reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.10 - Quality Of Care

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each
			 resident must receive and the facility must provide the necessary care and
			 services to attain or maintain the highest practicable physical, mental, and
			 psychosocial well-being, in accordance with the comprehensive assessment and
			 plan of care.
(2) Activities of
			 daily living. Based on the comprehensive assessment of a resident, the facility
			 must ensure that-
(a) A resident's abilities
			 in activities of daily living do not diminish unless circumstances of the
			 individual's clinical condition demonstrate that diminution was unavoidable.
			 this includes the resident's ability to-
1.
			 Bathe, dress, and groom;
2.
			 Transfer and ambulate;
3.
			 Toilet;
4. Eat; and
5. Use speech, language, or other functional
			 communication systems.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.11 - Nursing Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 facility must have sufficient nursing staff to provide nursing and related
			 services to attain or maintain the highest practicable physical, mental, and
			 psychosocial well-being of each resident, as determined by resident assessments
			 and individual plans of care.
(2)
			 Sufficient staff. The facility must provide services by sufficient numbers of
			 licensed nurses and other nursing personnel on a 24-hour basis to provide
			 nursing care to all residents in accordance with resident care plans:
(a) The facility must use the services of a
			 registered nurse for at least 8 consecutive hours a day, 7 days a
			 week.
(b) The facility must
			 designate a registered nurse to serve as the director of nursing on a full time
			 basis.
(c) The director of nursing
			 may serve as a charge nurse only when the facility has an average daily
			 occupancy of 60 or fewer residents.
Author:
Patricia E. Ivie
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.12 - Dietary Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 facility must provide each resident with a nourishing, palatable, well balanced
			 diet that meets the daily nutritional and special dietary needs of each
			 resident.
(a) Staffing. The facility must
			 employ a qualified dietitian either full-time, part-time, or on a consultant
			 basis.
1. If a qualified dietitian is not
			 employed full-time, the facility must designate a person to serve as the
			 director of food service who receives frequently scheduled consultation from a
			 qualified dietitian.
2. "Qualified
			 Dietitian" - means one who is currently licensed in the State of Alabama in
			 accordance with the provisions contained in current state statutes as governed
			 by the Alabama Board of Examiners for Dietetic/Nutrition Practice.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.13 - Physician Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A
			 physician must personally approve in writing a recommendation that an
			 individual be admitted to a facility. Each resident must remain under the care
			 of a physician.
(2) Physician
			 supervision. The facility must ensure that--
(a) The medical care of each resident is
			 supervised by a physician; and
(b)
			 Another physician supervises the medical care of residents when their attending
			 physician is unavailable.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.14 - Specialized Rehabilitative Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Provision of services. If specialized
			 rehabilitative services such as, but not limited to, physical therapy,
			 speech-language pathology, occupational therapy, and health rehabilitative
			 services for mental illness and mental retardation are required in the
			 resident's comprehensive plan of care, the facility must:
(a) Provide the required services;
			 or
(b) Obtain the required services
			 from an outside resource (in accordance with Section 483.75(h) of Title 42 Code
			 of Federal Regulation revised 10/1/93) from a provider of specialized
			 rehabilitative services.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.15 - Dental Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 facility must assist residents in obtaining routine and 24-hour emergency
			 dental care.
(a) Skilled nursing facilities.
			 A facility:
1. Must provide or obtain from an
			 outside resources, in accordance with Section 483.75(h) of Title 42 Code of
			 Federal Regulations revised 10/1/93, routine and emergency dental services to
			 meet the needs of each resident;
2.
			 May charge a Medicare resident an additional amount for routine and emergency
			 dental services;
3. Must, if
			 necessary, assist the resident:
(i) In making
			 appointments; and
(ii) By arranging
			 for transportation to and from the dentist's office; and
(iii) Promptly refer residents with lost or
			 damaged dentures to a dentist.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.17 - Infection Control

