reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-413 - Medical Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall appoint a medical director.
B. A medical director shall ensure that:
1. A resident has an attending
				physician;
2. An attending
				physician is available 24 hours a day;
3. An attending physician designates a
				physician who is available when the attending physician is not
				available;
4. A physical
				examination is performed on a resident at least once every 12 months after the
				date of admission by an individual listed in R9-10-407(6);
5. As required in A.R.S. §
										36-406,
				vaccinations for influenza and pneumonia are available to each resident at
				least once every 12 months unless:
a. The
				attending physician 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; and
6. If the any of the following services are
				not provided by the nursing care institution and needed by a resident, the
				resident is assisted in obtaining, at the resident's expense:
a. Vision services;
b. Hearing services;
c. Dental services;
d. Clinical laboratory services from a
				laboratory that holds a certificate of accreditation or certificate of
				compliance issued by the United States Department of Health and Human Services
				under the 1988 amendments to the Clinical Laboratories Improvement Act of
				1967;
e. Psychosocial
				services;
f. Physical
				therapy;
g. Speech
				therapy;
h. Occupational
				therapy;
i. Behavioral health
				services; and
j. Services for an
				individual who has a developmental disability, as defined in A.R.S. Title 36,
				Chapter 5.1, Article 1.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-415 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
Except for behavioral care, if a nursing care institution is
				  authorized to provide behavioral health services, an administrator shall ensure
				  that:
1. The behavioral health
				services are provided:
a. Under the direction
				of a behavioral health professional licensed or certified to provide the type
				of behavioral health services in the nursing care institution's scope of
				services; and
b. In compliance with
				the requirements:
i. For behavioral health
				paraprofessionals and behavioral health technicians, in
				R9-10-115;
				and
ii. For an assessment, in
				R9-10-1011(B); and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-416 - 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 care institution'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 care
				institution:
a. Is able to provide the
				clinical laboratory services delineated in the nursing care institution's scope
				of services when needed by the residents,
b. Obtains specimens for the clinical
				laboratory services delineated in the nursing care institution's scope of
				services without transporting the residents from the nursing care institution'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 4 - NURSING CARE INSTITUTIONS › Section R9-10-417 - Dialysis Services

Current through Register Vol. 30, No. 28, July 12, 2024
If dialysis services are authorized to be provided on a
				  nursing care institution's premises, an administrator shall ensure that the
				  dialysis services are provided in compliance with the requirements in
				  R9-10-1018.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-418 - Radiology Services and Diagnostic Imaging Services

Current through Register Vol. 30, No. 28, July 12, 2024
If radiology services or diagnostic imaging services are
				  authorized to be provided on a nursing care institution's premises, an
				  administrator shall ensure that:
1.
				Radiology services and diagnostic imaging services are provided in compliance
				with A.R.S. Title 30, Chapter 4 and 9 A.A.C. 7;
2. A copy of a certificate documenting
				compliance with subsection (1) is maintained by the nursing care
				institution;
3. When needed by a
				resident, radiology services and diagnostic imaging services delineated in the
				nursing care institution's scope of services are provided on the nursing care
				institution's premises;
4.
				Radiology services and diagnostic imaging services are provided:
a. Under the direction of a physician;
				and
b. According to an order that
				includes:
i. The resident's name,
ii. The name of the ordering
				individual,
iii. The radiological
				or diagnostic imaging procedure ordered, and
iv. The reason for the procedure;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-419 - Respiratory Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
If respiratory care services are provided on a nursing care
				  institution's premises, an administrator shall ensure that:
1. Respiratory care services are provided
				under the direction of a medical director or attending physician;
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 4 - NURSING CARE INSTITUTIONS › Section R9-10-420 - Rehabilitation Services

