before the
				resident is admitted to the nursing-supported group home or before the resident
				begins receiving behavioral care, and
b. At least once every six months throughout
				the duration of the resident's need for behavioral care;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2217 - Restraint

Current through Register Vol. 30, No. 28, July 12, 2024
If a nursing-supported group home is authorized to provide
				  restraint, an administrator shall ensure that:
1. Policies and procedures for providing
				restraint are established, documented, and implemented to protect the health
				and safety of a resident that:
a. Establish
				the process for resident assessment, including identification of a resident's
				medical conditions and criteria for the on-going monitoring of any identified
				medical condition;
b. Identify each
				type of restraint used and include for each type of restraint used:
i. The qualifications of a personnel member
				who can:
(1) Order the restraint,
(2) Place a resident in the
				restraint,
(3) Monitor a resident
				in the restraint,
(4) Evaluate a
				resident's physical and psychological well-being after being placed in the
				restraint and when released from the restraint, or
(5) Renew the order for restraint;
ii. On-going training requirements
				for a personnel member who has direct resident contact while the resident is in
				a restraint; and
iii. Criteria for
				monitoring and assessing a resident including:
(1) Frequencies of monitoring and assessment
				based on a resident's medical condition and risks associated with the specific
				restraint;
(2) For the renewal of
				an order for restraint, whether an assessment is required before the order is
				renewed and, if an assessment is required, who may conduct the
				assessment;
(3) Assessment content,
				which may include, depending on a resident's condition, the resident's vital
				signs, respiration, circulation, hydration needs, elimination needs, level of
				distress and agitation, mental status, cognitive functioning, neurological
				functioning, and skin integrity;
(4) If a mechanical restraint is used, how
				often the mechanical restraint is loosened; and
(5) A process for meeting a resident's
				nutritional needs and elimination needs;
c. Establish the criteria and procedures for
				renewing an order for restraint;
d.
				Establish procedures for internal review of the use of restraint; and
e. Establish medical record and personnel
				record documentation requirements for restraint, if applicable;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2218 - Rehabilitation Services

Current through Register Vol. 30, No. 28, July 12, 2024
If rehabilitation services are provided on a
				  nursing-supported group home's premises, an administrator shall ensure that:
1. Rehabilitation services are
				provided:
a. Under the direction of an
				individual qualified according to policies and procedures,
b. By an individual licensed to provide the
				rehabilitation services, and
c.
				According to an order; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2219 - Clinical Laboratory Services

Current through Register Vol. 30, No. 28, July 12, 2024
If clinical laboratory services are authorized to be
				  provided on a nursing-supported group home's premises, an administrator shall
				  ensure that:
1. Clinical laboratory
				services and pathology services are provided through a laboratory that holds a
				certificate of accreditation, certificate of compliance, or certificate of
				waiver issued by the United States Department of Health and Human Services
				under the 1988 amendments to the Clinical Laboratories Improvement Act of
				1967;
2. A copy of the certificate
				of accreditation, certificate of compliance, or certificate of waiver in
				subsection (1) is provided to the Department for review upon the Department's
				request;
3. The nursing-supported
				group home:
a. Is able to provide the clinical
				laboratory services delineated in the nursing-supported group home's scope of
				services when needed by the residents,
b. Obtains specimens for the clinical
				laboratory services delineated in the nursing-supported group home's scope of
				services without transporting the residents from the nursing-supported group
				home's premises, and
c. Has the
				examination of the specimens performed by a clinical laboratory;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2220 - Respiratory Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
If respiratory care services are authorized to be provided
				  on a nursing-supported group home's premises, an administrator shall ensure
				  that:
1. Respiratory care services are
				provided under the direction of a resident's designated medical
				practitioner;
2. Respiratory care
				services are provided according to an order that includes:
a. The resident's name;
b. The name and signature of the ordering
				individual;
c. The type, frequency,
				and, if applicable, duration of treatment;
d. The type and dosage of medication and
				diluent; and
e. The oxygen
				concentration or oxygen liter flow and method of administration;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 22 - NURSING-SUPPORTED GROUP HOMES › Section R9-10-2221 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				resident or the resident's representative about medication prescribed for the
				resident including:
i. The prescribed
				medication's anticipated results,
ii. The prescribed medication's potential
				adverse reactions,
iii. The
				prescribed medication's potential side effects, and
iv. Potential adverse reactions that could
				result from not taking the medication as prescribed;