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 facility must establish and maintain an infection control program designed to
			 provide a safe, sanitary, and comfortable environment and to help prevent the
			 development and transmission of disease and infection.
(a) Infection control program. The facility
			 must establish an infection control program under which it--
1. Investigates, controls, and prevents
			 infections in the facility;
2.
			 Decides what procedures, such as isolation should be applied to an individual
			 resident; and
3. Maintains a record
			 of incidents and corrective actions related to infections.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-10 - NURSING FACILITIES › Section 420-5-10-.18 - Physical Plant

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Location.
(a) The nursing facility site shall provide
			 space to accommodate staff and visitor parking, service access, emergency
			 access, outdoor resident activity space and other areas required to provide for
			 the care and proper operation of the facility.
(b) The location and construction of all
			 nursing facilities shall comply with local zoning, building, and fire
			 ordinances. Evidence to this effect, signed by local fire, building, and zoning
			 officials shall be furnished to the Alabama Department of Public
			 Health.
(c) Nursing facilities
			 shall be located on streets or roads which are kept passable at all times.
			 Facilities constructed after the effective date of these rules shall be located
			 on paved roads.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-11 - REHABILITATION CENTERS › Section 420-5-11-.02 - Administration

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Governing
			 Authority.
(a) Responsibility. The
			 governing authority or the owner or the person or persons designated by the
			 owner as the governing authority shall be the supreme authority of the facility
			 including the appointment of a qualified medical staff, or in the absence of an
			 organized medical staff, a medical doctor.
(b) Organization. The governing authority
			 shall be formally organized in accordance with a written constitution and/or
			 bylaws. In the event the governing authority consists of one person, this
			 requirement must still be met. Such constitution and/or bylaws shall include:
1. Identification of the facility.
2. The purpose for which the facility is
			 organized.
3. Describe
			 qualifications for membership in the governing body, election, and tenure of
			 office.
4. Provide for the election
			 and specification of duties of officers.
5. Establish regular and special meetings of
			 the governing body.
6. Describe
			 method of amending bylaws.
7.
			 Establish quorum requirements.
8.
			 Appointment and duties of the chief executive officer.
(c) Meetings. The governing authority shall
			 meet at least annually. A copy of the minutes of these meetings shall be kept
			 as a permanent record of the facility.
(d) Notification of Chief Executive Officer.
			 The State Board of Health shall be advised of the chief executive officer's
			 name within 15 days of his appointment.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-11 - REHABILITATION CENTERS › Section 420-5-11-.03 - Patient Care

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Admission Policy.
(a) Patient
			 Admission. All patients shall be admitted to the services of the facility on
			 orders from a physician.
(b)
			 Restrictions. Patients shall not be accepted without reasonable assurance that
			 existing programs will improve the patient's condition. Each potential patient
			 shall be thoroughly evaluated to determine if needs are consistent with
			 available services.
(c) Grievance
			 Procedure. A grievance procedure shall be established and adequately explained
			 to each patient. A brochure or manual shall be provided to the patient which
			 outlines the programs, rules and responsibilities.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-11 - REHABILITATION CENTERS › Section 420-5-11-.04 - Physical Environment

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Submission of Plans and Specifications.
(a) Scope. Rehabilitation centers shall be
			 classified as business occupancies. Facilities constructed or renovated after
			 the effective date of these rules shall comply with the codes and standards,
			 adopted by the State Board of Health and in effect at the time of plan
			 submission.
(b) New Facilities,
			 Additions, and Major Alterations. Plans and specifications shall be submitted
			 for review and approval to the Alabama Department of Public Health, for any
			 building that is intended to contain a Rehabilitation Center, and for additions
			 and alterations to existing facilities. Submissions shall be in accordance with
			 Alabama Administrative Code Rule 420-5-22, "Submission of Plans and
			 Specifications for Health Care Facilities."
(c) Minor Alterations and Remodeling. Minor
			 alterations and remodeling which do not affect the structural integrity of the
			 building, which do not change functional operation, which do not affect fire
			 safety, and which do not add beds or facilities over those for which the
			 rehabilitation center is licensed, need not be submitted for
			 approval.
(d) Inspections. The
			 State Board of Health and its authorized representatives shall have access to
			 the work for inspection wherever it is in preparation or progress.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-12 - IDENTIFICATION OF DRUG PRODUCTS IN SOLID ORAL DOSAGE FORM FOR WHICH A PRESCRIPTION IS REQUIRED BY FEDERAL LAW › Section 420-5-12-.01 - General

