Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-36 - ASSISTED LIVING FACILITY › Section 59A-36.006 - Admission Procedures, Appropriateness of Placement and Continued Residency Criteria

Current through Reg. 50, No. 138; July 16, 2024
(1) ADMISSION
				CRITERIA.
(a) An individual must meet the
				following minimum criteria in order to be admitted to a facility holding a
				standard, limited nursing services, or limited mental health license:
1. Be at least 18 years of age.
2. Be free from signs and symptoms of any
				communicable disease that is likely to be transmitted to other residents or
				staff. An individual who has human immunodeficiency virus (HIV) infection may
				be admitted to a facility, provided that the individual would otherwise be
				eligible for admission according to this rule.
3. Be able to perform the activities of daily
				living, with supervision or assistance if necessary.
4. Be able to transfer, with assistance if
				necessary. The assistance of more than one person is permitted.
5. Be capable of taking medication, by either
				self-administration, assistance with self-administration, or administration of
				medication.
a. If the resident needs
				assistance with self-administration of medication, the facility must inform the
				resident of the professional qualifications of facility staff who will be
				providing this assistance. If unlicensed staff will be providing assistance
				with self-administration of medication, the facility must obtain written
				informed consent from the resident or the resident's surrogate, guardian, or
				attorney-in-fact.
b. The facility
				may accept a resident who requires the administration of medication if the
				facility employs a nurse who will provide this service or the resident, or the
				resident's legal representative, designee, surrogate, guardian, or
				attorney-in-fact, contracts with a third party licensed to provide this service
				to the resident.
6. Not
				have any special dietary needs that cannot be met by the facility.
7. Not be a danger to self or others as
				determined by a health care practitioner, or a mental health practitioner
				licensed under Chapter 490 or 491, F.S.
8. Not require 24-hour licensed professional
				mental health treatment.
9. Not be
				bedridden, unless the resident is receiving licensed hospice services pursuant
				to Section 429.26(1)(c),
				F.S.;
10. Not have any stage 3 or 4
				pressure sores. A resident requiring care of a stage 2 pressure sore may be
				admitted provided that:
a. The resident
				either:
(I) Resides in a standard or limited
				nursing services licensed facility and contracts directly with a licensed home
				health agency or a nurse to provide care; or
(II) Resides in a limited nursing services
				licensed facility and care is provided by the facility pursuant to a plan of
				care issued by a health care practitioner;
b. The condition is documented in the
				resident's record and admission and discharge logs; and,
c. If the resident's condition fails to
				improve within 30 days as documented by a health care practitioner, the
				resident must be discharged from the facility.
11. Residents admitted to standard, limited
				nursing services, or limited mental health licensed facilities may not require
				any of the following nursing services:
a.
				Artificial airway management of any kind, except that of continuous positive
				airway pressure may be provided through the use of a CPAP or bipap
				machine;
b. Assistance with tube
				feeding,
c. Monitoring of blood
				gases,
d. Management of
				post-surgical drainage tubes and wound vacuum devices;
e. The administration of blood products in
				the facility; or
f. Treatment of
				surgical incisions or wounds, unless the surgical incision or wound and the
				underlying condition have been stabilized and a plan of care has been
				developed. The plan of care must be maintained in the resident's
				record.
12. In addition
				to the nursing services listed above, residents admitted to facilities holding
				only standard and/or limited mental health licenses may not require any of the
				following nursing services:
a. Hemodialysis
				and peritoneal dialysis performed in the facility;
b. Intravenous therapy performed in the
				facility.
13. Not require
				24-hour nursing supervision, unless the resident is receiving licensed hospice
				services pursuant to Section
				429.26(1)(c),
				F.S.;
14. Not require skilled
				rehabilitative services as described in Rule
				59G-4.290, F.A.C.
15. Be appropriate for admission to the
				facility as determined by the facility administrator. The administrator must
				base the determination on:
a. An assessment of
				the strengths, needs, and preferences of the individual;
b. The medical examination report required by
				Section 429.26, F.S.;
c. The facility's admission policy and the
				services the facility is prepared to provide or arrange in order to meet
				resident needs. Such services may not exceed the scope of the facility's
				license unless specified elsewhere in this rule; and,
d. The ability of the facility to meet the
				uniform fire safety standards for assisted living facilities established in
				rule Chapter 69A-40, F.A.C.