Current through Register Vol. 30, No. 28, July 12, 2024
If rehabilitation services are provided on a nursing care
				  institution'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 4 - NURSING CARE INSTITUTIONS › Section R9-10-421 - 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 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;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-422 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall
				  ensure that:
1. An infection control
				program is established, under the direction of an individual qualified
				according to policies and procedures, to prevent the development and
				transmission of infections and communicable diseases including:
a. A method to identify and document
				infections occurring at the nursing care institution;
b. Analysis of the types, causes, and spread
				of infections and communicable diseases at the nursing care
				institution;
c. The development of
				corrective measures to minimize or prevent the spread of infections and
				communicable diseases at the nursing care institution; and
d. Documentation of infection control
				activities including:
i. The collection and
				analysis of infection control data,
ii. The actions taken related to infections
				and communicable diseases, and
iii.
				Reports of communicable diseases to the governing authority and state and
				county health departments;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-423 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				nursing care institution has a license or permit as a food establishment under
				9 A.A.C. 8, Article 1;
2. A copy of
				the nursing care institution's food establishment license or permit is
				maintained;
3. If a nursing care
				institution contracts with a food establishment, as established in 9 A.A.C. 8,
				Article 1, to prepare and deliver food to the nursing care institution:
a. A copy of the contracted food
				establishment's license or permit under 9 A.A.C. 8, Article 1 is maintained by
				the nursing care institution; and
b. The nursing care institution is able to
				store, refrigerate, and reheat food to meet the dietary needs of a
				resident;
4. A
				registered dietitian:
a. Reviews a food menu
				before the food menu is used to ensure that a resident's nutritional needs are
				being met,
b. Documents the review
				of a food menu, and
c. Is available
				for consultation regarding a resident's nutritional needs; and
5. If a registered dietitian is
				not employed full-time, an individual is designated as a director of food
				services who consults with a registered dietitian as often as necessary to
				ensure that the nutritional needs of a resident are met.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-424 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that:
1. A
				disaster plan is developed, documented, maintained in a location accessible to
				personnel members and other employees, and, if necessary, implemented that
				includes:
a. When, how, and where residents
				will be relocated, including:
i. Instructions
				for the evacuation or transfer of residents,
ii. Assigned responsibilities for each
				employee and personnel member, and
iii. A plan for continuing to provide
				services to meet a resident's needs;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-425 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A nursing
				care institution's premises and equipment are:
a. Cleaned and disinfected according to
				policies and procedures or manufacturer's instructions to prevent, minimize,
				and control illness and infection; and
b. Free from a condition or situation that
				may cause a resident or an individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-426 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A nursing
				care institution complies with:
a. The
				applicable physical plant health and safety codes and standards, incorporated
				by reference in R9-10-104.01, that were in effect on the date the nursing care
				institution submitted architectural plans and specifications to the Department
				for approval according to
				R9-10-104;
				and
b. The requirements for
				Existing Health Care Occupancies in National Fire Protection Association 101,
				Life Safety Code, incorporated by reference in
				R9-10-104.01;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-427 - Quality Rating