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Purpose. To
			 establish the procedure and requirements for exempting drug products from the
			 requirements of the statutory prohibition of Act No. 81-389, § 1,
			 (
Code of Ala. 1975
, §
								20-1-150).
(2) Statutory Prohibition. No drug product in
			 finished solid oral dosage form for which a prescription is required by federal
			 law may be manufactured or commercially distributed within this state unless it
			 has clearly and prominently marked or imprinted on it an individual symbol,
			 number, company name, word, letters, marking, National Drug Code, or any
			 combination thereof, identifying the drug product and the manufacturer or
			 distributor of the drug product. Act No. 81-389, § 1, (
Code of
			 Ala. 1975
, §
								20-1-150).
Author:
Tigner Zorn
Statutory Authority:
Code of Ala.
				  1975
, §
										20-1-150.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-12 - IDENTIFICATION OF DRUG PRODUCTS IN SOLID ORAL DOSAGE FORM FOR WHICH A PRESCRIPTION IS REQUIRED BY FEDERAL LAW › Section 420-5-12-.02 - Exemption Procedure

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An
			 exemption may be obtained by the manufacturer, or distributor who prepares the
			 product in the final finished form for distribution to the public, by letter
			 application to the State Board of Health. Application must include a sworn
			 statement describing the product for which the exemption has been requested,
			 stating the reasons why the particular product cannot be so marked or
			 imprinted. An application must be received under certified mail
			 delivery.
(2) An application will
			 have been granted unless the applicant is notified to the contrary within 60
			 days following receipt of the application. Should additional information be
			 requested, the 60 days will begin to run upon receipt of the information
			 requested.
(3) All applications,
			 statements, samples, etc., submitted shall become the property of the State
			 Board of Health upon receipt.
Author:
Tigner Zorn
Statutory Authority:
Code of Ala.
				  1975
, §
										20-1-150.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-12 - IDENTIFICATION OF DRUG PRODUCTS IN SOLID ORAL DOSAGE FORM FOR WHICH A PRESCRIPTION IS REQUIRED BY FEDERAL LAW › Section 420-5-12-.03 - Preprinted Prescription Blanks

Current through Register Vol. 42, No. 9, June 28, 2024
No manufacturer or distributor of controlled substances or
				agent thereof as defined by
Code of Ala. 1975
, §
								20-2-2, may give as promotional
				items or lagniappes or for any other reason, or by any means convey or cause to
				fall into the possession of any practitioner of the healing arts, any
				preprinted, product identified prescription blanks which show as being
				prescribed thereon any substances listed on the Controlled Substances List as
				promulgated by the State Board of Health as such list may from time to time be
				amended.
Author:
John R. Wible
Statutory Authority:
Code of Ala.
				  1975
, §
										§
										20-2-2,
				  20-2-20,
				  20-2-54.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-13 - BIRTHING CENTERS (REPEALED)

Current through Register Vol. 42, No. 9, June 28, 2024
The
			 adopted version of this chapter by
			 Alabama
			 Administrative Monthly Volume XLI, Issue No. 11, August 31, 2023,
			 filed August 17, 2023 is not yet
			 available.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-14 - [Repealed] › Section 420-5-14-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Joan McConnell
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-21-28.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-14 - [Repealed] › Section 420-5-14-.02 - Licensing And Administrative Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Joan McConnell
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-21-28.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-14 - [Repealed] › Section 420-5-14-.03 - Services And Records

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Author:
Joan McConnell
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
				  22-21-28.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.02 - Licensing And Administrative Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.03 - Facility Management

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.04 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.05 - Patients' Rights

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.06 - Treatment Program

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.07 - Dietary

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §
										22-21-20.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.08 - Pharmacy Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.09 - Activity Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.10 - Laboratory And Radiologic Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.11 - Medical Records

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.12 - Emergency Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.13 - Library Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.14 - Facility And Program Evaluation

