reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 14 - EMERGENCY OPERATIONS PLAN (EOP) › Rule 15-16-1-45.14.1

Current through June 25, 2024
The Licensed Entity shall develop and maintain a written
						preparedness plan utilizing the Emergency Operations Plan (EOP) Template
						developed by the Mississippi State Department of Health, Office of Emergency
						Planning and Response. "All Hazards" and "Whole Community" approach to
						emergency and disaster planning. The plan must include procedures to be
						followed in the event of any pandemic, act of terrorism, or man-made or natural
						disaster as appropriate for the specific geographical location. The final draft
						of the Emergency Operations Plan (EOP), will be reviewed by the Office of
						Emergency Planning and Response, Mississippi State Department of Health, or
						their designees, for conformance with the "All Hazards Emergency Preparedness
						and Response Plan." Particular attention shall be given to critical areas of
						concern which may arise during any "All Hazards" emergency whether required to
						evacuate or to sustain in place. Additional plan criteria or a specified EOP
						format may be required as deemed necessary by the Office of Emergency Planning
						and Response. The nine (9) critical areas of consideration are: (disaster
						drills)
1. Communications - Facility
					 status reports shall be submitted in a format and a frequency as required by
					 the Office of Emergency Planning and Response;
2. Resources and Assets;
3. Safety and Security;
4. Staffing;
5. Utilities;
6. Clinical Activities;
7. Exercises - Exercises shall be conducted a
					 minimum of two (2) times per year;
8. Smoke Detectors/Extinguishers (refer to
					 NFPA 10 and NFPA 72); and
9.
					 Continuity of Operations Planning (COOP) to include surge and alternate care
					 sites.
Emergency Operations Plans (EOPs) must be exercised and
						reviewed annually or as directed by the Office of Emergency Planning and
						Response. Written evidence of current verification or review of provider EOPs,
						by the Office of Emergency Planning and Response, shall accompany all
						applications for facility license renewals.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 14 - EMERGENCY OPERATIONS PLAN (EOP) › Rule 15-16-1-45.14.2

Current through June 25, 2024
1. Fire Drills. Fire drills shall be
					 conducted one (1) per shift per quarter. Employees shall participate in a fire
					 drill at least four (4) times per year.
2. Written Records. Written records of all
					 drills shall be maintained, indicating content of and attendance at each
					 drill.
3. A fire evacuation plan
					 for the facility shall be posted in each facility in a conspicuous place and
					 kept current.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 15 - PHYSICAL FACILITIES › Rule 15-16-1-45.15.1 - Administration Facilities

Current through June 25, 2024
Each facility shall provide an office space and/or
						administrative office(s).
1. As a
					 minimum, the office space and/or administrative office(s) shall be provided
					 with a desk, file drawer or cabinet, and related office equipment and
					 supplies.
2. Facilities caring for
					 twenty-five (25) or more residents should provide a separate room(s) for these
					 facilities.
3. Each facility should
					 provide a waiting room or space for the public.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 15 - PHYSICAL FACILITIES › Rule 15-16-1-45.15.2 - Communication Facilities

Current through June 25, 2024
Each facility shall have an adequate number of telephones
						and extensions to summon help in case of fire or other emergency, and these
						shall be located so as to be quickly accessible from all parts of the building.
						The telephone shall be listed under the official licensed name of the
						facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.1 - General

Current through June 25, 2024
Each facility shall submit such records and reports as
						the licensing agency may request.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.2 - Annual Report

Current through June 25, 2024
An annual report shall be submitted to the licensing
						agency by each facility upon such uniform dates and shall contain such
						information in such form as the licensing agency prescribes.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.3 - Criminal History Record Checks

Current through June 25, 2024
1.
Employee
. For the purpose of fingerprinting and criminal
					 background history checks, employee shall mean any individual employed by a
					 covered entity. The term employee", also includes any individual who by
					 contract with the covered entity provides direct patient care in a patient's,
					 resident's, or client's room or in treatment rooms. The term "employee" does
					 not include healthcare professional/technical students, as defined in Section
					 37-29-232, performing clinical
					 training in a licensed entity under contracts between their schools and the
					 licensed entity, and does not include students at high schools who observe the
					 treatment and care of patients in a licensed entity as part of the requirements
					 of an allied health course taught in the school if:
A. The student is under the supervision of a
					 licensed healthcare provider;
B.
					 The student has signed the affidavit that is on file at the student's school
					 stating that he or she has not been convicted of or plead guilty or nolo
					 contendere to a felony of possession or sale of drugs, murder, manslaughter,
					 armed robbery, rape, sexual battery, any sex offenses listed in section
					 45-33-23(g),
					 child abuse, arson, grand larceny, burglary, gratification of lust, aggravated
					 assault, or felonious abuse and/or battery of a vulnerable adult, or that any
					 such conviction or plea was reversed on appeal or a pardon was granted for the
					 conviction or plea; and
C. Further,
					 applicants and employees of the University of Mississippi Medical Center for
					 whom criminal history record checks and fingerprinting are obtained in
					 accordance with Section
					 37-115-41 are exempt from
					 application of the term employee under Section
					 43-11-13.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.4 - Employee Health Screening