Current through Register Vol. 30, No. 28, July 12, 2024
A. As required
				in A.R.S. §
									36-425.02(A),
				the Department shall issue a quality rating to each licensed nursing care
				institution based on the results of a compliance inspection.
B. The following quality ratings are
				established:
1. A quality rating of "A" for
				excellent is issued if the nursing care institution achieves a score of 90 to
				100 points,
2. A quality rating of
				"B" is issued if the nursing care institution achieves a score of 80 to 89
				points,
3. A quality rating of "C"
				is issued if the nursing care institution achieves a score of 70 to 79 points,
				and
4. A quality rating of "D" is
				issued if the nursing care institution achieves a score of 69 or fewer
				points.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-501 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §§ 36-401
				  and 36-551 and
				  R9-10-101, the
				  following definitions apply in this Article unless otherwise specified:
1. "Active treatment" means rehabilitative
				services and habilitation services provided to a resident to address the
				resident's developmental disability and, if applicable, medical
				condition.
2. "Acuity" means a
				resident's need for medical services, nursing services, rehabilitative
				services, or habilitation services based on the patient's medical condition or
				developmental disability.
3.
				"Acuity plan" means a method for establishing requirements for nursing
				personnel or therapists by unit based on a resident's acuity.
4. "Advocate" means an individual who:
a. Assists a resident or the resident's
				representative to make the resident's wants and needs known,
b. Recommends a course of action to address
				the resident's wants and needs, and
c. Supports the resident or the resident's
				representative in addressing the resident's wants and needs.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-502 - Supplemental 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 an ICF/IID shall include:
1. In a Department-provided format, whether
				the applicant is requesting authorization:
a.
				To admit residents who:
i. Require continuous
				nursing services,
ii. Require
				intermittent nursing services, or
iii. Do not require nursing services;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-503 - 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
				an ICF/IID;
2. Establish, in
				writing, the ICF/IID's scope of services;
3. Designate, in writing, an administrator
				for the ICF/IID who:
a. Is at least 21 years
				old; and
b. Either:
i. Is a nursing care institution
				administrator, or
ii. Has a minimum
				of three-years' experience working in an ICF/IID;
4. Adopt a quality management
				program according to
				R9-10-504;
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 ICF/IID for more than 30 calendar days,
				or
b. Not present on the premises
				of the ICF/IID for more than 30 calendar days; and
7. Except as permitted in subsection (A)(6),
				when there is a change of administrator, notify the Department according to
				A.R.S. §
										36-425(I)
				 and, if applicable, submit a copy of the new
				administrator's license under A.R.S. §
										36-446.04
				to the Department.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-504 - 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-505 - 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-506 - 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-507 - Admission

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;
b. If the resident has a developmental
				disability or cognitive disability, as defined in A.R.S. §
										36-551;
c. If the resident's placement evaluation
				indicates that the resident's needs can be met by the ICF/IID; and
d. 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, developmental levels, or social
				needs, if the resident can be assigned to a room or unit within the ICF/IID
				with other residents of similar ages, developmental levels, or social
				needs;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-508 - Transfer; Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator, in coordination with the Arizona Department of Economic
				Security, Division of Developmental Disabilities, shall ensure that:
1. A resident is transferred or discharged
				if:
a. The ICF/IID is not authorized or not
				able to meet the needs of the resident, or
b. The resident's behavior is a threat to the
				health or safety of the resident or other individuals at the ICF/IID;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-509 - Transport

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-510 - Transportation; Resident Outings

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of an ICF/IID that uses a vehicle owned or leased by the ICF/IID
				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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-511 - 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-512 - 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 rubber-stamp 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-513 - Rehabilitation Services and Habilitation Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in subsection (D), an
				administrator shall ensure that:
1. Personnel
				members are available to provide the following rehabilitation services:
a. Physical therapy, as defined in A.R.S.
				§
											32-2001;
b. Occupational therapy, A.R.S. §
											32-3401;
c. Psychological service, as defined in
				A.R.S. §
											32-2061;
d. Speech-language pathology, as defined in
				A.R.S. §
											36-1901;
				and
e. Audiology, as defined in
				A.R.S. §
											36-1901;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-514 - 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 a qualified intellectual disabilities professional,
				in collaboration with an interdisciplinary team that includes:
i. The resident's attending physician or
				designee;
ii. A registered
				nurse;
iii. If the resident is
				receiving medications as part of active treatment, a pharmacist; and
iv. Personnel members qualified to provide
				each type of rehabilitation services identified in a placement evaluation or
				the initial assessment required in
				R9-10-507(3);
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-515 - Seclusion; Restraint