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.15 - Fire And Safety

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.16 - Environmental Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-15 - [Repealed] › Section 420-5-15-.17 - Physical Plant

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Stationary Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.02 - Licensing And Administrative Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.03 - Organizational Structure: Governing Body

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.04 - Medical Staff

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.05 - Nursing Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-6(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.06 - Pharmaceutical Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-6(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.07 - Radiologic Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-6(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.08 - Laboratory Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.09 - Food And Dietetic Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.10 - Emergency Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.11 - Third-Party Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.12 - Medical Records

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.13 - Quality Assurance

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.14 - Utilization Review

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.15 - Infection Control

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.16 - Obstetrical Services

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.17 - Outpatient Surgery

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-16 - [Repealed] › Section 420-5-16-.18 - Physical Environment

Current through Register Vol. 42, No. 9, June 28, 2024
(Repealed).
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-2-2(6),
et
seq
.; 22-21-28,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.02 - Licensing And Administrative Procedures

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
Legal Authority for Adoption of
			 Regulations.
Pursuant to the authority granted by
Code of
			 Ala. 1975
, Sections
			 22-21-20 to Sections
			 22-21-33, and in accordance with
			 the
Alabama Administrative Procedures Act,
Code of
			 Ala. 1975
, Sections
			 41-22-1 to Section
			 41-22-27, the State Board of
			 Health does hereby adopt and promulgate rules governing all nursing or hospices
			 in Alabama except those exempt by law from licensure.
(2)
Type of license.
All
			 licenses are issued for the calendar year and shall expire December 31 unless
			 renewed by the owner for the succeeding year.
(a) Regular license. A regular license shall
			 be issued by the State Board of Health after the board has determined that the
			 hospice is in substantial compliance with rules herein adopted.
(b) Probational license. The State Board of
			 Health may, in its discretion and in lieu of license revocation, issue a
			 probational license to a facility when inspection shows that the maintenance
			 and operation of the facility are such that the hospice no longer substantially
			 complies with the rules adopted herein. However, the Board may issue a
			 probational license only after determining that the health and safety of
			 patients are adequately protected despite non-compliance, and that the facility
			 has submitted an adequate written plan to correct the non-compliance in a
			 timely manner. Maximum length of time for probational status is one
			 year.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.03 - General Requirements For Hospice Care Programs After Licensure

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Any person
			 licensed to provide a hospice care program shall:
(a) Ensure the provision of the core services
			 of nursing, social work, physician, pastoral or other counseling and volunteer
			 services. The majority of these services shall be provided directly by hospice
			 employees. Persons providing these services directly or by contract shall be
			 responsible to, and function as part of, the interdisciplinary team. A planned
			 and continuous hospice care program, the medical components of which shall be
			 under the direction of a physician, shall be provided.
(b) Ensure that care is available twenty-four
			 hours a day and seven days a week.
(c) Establish a written interdisciplinary
			 plan of care for each hospice patient and family that:
1. Is coordinated by one designated
			 individual who shall ensure that all components of the plan of care are
			 addressed and implemented.
2.
			 Addresses maintenance of patient-family participation in decision
			 making.
3. Is periodically reviewed
			 by the patient's attending physician and by the patient's interdisciplinary
			 team.
4. Ensures that an
			 interdisciplinary team provides or supervises the provision of care and
			 establishes the policies governing the provision of care.
5. Provides bereavement care for hospice
			 patient's family for at least one year, or until appropriately discharged from
			 the bereavement program.
6.
			 Continues care regardless of a hospice patient's ability to pay for the
			 care.
7. Maintains central clinical
			 records on all hospice patients under its care.
8. Provides care in individual's homes and
			 provides or coordinates care on an inpatient basis. Not more than 50% of the
			 home care days shall be provided to residents of nursing homes.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.05 - Governing Body

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The overall
			 conduct and operation of the hospice care program, including the quality of
			 care and the provision of services, shall be the full legal responsibility of a
			 clearly defined, organized governing body which shall perform the following
			 functions:
(a) Establish and review policies
			 for the management, operation, and evaluation of the hospice care program,
			 including establishing qualifications of employees and independent
			 contractors.
(b) Arrange for a
			 physician to serve as medical director for the hospice care program.
(c) Appoint in writing an individual who is
			 responsible for the day to day management of the hospice program.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.06 - Personnel

