reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-229 - Social Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a hospital that provides social services
				  shall ensure that:
1. A registered
				nurse or another personnel member designated according to policies and
				procedures coordinates social services;
2. If a personnel member provides social
				services that require a license under A.R.S. Title 32, Chapter 33, Article 5,
				the personnel member is licensed under A.R.S. Title 32, Chapter 33, Article
				5;
3. A medical staff member, nurse, patient, patient's
				representative, or member of the patient's family may request social
				services;
4. A personnel member providing social services
				participates in discharge planning as necessary to meet the needs of a
				patient;
5. The patient has privacy when communicating with a
				personnel member providing social services; and
6. Social services
				provided to a patient are documented in the patient's medical record and the
				entries are authenticated by the individual providing the social
				services.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-230 - Infection Control

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. An infection control program that meets
				the requirements of this Section is established under the direction of an
				individual qualified according to policies and procedures;
2. An infection control program has a
				procedure for documenting:
a. The collection
				and analysis of infection control data,
b. The actions taken relating to infections
				and communicable diseases, and
c.
				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 2 - HOSPITALS › Section R9-10-231 - Dietary Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. Dietary services are provided according to
				9 A.A.C. 8, Article 1;
2. A copy of
				the hospital's food establishment license or permit under 9 A.A.C. 8, Article
				1, is maintained;
3. For a hospital
				that contracts with a food establishment, as established in 9 A.A.C. 8, Article
				1, to prepare and deliver food to the hospital, a copy of the contracted food
				establishment's license or permit under 9 A.A.C. 8, Article 1, is
				maintained;
4. If a hospital
				contracts with a food establishment to prepare and deliver food to the
				hospital, the hospital is able to store, refrigerate, and reheat food to meet
				the dietary needs of a patient;
5.
				Dietary services are provided under the direction of an individual qualified to
				direct the provision of dietary services according to policies and
				procedures;
6. There are personnel
				members on duty to meet the dietary needs of patients;
7. Personnel members providing dietary
				services are qualified to provide dietary services according to policies and
				procedures;
8. A nutrition
				assessment of a patient is:
a. Performed
				according to policies and procedures, and
b. Communicated to the medical practitioner
				coordinating the patient's medical services if the nutrition assessment reveals
				a specific dietary need;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-232 - Disaster Management

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A disaster plan is developed and
				documented that includes:
a. Procedures for
				protecting the health and safety of patients and other individuals;
b. Assigned personnel responsibilities;
				and
c. Instructions for the
				evacuation, transport, or transfer of patients, maintenance of medical records,
				and arrangements to provide any other hospital services to meet the patients'
				needs;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-233 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. An individual providing environmental
				services who has the potential to transmit infectious tuberculosis to patients,
				as determined by the infection control risk assessment criteria in
				R9-10-230(4)(c), provides evidence of freedom from infectious tuberculosis:
a. On or before the date the individual
				begins providing environmental services at or on behalf of the hospital,
				and
b. According to
				R9-10-113;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-234 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				hospital complies with the applicable physical plant health and safety codes
				and standards incorporated by reference in R9-10-104.01 in effect on the date
				the hospital submitted, according to
				R9-10-104,
				an application for an approval of architectural plans and specifications to the
				Department;
2. A hospital's
				premises or any part of the hospital premises is not leased to or used by
				another person;
3. A unit with
				inpatient beds is not used as a passageway to another health care institution;
				and
4. A hospital's premises are
				not licensed as more than one health care institution.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 2 - HOSPITALS › Section R9-10-235 - Administrative Separation