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. An
				ICF/IID's policies and procedures for managing a resident's inappropriate
				behavior, as described in
				R9-10-503(C)(2)(g)
				are reviewed, approved, and monitored through the quality management process in
				R9-10-504;
				and
2. Restraint is provided
				according to the requirements in subsection (C).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-516 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				resident has an attending physician;
2. An attending physician is available 24
				hours a day;
3. An attending
				physician designates a physician who is available when the attending physician
				is not available;
4. A physical
				examination is performed on a resident by a physician or by a physician
				assistant or registered nurse practitioner designated by the resident's
				attending physician:
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;
5. If
				a resident's physical examination, placement evaluation, or comprehensive
				assessment indicates a need for:
a.
				Intermittent nursing services, the resident's attending physician, in
				conjunction with the director of nursing, develops a nursing care plan of
				treatment for the resident, which is integrated into the resident's individual
				program plan; or
b. Continuous
				nursing services, the resident's attending physician, 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
6. Vaccinations for
				influenza and pneumonia are available to each resident at least once every 12
				months unless:
a. The attending physician
				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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-517 - 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 ICF/IID is evaluated by a behavioral health
				professional or medical practitioner:
a.
				Within 30 calendar days before the resident is admitted to the ICF/IID 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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-518 - Clinical Laboratory Services

Current through Register Vol. 30, No. 28, July 12, 2024
If clinical laboratory services are authorized to be provided
				  on an ICF/IID'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 ICF/IID:
a. Is able to provide the clinical laboratory
				services delineated in the ICF/IID's scope of services when needed by the
				residents,
b. Obtains specimens for
				the clinical laboratory services delineated in the ICF/IID's scope of services
				without transporting the residents from the ICF/IID'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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-519 - Respiratory Care Services