Current through Register Vol. 42, No. 9, June 28, 2024
Each hospice care program shall utilize personnel to provide
				services that have appropriate training and qualifications for the services
				that they provide. Any staff member, including a volunteer, who functions in a
				professional capacity shall meet the standards applicable to that profession,
				including but not limited to, possessing applicable license, registration, or
				certification, if required by law, and practicing within the applicable scope
				of practice.
(1) The hospice care
			 program shall provide each staff member, including volunteer and contracted
			 staff members, with a written job description delineating his or her
			 responsibilities. The program shall assure that all staff members, including
			 volunteers, provide services to hospice patients and their families in
			 compliance with all of the following standards:
(a) Services are provided in accordance with
			 the patient's plans of care.
(b)
			 Services are provided in accordance with the policies and procedures developed
			 by the interdisciplinary team or teams.
(c) Services are provided in accordance with
			 current and accepted standards of practice.
(d) Services are provided by staff members
			 who comply with the program's employee health policies.
(e) All services are documented in the
			 patient's central clinical record.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.07 - Medical Director

Current through Register Vol. 42, No. 9, June 28, 2024
The medical director of a hospice care program shall be a
				physician licensed to practice medicine in the State of Alabama and shall have
				overall responsibility for the medical component of the program.
Author: Jimmy D. Prince
Statutory Authority:
Code
of Ala. 1975
,
				  §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.08 - Interdisciplinary Team And Interdisciplinary Plan Of Care

Current through Register Vol. 42, No. 9, June 28, 2024
Each hospice care program shall have an interdisciplinary team
				or teams that provides or supervises the provision of hospice care and
				services.
(1) The interdisciplinary
			 team or teams shall perform the following functions:
(a) Establish policies and procedures
			 governing the provision of care.
(b) Establish an interdisciplinary plan of
			 care for each patient and family.
(c) Coordinate and provide or supervise the
			 provision of all components of each interdisciplinary plan of care. At least
			 one individual shall be designated to ensure all of the following:
1. There is ongoing assessment of the
			 patient's and family's needs.
2.
			 All components of the plan of care are addressed by the interdisciplinary
			 team.
3. The plan of care is
			 implemented in accordance with its terms.
4. Review the interdisciplinary plan of care
			 at least every 30 days.
5.
			 Encourage and foster active involvement of the patient and family in the
			 development and implementation of the interdisciplinary plan of care.
6. Evaluate the care and services provided
			 and monitor the continuity of care across all settings for the hospice care
			 program's patients and their families.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.09 - Contracted Services