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-401,
				  R9-10-101, and
				  R9-10-201, the
				  following definition applies in this Section:
"Administrative separation" means the temporary isolation of
				  a patient for the purpose of preserving the integrity of evidence during the
				  course of a criminal investigation or for a situation where not isolating the
				  patient presents a risk of serious harm to other individuals or a serious risk
				  to the safety or security of a hospital.
A. Only a hospital established according to
				A.R.S. §
									36-202
				may use administrative separation.
B. An administrator appointed according to
				A.R.S. §
									36-205
				shall ensure that:
1. Administrative
				separation:
a. Is only used for a patient
				admitted to the hospital pursuant to a criminal court order; and
b. Is not used:
i. In conjunction with a restraint,
ii. As a method to manage behaviors,
				or
iii. If prohibited by law;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-301 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. § 36-401 and
				  R9-10-101, the
				  following applies in this Article unless otherwise specified:
"Child and adolescent residential treatment services" means
				  behavioral health services and physical health services provided in or by a
				  behavioral health inpatient facility to a patient who is:
Under 18 years of age, or
Under 21 years of age and meets the criteria in
				  R9-10-318(B).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-302 - 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 behavioral health inpatient facility shall
				  include in a Department-provided format whether the applicant is requesting
				  authorization to provide:
1. Inpatient
				services to individuals 18 years of age and older, including the licensed
				capacity requested;
2. Pre-petition
				screening;
3. Court-ordered
				evaluation;
4. Court-ordered
				treatment;
5. Behavioral health
				observation/stabilization services, including the licensed occupancy requested
				for providing behavioral health observation/stabilization services to
				individuals:
a. Under 18 years of age,
				and
b. 18 years of age and
				older;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-303 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				a behavioral health inpatient facility;
2. Establish, in writing:
a. A behavioral health inpatient facility'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 program
				according to
				R9-10-304;
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 on the behavioral health inpatient facility's premises for more than 30
				calendar days, or
b. Not present on
				the behavioral health 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 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-304 - 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 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-305 - 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 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-306 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that:
1. A personnel member, an
				employee, or a student is at least 18 years old; 
										
										
										 and
2. A volunteer is at
				least 21 years old.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-308 - Treatment Plan

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except for a
				patient admitted to receive crisis services or as provided in
				R9-10-315(E) or
				(F), an administrator shall ensure that a
				treatment plan is developed and implemented for a patient that:
1. Is based on the behavioral health
				assessment and on-going changes to the behavioral health assessment of the
				patient;
2. Is completed:
a. By a behavioral health professional or by
				a behavioral health technician under the clinical oversight of a behavioral
				health professional, and
b. Before
				the patient receives treatment;
3. Is documented in the patient's medical
				record within 24 hours after the patient first receives treatment;
4. Includes:
a. The patient's presenting issue, including
				the acuity of the patient's presenting issue;
b. The behavioral health services and
				physical health services to be provided to the patient;
c. If the patient was admitted after a
				suicide attempt or who exhibits suicidal ideation:
i. The results of the suicide assessment
				required in
				R9-10-307(11),
				and
ii. Information specific to
				helping prevent a recurrence;
d. The signature of the patient or the patient's
				representative and date signed, or documentation of the refusal to
				sign;
e. The date when the patient's treatment plan will be
				reviewed;
f. If a discharge date has been determined, the
				treatment needed after discharge; and
g. The signature of the
				personnel member who developed the treatment plan and the date
				signed;
5. If the
				treatment plan was completed by a behavioral health technician, is reviewed and
				signed by a behavioral health professional within 24 hours after the completion
				of the treatment plan to ensure that the treatment plan identifies the acuity
				of the patient and meets the patient's treatment needs; and
6. Is reviewed and updated on an on-going
				basis:
a. According to the review date
				specified in the treatment plan,
b.
				When a treatment goal is accomplished or changes,
c. When additional information that affects
				the patient's behavioral health assessment is identified, and
d. When a patient has a significant change in
				condition or experiences an event that affects treatment.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-309 - Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in
				R9-10-315(E) or
				(F), an administrator shall ensure that a
				discharge plan for a patient is:
1. Developed
				that:
a. Identifies any specific needs of the
				patient after discharge;
b. If the
				discharge date has been determined, includes the discharge date;
c. Is completed before discharge occurs;
				and
d. Includes a description of
				the level of care that may meet the patient's assessed and anticipated needs
				after discharge;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-310 - Transport; Transfer