Current through Register Vol. 30, No. 28, July 12, 2024
If respiratory care services are authorized to be provided on
				  an ICF/IID's premises, an administrator shall ensure that:
1. Respiratory care services are provided
				under the direction of an attending physician;
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 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-520 - 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 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;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-521 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. An infection control program is
				established, under the direction of an individual qualified according to
				policies and procedures, to prevent the development and transmission of
				infections and communicable diseases including:
a. A method to identify and document
				infections occurring at the ICF/IID;
b. Analysis of the types, causes, and spread
				of infections and communicable diseases at the ICF/IID;
c. The development of corrective measures to
				minimize or prevent the spread of infections and communicable diseases at the
				ICF/IID; and
d. Documentation of
				infection control activities including:
i.
				The collection and analysis of infection control data,
ii. The actions taken related to infections
				and communicable diseases, and
iii.
				Reports of communicable diseases to the governing authority and state and
				county health departments;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-522 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				ICF/IID has a license or permit as a food establishment under 9 A.A.C. 8,
				Article 1;
2. A copy of the
				ICF/IID's food establishment license or permit is maintained;
3. If the ICF/IID contracts with a food
				establishment, as established in 9 A.A.C. 8, Article 1, to prepare and deliver
				food to the ICF/ IID:
a. A copy of the
				contracted food establishment's license or permit under 9 A.A.C. 8, Article 1
				is maintained by the ICF/IID; and
b. The ICF/IID is able to store, refrigerate,
				and reheat food to meet the dietary needs of a resident;
4. A registered dietitian:
a. Participates as part of an
				interdisciplinary team for a resident requiring a modified or special
				diet,
b. Reviews a food menu before
				the food menu is used to ensure that a resident's nutritional needs are being
				met,
c. Documents the review of a
				food menu, and
d. Is available for
				consultation regarding a resident's nutritional needs; and
5. If a registered dietitian is not employed
				full-time, an individual is designated as a director of food services who
				consults with a registered dietitian as often as necessary to ensure that the
				nutritional needs of a resident are met.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-523 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that:
1. A
				disaster plan is developed, documented, maintained in a location accessible to
				personnel members and other employees, and, if necessary, implemented that
				includes:
a. A floor plan of the facility
				showing emergency protection equipment, evacuation routes, and exits;
b. When, how, and where residents will be
				relocated, including:
i. Instructions for the
				evacuation or transfer of residents,
ii. Assigned responsibilities for each
				employee and personnel member, and
iii. A plan for continuing to provide
				services to meet a resident's needs;
c. How a resident's medical record will be
				available to individuals providing services to the resident during a
				disaster;
d. A plan for back-up
				power and water supply;
e. A plan
				to ensure a resident's medications will be available to administer to the
				resident during a disaster;
f. A
				plan to ensure a resident is provided nursing services, rehabilitation
				services, and other services required by the resident during a disaster;
				and
g. A plan for obtaining food
				and water for individuals present in the ICF/IID or the ICF/IID's relocation
				site during a disaster;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-524 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. An
				ICF/IID's premises and equipment are:
a.
				Cleaned and disinfected according to policies and procedures or manufacturer's
				instructions to prevent, minimize, and control illness and infection;
				and
b. Free from a condition or
				situation that may cause a resident or an individual to suffer physical
				injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Section R9-10-525 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that, if an ICF/IID has:
1. More than 16 residents, the ICF/IID
				complies with:
a. The applicable physical
				plant health and safety codes and standards, incorporated by reference in
				R9-10-104.01, that were in effect
				on the earlier of:
i. The date the ICF/IID was
				originally certified as an ICF/IID by the federal Centers for Medicare and
				Medicaid Services, or
ii. The date
				the ICF/IID submitted architectural plans and specifications to the Department
				for approval according to
				R9-10-104;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-601 - 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 apply in this Article unless otherwise specified:
1. "Medical social services" means assistance, other than
				  medical services or nursing services, provided by a personnel member to a
				  patient to assist the patient to cope with concerns about the patient's
				  illness, finances, or personal issues and may include problem-solving,
				  interventions, and identification of resources to address the patient's or the
				  patient's family's concerns.
2. "Palliative care" means medical services or nursing
				  services provided to a patient that is not curative and is designed for pain
				  control or symptom management.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-602 - Supplemental Application Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the license application requirements in A.R.S.
				  § 36-422 and
				  R9-10-105,
				  an applicant for a license as a hospice service agency or hospice inpatient
				  facility shall include on the application:
1. For an application as a hospice service
				agency:
a. The hours of operation for the
				hospice's administrative office, and
b. The geographic region to be served by the
				hospice service agency; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 6 - HOSPICES › Section R9-10-603 - 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
				the hospice;
2. Establish, in
				writing:
a. A hospice's scope of services,
				and
b. Qualifications for an
				administrator;
3.
				Designate, in writing, an administrator who has the qualifications established
				in subsection (A)(2)(b);
4. Adopt a
				quality management plan according to R9-10-604;
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 has the qualifications established in subsection (A)(2)(b),
				if the administrator is:
a. Expected not to
				be present:
i. At a hospice service agency's
				administrative office for more than 30 calendar days, or
ii. On a hospice inpatient facility's
				premises for more than 30 calendar days; or
b. Not present:
i. At a hospice service agency's
				administrative office for more than 30 calendar days, or
ii. On a hospice inpatient facility's
				premises for more than 30 calendar days; and
7. Except as provided in subsection (A)(6),
				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 6 - HOSPICES › Section R9-10-604 - 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 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 6 - HOSPICES › Section R9-10-605 - 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 6 - HOSPICES › Section R9-10-606 - 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
				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 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 6 - HOSPICES › Section R9-10-607 - Admission

Current through Register Vol. 30, No. 28, July 12, 2024
A. Before admitting
				an individual as a patient, an administrator shall obtain:
1. The name of the individual's
				physician;
2. Documentation that
				the individual has a diagnosis by a physician that indicates that the
				individual has a specific, progressive, normally irreversible disease that is
				likely to cause the individual's death in six months or less; and
3. Documentation from the individual or the
				individual's representative acknowledging that:
a. Hospice services include palliative care
				and supportive services and are not curative, and
b. The individual or individual's
				representative has received a list of services to be provided by the
				hospice.