Current through Register Vol. 42, No. 9, June 28, 2024
A provider of a hospice care program may arrange for another
				person or public agency to furnish a component or components of the hospice
				care program pursuant to a written contract.
(1) Any contract executed under the paragraph
			 above, including a contract to which paragraph (2) of this rule applies, shall
			 be legally binding on both parties and shall do all of the following:
(a) Identify the services to be
			 provided.
(b) Stipulate that
			 services may be provided only with the express authorization of the hospice
			 care program.
(c) Describe the
			 manner in which the contracted services are coordinated, supervised, and
			 evaluated by the hospice care program.
(d) Delineate the role or roles of the
			 hospice care program and the contractor in the admission process, patient and
			 family assessment, and the interdisciplinary team reviews.
(e) Stipulate the requirements for
			 documenting that services are furnished in accordance with the contract and the
			 requirements of Section
			 22-21-20 of the revised Code and
			 this Chapter.
(f) Set forth the
			 qualifications of the personnel providing the services.
(g) Stipulate that the hospice care program
			 shall provide hospice care orientation and training sufficient to provide
			 competent care to the person who provides the care under the
			 contract.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.10 - Volunteer Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each
			 hospice care program shall use trained volunteers to assist with the provision
			 of administrative or direct patient care services and shall have trained
			 volunteers available to hospice patients and hospice patients' families as
			 needed. Volunteers shall provide services under the supervision of a
			 designated, qualified, and experienced hospice staff member.
(2) Each hospice care program shall document
			 active and ongoing efforts to recruit and retain volunteers.
Author:
Jimmy D. Prince
Statutory Authority:
Code
of Ala. 1975
,
				  §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.11 - Nursing Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each
			 hospice care program shall provide nursing care and services by or under the
			 supervision of a registered nurse. The program shall direct and staff nursing
			 services sufficient to meet the nursing needs of all of the hospice care
			 program's patients. The program shall specify the patient care responsibilities
			 of nursing personnel.
(2) Each
			 inpatient hospice shall provide nursing services twenty-four hours a day. These
			 services shall be sufficient to meet the total nursing needs of the hospice
			 patients residing in the hospice. Each shift shall be staffed by a registered
			 nurse who provides direct patient care and directs the care of LPNs and aides.
			 This requirement does not apply to hospice patients who are admitted to a
			 Medicare or Medicaid certified facility such as a skilled nursing facility for
			 respite care only.
(3) Each hospice
			 agency that provides respite care in a non-hospice inpatient facility shall
			 have a written agreement with that facility to ensure that:
(a) Each patient receives all necessary care
			 and services in accordance with the patient's individualized plan of care in a
			 safe and effective manner by qualified personnel.
(b) The hospice agency retains administrative
			 oversight for all staff qualifications, supervision and training in the hospice
			 model for respite care
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.12 - Medical Social Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Each hospice care program shall provide medical social services to each patient
			 and family as needed. A social worker shall provide these services under the
			 direction of a physician.
(2) Each
			 inpatient hospice facility shall provide medical social services sufficient to
			 meet the social service needs of the hospice patients residing in the facility.
Author:
Jimmy D. Prince
Statutory Authority:
Code
of Ala. 1975
,
				  §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.13 - Personal Care Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Each hospice care program shall provide personal care services in the scope and
			 frequency required to meet the needs of its patients and their families.
			 Personal care services include assistance with activities of daily living,
			 personal care, ambulation and exercise, household services essential to health
			 care at home, assistance with self-administration of medications, and
			 preparation of meals.
(2) Personal
			 care services shall be provided by individuals who have been selected on the
			 basis of such factors as a caring attitude toward patients and their families,
			 ability to read, write, and carry out instructions, and maturity and ability to
			 cope with the demands of the job.
(3) The hospice care program shall ensure
			 that those individuals providing personal care services have been trained in
			 methods of assisting patients to achieve maximum self-reliance, principles of
			 nutrition and meal preparation, the aging process and emotional problems of
			 illness, procedures for maintaining a clean, healthful, and pleasant
			 environment, changes in a patient's condition that should be reported, the
			 philosophy of hospice care and of the hospice care program, ethics,
			 confidentiality, and record keeping.
(4) A registered nurse shall prepare for each
			 aide written instructions for patient care which are consistent with the
			 interdisciplinary plan of care.
(5)
			 A registered nurse shall make and document a supervisory visit to the patient's
			 residence at least every two weeks to assess the performance of the aide
			 services.
Author:
Jimmy D. Prince
Statutory Authority:
Code
of Ala. 1975
,
				  §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.14 - Physician Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Patients in need of health care which can be met by the hospice are admitted to
			 the hospice only upon the recommendation of, and remain under the care of, a
			 physician. Each patient or sponsor designates a physician.
(2) There is made available prior to or at
			 the time of admission patient information which includes current medical
			 findings, diagnoses, and orders from the physician for the immediate care of
			 the patient. A summary of prior treatments are made available at the time of
			 admission or within 48 hours thereafter. The following provisions are
			 applicable:
(a) If orders are from a physician
			 other than the attending physician, they shall be communicated to the attending
			 physician and verification of such shall be entered into the medical record by
			 the nurse who took the orders from the physician.
(b) Physician's verbal orders for drugs,
			 treatments, diets, etc., (e.g., oral orders, telephone orders, recopied orders,
			 standing orders) are reduced to writing on the physicians' order sheet by a
			 licensed nurse, physician, or pharmacist. They are dated and signed by the
			 person receiving or transcribing the order. Such orders are dated and signed by
			 the attending physician at the time of the next visit, but in no case longer
			 than 30 days after dating and recording the order.
Dietary
			 counseling
means education and interventions provided to the patient and
			 family regarding appropriate nutritional intake as the patient's condition
			 progresses and is provided by qualified individuals, which may include a
			 registered nurse, dietitian, or nutritionist, when identified in the patient's
			 plan of care.
(c) The attending
			 physician shall designate an alternate physician to attend the patient in
			 his/her absence.
(d) The hospice
			 has written procedures, available at the nurses' station, that provides for
			 having a physician available to furnish necessary medical care in case of
			 emergency.
(e) In each inpatient
			 hospice the physician shall write/dictate, date, and sign a progress note at
			 the time of each patient's visit or within 7 days.
(f) In each inpatient hospice any changes in
			 the interdisciplinary treatment team care plan shall be dated and signed by the
			 physician at the time of each visit or within 7 days.
(g) The physician is responsible for the
			 development of a discharge summary within 30 days after discharge or
			 death.
(h) Each inpatient hospice
			 must have a list of names and telephone numbers of physicians to be called in
			 the event of an emergency.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.15 - Counseling And Bereavement Services