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (B), an administrator shall ensure that:
1. A personnel member coordinates the
				transport and the services provided to the patient;
2. According to policies and procedures:
a. An evaluation of the patient is conducted
				before and after the transport,
b.
				Information from the patient's medical record is provided to a receiving health
				care institution,
c. A personnel
				member explains risks and benefits of the transport to the patient or the
				patient's representative, and
d. A
				personnel member communicates or documents why the personnel member did not
				communicate with an individual at a receiving health care institution;
				and
3. The patient's
				medical record includes documentation of:
a.
				Communication or lack of 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 patient during a
				transport.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-311 - Patient 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 patient rights in subsection (D) are
				conspicuously posted on the premises;
2. At the time of admission, a patient or the
				patient's representative receives a written copy of the requirements in
				subsection (B) and the patient rights in subsection (D); and
3. Policies and procedures include:
a. How and when a patient or the patient's
				representative is informed of patient rights in subsection (D), and
b. Where patient rights are posted as
				required in subsection (A)(1).
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-312 - 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 patient according to A.R.S. Title
				12, Chapter 13, Article 7.1;
2. An
				entry in a patient's medical record is:
a.
				Recorded only by a personnel member authorized by policies and procedures to
				make the entry;
b. Dated, legible,
				and authenticated; and
c. Not
				changed to make the initial entry illegible;
3. An order is:
a. Dated when the order is entered in the
				patient's medical record and includes the time of the order;
b. Authenticated by a medical 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 patient's medical
				record is available to an individual:
a.
				Authorized according to policies and procedures to access the patient's medical
				record;
b. If the individual is not authorized according to
				policies and procedures, with the written consent of the patient or the
				patient's representative, or
c. As
				permitted by law; and
6. A patient's medical
				record is protected from loss, damage, or unauthorized use.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-313 - Transportation; Patient Outings

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator of a behavioral health inpatient facility that uses a vehicle
				owned or leased by the behavioral health inpatient facility to provide
				transportation to a patient 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 patient 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 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-314 - Physical Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. Medical
				services are provided under the direction of a physician or registered nurse
				practitioner;
2. Nursing services
				are provided:
a. Under the direction of a
				registered nurse,
b. According to
				an acuity plan developed for the behavioral health inpatient facility,
				and
c. To meet the needs of a
				patient based on the patient's acuity; and
3. If a behavioral health inpatient facility
				is authorized to provide:
a. Clinical
				laboratory services, as defined in
				R9-10-101, the
				behavioral health inpatient facility complies with the requirements for
				clinical laboratory services in R9-10-219; or
b. Radiology services or diagnostic imaging
				services, the behavioral health inpatient facility complies with the
				requirements in
				R9-10-220.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-315 - Behavioral Health Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1.
				Behavioral health services listed in the behavioral health inpatient facility's
				scope of services are provided to meet the needs of a patient;
2. When behavioral health services are:
a. Listed in the behavioral health inpatient
				facility's scope of services, the behavioral health services are provided on
				the behavioral health inpatient facility's premises; and
b. Provided in a setting or activity with
				more than one patient participating, before a patient participates, the
				diagnoses, treatment needs, developmental levels, social skills, verbal skills,
				and personal histories, including any history of physical abuse or sexual
				abuse, of the patients participating are reviewed to ensure that the:
i. Health and safety of each patient is
				protected, and
ii. Treatment needs
				of each patient participating in the setting or activity are being
				met;
3. An
				acuity plan is developed, documented, and implemented for each unit in the
				behavioral health inpatient facility that:
a.
				Includes:
i. A method that establishes the
				types and numbers of personnel members that are required for each unit in the
				behavioral health inpatient facility to ensure patient health and safety,
				and
ii. A policy and procedure
				stating the steps the behavioral health inpatient facility will take to obtain
				or assign the necessary personnel members to address patient acuity;
b. Is used when making assignments
				for patient treatment; and
c. Is
				reviewed and updated, as necessary, at least once every 12 months;
4. A patient is assigned to a unit
				in the behavioral health inpatient facility based, as applicable, on the
				patient's:
a. Presenting issue,
b. Substance abuse history,
c. Behavioral health treatment
				history,
d. Acuity, and
e. Treatment needs; and
5. A patient does not share any space,
				participate in any activity or treatment, or verbally or physically interact
				with any other patient that, based on the other patient's documented diagnosis,
				treatment needs, developmental levels, social skills, verbal skills, and
				personal history, may present a threat to the patient's health and
				safety.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-316 - Seclusion; Restraint

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that restraint is provided according to the
				requirements in subsection (C).
B.
				An administrator of a behavioral health inpatient facility authorized to
				provide seclusion shall ensure that:
1.
				Seclusion is provided according to the requirements in subsection
				(C);
2. If a patient is placed in
				seclusion, the room used for seclusion:
a. Is
				approved for use as a seclusion room by the Department;
b. Is not used as a patient's bedroom or a
				sleeping area;
c. Allows full view
				of the patient in all areas of the room;
d. Is free of hazards, such as unprotected
				light fixtures or electrical outlets;
e. Contains at least 60 square feet of floor
				space; and
f. Except as provided in
				subsection (B)(3), contains a non-adjustable bed that:
i. Consists of a mattress on a solid platform
				that is:
(1) Constructed of a durable,
				non-hazardous material; and
(2)
				Raised off of the floor;
ii. Does not have wire springs or a storage
				drawer; and
iii. Is securely
				anchored in place;
3. If a room used for seclusion does not
				contain a non-adjustable bed required in subsection (B)(2)(f):
a. A piece of equipment is available that:
i. Is commercially manufactured to safely and
				humanely restrain a patient's body;
ii. Provides support to the trunk and head of
				a patient's body;
iii. Provides
				restraint to the trunk of a patient's body;
iv. Is able to restrict movement of a
				patient's arms, legs, body, and head;
v. Allows a patient's body to recline;
				and
vi. Does not inflict harm on a
				patient's body; and
b.
				Documentation of the manufacturer's specifications for the piece of equipment
				in subsection (B)(3)(a) is maintained; and
4. A seclusion room may be used for services
				or activities other than seclusion if:
a. A
				sign stating the service or activity scheduled or being provided in the room is
				conspicuously posted outside the room;
b. No permanent equipment other than the bed
				required in subsection (B)(2)(f) is in the room;
c. Policies and procedures:
i. Delineate which services or activities
				other than seclusion may be provided in the room,
ii. List what types of equipment or supplies
				may be placed in the room for the delineated services, and
iii. Provide for the prompt removal of
				equipment and supplies from the room before the room is used for seclusion;
				and
d. The sign required
				in subsection (B)(4)(a) and equipment and supplies in the room, other than the
				bed required in subsection (B)(2)(f), are removed before being used for
				seclusion.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-317 - Behavioral Health Observation/stabilization Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator of a behavioral health
				inpatient facility authorized to provide behavioral health
				observation/stabilization services shall comply with the requirements for
				behavioral health observation/stabilization services in R9-10-1012.
B. If a behavioral health inpatient facility
				is authorized to provide behavioral health observation/stabilization services
				to individuals under 18 years of age, an administrator shall ensure that, in
				addition to complying with the requirements in R9-10-1012, the behavioral
				health inpatient facility complies with the requirements for a patient under 18
				years of age, personnel records, and physical plant in R9-10-318.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-319 - Detoxification Services