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each hospice care program shall make
			 available counseling services to the hospice patient and the patient's family.
			 Counseling services shall include dietary, spiritual, and any other necessary
			 counseling services while the patient is enrolled in the hospice care program.
			 Counseling services shall be provided by a qualified interdisciplinary team
			 member or one or more other qualified individuals, as determined by the hospice
			 care program.
(2) The hospice care
			 program shall make reasonable efforts to arrange for contacts by clergy,
			 chaplain, and other members of religious organizations in the community to
			 patients who request such services and shall apprise patients of this
			 opportunity.
(3) Each hospice care
			 program shall provide bereavement services, as needed, for hospice patients'
			 families. These services shall be provided for at least one year after the
			 patient's death unless discontinued by the family. Bereavement services shall
			 be provided under the supervision of a designated qualified professional.
Author:
Jimmy D. Prince
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.16 - Admission Of Patients To The Hospice Care Program

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A hospice care program shall not admit
			 any individual who does not meet the definition of a hospice patient.
(2) A hospice care program shall obtain
			 informed consent from the patient. The program shall require that the patient,
			 or the patient's authorized representative, sign an informed consent
			 form.
(3) A hospice care program
			 shall permit a hospice patient to withdraw consent for hospice care at any
			 time.
(4) Prior to or within
			 forty-eight hours after admission of each patient, a hospice care program shall
			 obtain an oral statement from the patient's attending physician, if the patient
			 has an attending physician, and the medical director of the hospice care
			 program or the physician member of the interdisciplinary team, certifying that
			 the patient is terminally ill. The program shall obtain written confirmation of
			 the oral statement within thirty days after admission or prior to billing for
			 any services, whichever is earlier. The written certification statement shall
			 be signed by the patient's attending physician and the medical director of the
			 hospice care program or the physician member of the interdisciplinary team.
Author:
Jimmy D. Prince
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.
Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-5-17 - HOSPICES › Section 420-5-17-.17 - Quality Assurance

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Each
			 hospice care program shall conduct an ongoing, comprehensive, integrated,
			 self-assessment of the quality and appropriateness of care provided by the
			 program including inpatient care, home care, and care provided under contracts
			 with other persons or public agencies.
(2) The hospice care program shall designate
			 an individual or individuals to be responsible for the quality assurance
			 program. The designee or designees shall implement and report on activities and
			 mechanisms for monitoring the quality of care, identify and resolve problems,
			 and make suggestions for improving care. The designee or designees shall
			 provide their reports to the governing body of the program.
(3) The hospice care program shall use the
			 findings of the quality assurance program to correct identified problems and to
			 revise hospice care program policies if necessary.
(4) Documentation of findings,
			 recommendations, and corrections shall be maintained.
Author:
Jimmy D. Prince
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-21-20,
et
seq
.