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator of a behavioral health inpatient facility
				  authorized to provide detoxification services shall ensure that:
1. Detoxification services are
				available;
2. Policies and
				procedures state:
a. Whether the behavioral
				health inpatient facility is authorized to provide involuntary, court-ordered
				alcohol treatment;
b. Whether the
				behavioral health inpatient facility includes a local alcoholism reception
				center, as defined in A.R.S. §
										36-2021;
c. The types of substances for which the
				behavioral health inpatient facility provides detoxification services;
d. The detoxification process or
				processes used by the behavioral health inpatient facility; and
e. When an adjustable bed can be used by a
				patient and what actions are necessary, including supervision, to protect the
				patient's health and safety when the patient is in an adjustable bed;
				and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-320 - Medication Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that policies and procedures for medication
				services:
1. Include:
a. A process for providing information to a
				patient about medication prescribed for the patient including:
i. The prescribed medication's anticipated
				results,
ii. The prescribed
				medication's potential adverse reactions,
iii. The prescribed medication's potential
				side effects, and
iv. Potential
				adverse reactions that could result from not taking the medication as
				prescribed;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-321 - Food Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				behavioral health inpatient facility obtains a license or permit as a food
				establishment under 9 A.A.C. 8, Article 1;
2. A copy of the behavioral health inpatient
				facility's food establishment license or permit is maintained;
3. If a behavioral health inpatient facility
				contracts with a food establishment, as established in 9 A.A.C. 8, Article 1,
				to prepare and deliver food to the behavioral health inpatient facility:
a. A copy of the contracted food
				establishment's license or permit under 9 A.A.C. 8, Article 1 is maintained by
				the behavioral health inpatient facility; and
b. The behavioral health inpatient facility
				is able to store, refrigerate, and reheat food to meet the dietary needs of a
				patient;
4. A registered
				dietitian is employed full-time, part-time, or as a consultant; 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 meet the
				nutritional needs of the patients.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-322 - Emergency and Safety Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An administrator shall ensure that a behavioral health inpatient facility has:
1. A fire alarm system installed according to
				the National Fire Protection Association 72: National Fire Alarm and Signaling
				Code, incorporated by reference in R9-10-104.01, and a sprinkler system
				installed according to the National Fire Protection Association 13 Standard for
				the Installation of Sprinkler Systems, incorporated by reference in
				R9-10-104.01, that are in working order; or
2. An alternative method to ensure a
				patient's safety, documented and approved by the local jurisdiction.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-323 - Environmental Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. The
				premises and equipment are:
a. Cleaned and, if
				applicable, disinfected according to policies and procedures designed to
				prevent, minimize, and control illness or infection; and
b. Free from a condition or situation that
				may cause a patient or other individual to suffer physical injury;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 3 - BEHAVIORAL HEALTH INPATIENT FACILITIES › Section R9-10-324 - Physical Plant Standards

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that the premises and equipment are sufficient to
				accommodate:
1. The services stated in the
				behavioral health inpatient facility's scope of services, and
2. An individual accepted as a patient by the
				behavioral health inpatient facility.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-401 - 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 definitions apply in this Article unless otherwise specified:
1. "Administrator" has the same meaning as in
				A.R.S. §
									36-446.
2. "Care plan" means a documented description
				of physical health services and behavioral health services expected to be
				provided to a resident, based on the resident's comprehensive assessment, that
				includes measurable objectives and the methods for meeting the
				objectives.
3. "Direct care" means
				medical services, nursing services, or social services provided to a
				resident.
4. "Director of nursing"
				means an individual who is responsible for the nursing services provided in a
				nursing care institution.
5.
				"Highest practicable" means a resident's optimal level of functioning and
				well-being based on the resident's current functional status and potential for
				improvement as determined by the resident's comprehensive assessment.
6. "Intermittent" means not on a regular
				basis.
7. "Nursing care institution services" means medical
				services, nursing services, behavioral care, health-related services, ancillary
				services, social services, and environmental services provided to a
				resident.
8. "Resident group" means residents or residents'
				family members who:
a. Plan and participate in
				resident activities, or
b. Meet to
				discuss nursing care institution issues and policies.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-402 - 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 nursing care institution shall include:
1. In a Department-provided format whether
				the applicant:
a. Has:
i. A secured area for a resident with
				Alzheimer's disease or other dementia, or
ii. An area for a resident on a
				ventilator;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-403 - Administration

Current through Register Vol. 30, No. 28, July 12, 2024
A. A governing
				authority shall:
1. Consist of one or more
				individuals responsible for the organization, operation, and administration of
				a nursing care institution;
2.
				Establish, in writing, the nursing care institution's scope of
				services;
3. Designate, in writing,
				a nursing care institution administrator licensed according to A.R.S. Title 36,
				Chapter 4, Article 6;
4. Adopt a
				quality management program according to
				R9-10-404;
5. Review and evaluate the effectiveness of
				the quality management program at least once every 12 months;
6. Designate, in writing, an acting
				administrator licensed according to A.R.S. § Title 36, Chapter 4, Article
				6, if the administrator is:
a. Expected not to
				be present on the nursing care institution's premises for more than 30 calendar
				days, or
b. Not present on the
				nursing care institution's premises 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 submit a copy of the new administrator's
				license under A.R.S. Title 36, Chapter 4, Article 6 to the
				Department.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-404 - 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 4 - NURSING CARE INSTITUTIONS › Section R9-10-405 - 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 4 - NURSING CARE INSTITUTIONS › Section R9-10-406 - Personnel

Current through Register Vol. 30, No. 28, July 12, 2024
A. An administrator
				shall ensure that  a behavioral health
				technician or  behavioral health
				paraprofessional is at least 18 years old.
B. An administrator shall ensure that:
1. The qualifications, skills, and knowledge
				required for each type of personnel member:
a. Are based on:
i. The type of physical health services or
				behavioral health services expected to be provided by the personnel member
				according to the established job description, and
ii. The acuity of the residents receiving
				physical health services or behavioral health services from the personnel
				member according to the established job description; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-407 - Admission

Current through Register Vol. 30, No. 28, July 12, 2024
An administrator shall ensure that:
1. A resident is admitted only on a
				physician's order;
2. The
				physician's admitting order includes the nursing care institution services
				required to meet the immediate needs of a resident, such as medication and food
				services;
3. At the time of a
				resident's admission, a registered nurse conducts or coordinates an initial
				assessment on a resident to ensure the resident's immediate needs for nursing
				care institution services are met;
4. A resident's needs do not exceed the
				medical services and nursing services available at the nursing care institution
				as established in the nursing care institution's scope of services;
5. Before or at the time of admission, a
				resident or the resident's representative:
a.
				Receives a documented agreement with the nursing care institution that includes
				rates and charges,
b. Is informed
				of third-party coverage for rates and charges,
c. Is informed of the nursing care
				institution's refund policy, and
d.
				Receives written information concerning the nursing care institution's policies
				and procedures related to a resident's health care directives;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-408 - Transfer; Discharge

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. A
				resident is transferred or discharged if:
a.
				The nursing care institution 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 nursing care institution; and
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING › Article 4 - NURSING CARE INSTITUTIONS › Section R9-10-409 - Transport

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as
				provided in subsection (B), an administrator shall ensure that:
1. A personnel member 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 4 - NURSING CARE INSTITUTIONS › Section R9-10-410 - 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 4 - NURSING CARE INSTITUTIONS › Section R9-10-411 - 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 4 - NURSING CARE INSTITUTIONS › Section R9-10-412 - Nursing Services

Current through Register Vol. 30, No. 28, July 12, 2024
A. An
				administrator shall ensure that:
1. Nursing
				services are provided 24 hours a day in a nursing care institution;
2. A director of nursing is appointed who:
a. Is a registered nurse,
b. Works full-time at the nursing care
				institution, and
c. Is responsible
				for the direction of nursing services;
3. The director of nursing or an individual
				designated by the administrator participates in the quality management program;
				and
4. If the daily census of the
				nursing care institution is 60 or more, the director of nursing does not
				provide direct care to residents on a regular basis.