Current through June 25, 2024
All staff of a facility shall receive a health screening
						by a licensed physician, registered nurse, or nurse practitioner/physician
						assistant prior to employment and annually thereafter. The extent of the
						screening shall be determined by committee consisting of at least a licensed
						physician, nurse practitioner/physician assistant or a registered nurse, and
						the facility's administrator.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.5 - Employee Testing for Tuberculosis

Current through June 25, 2024
1. Each employee,
					 upon employment of a licensed entity and prior to contact with any
					 patient/client, shall be evaluated for tuberculosis by one of the following
					 methods:
a. IGRA (blood test) and an
					 evaluation of the individual for signs and symptoms of tuberculosis by medical
					 personnel; or
b. A two-step
					 Mantoux tuberculin skin test administered and read by a licensed
					 medical/nursing person certified in the techniques of tuberculin testing
and
an evaluation of the individual for signs and symptoms of
					 tuberculosis by a licensed Physician, Physician's Assistant, Nurse Practitioner
					 or a Registered Nurse.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.6 - Admission Record-Personal Information

Current through June 25, 2024
Each facility shall prepare a record on each resident at
						the time of admission on which the following minimum information shall be
						recorded: name; date of admittance; address at the time of admittance; race;
						sex; marital status; religious preference; date of birth; name; address, and
						telephone number of person responsible for resident and his/her relationship to
						him/her; and name and telephone number of physician or nurse
						practitioner/physician assistant. The date and reason for discharge shall be
						entered upon discharge of a resident.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 16 - RECORDS AND REPORTS › Rule 15-16-1-45.16.7 - Reporting of Tuberculosis Testing

Current through June 25, 2024
The facility shall report and comply with the annual MSDH
						TB Program surveillance procedures.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 17 - RESIDENTS RIGHTS › Rule 15-16-1-45.17.1 - General

Current through June 25, 2024
The facility shall maintain written policies and
						procedures regarding the rights and responsibilities of residents. These
						written policies and procedures shall be established in consultation with
						residents or responsible parties. Written policies and procedures regarding
						residents' rights shall be made available to residents or their guardian, next
						of kin, sponsoring agency or agencies, or lawful representative and to the
						public. There shall be documented evidence that the staff of the facility is
						trained and involved in the implementation of these policies and procedures.
						In-service on residents' rights and responsibilities shall be conducted
						annually. These rights and responsibilities shall be posted throughout the
						facility for the benefit of all staff and residents.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 17 - RESIDENTS RIGHTS › Rule 15-16-1-45.17.3

Current through June 25, 2024
All rights and responsibilities specified in paragraph
						(1) through (16) of Section Rule 45.17.2, as they pertain to (1) a resident
						adjudicated incompetent in accordance with State law, (2) a resident who is
						found by his physician or nurse practitioner/physician assistant to be
						medically incapable of understanding these rights, or (3) a resident who
						exhibits a communication barrier, devolve to and shall be exercised by the
						resident's guardian, next of kin, sponsoring agencies, or representative payee
						(except when the facility is representative payee).
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 18 - STAFF DEVELOPMENT › Rule 15-16-1-45.18.1 - Orientation

Current through June 25, 2024
Each employee shall receive thorough orientation to the
						position, the facility, and its policies.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 18 - STAFF DEVELOPMENT › Rule 15-16-1-45.18.2 - In-service Training

Current through June 25, 2024
Appropriate in-service education programs shall be
						provided to all employees on an on-going basis.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 18 - STAFF DEVELOPMENT › Rule 15-16-1-45.18.3 - Training Records

Current through June 25, 2024
A written record shall be maintained of all orientation
						and in-service training sessions.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 18 - STAFF DEVELOPMENT › Rule 15-16-1-45.18.4 - Administrator Mentoring

Current through June 25, 2024
Administrators shall be scheduled to spend two (2)
						concurrent days with the licensing agency for the purpose of training and
						mentoring. Placement of an administrator with the licensing agency may include,
						but not be limited to, assignments within the licensing agency's central
						offices or placement with a survey team. Any costs associated with placements
						for the purposes of this section shall be borne by the licensed facility at
						which the administrator is employed. The administrator shall keep confidential
						and not disclose to any other persons any identifying information about any
						person or entity that he/she learned while observing operations as required by
						this section, except as otherwise mandated by law.
1. This section shall apply to administrators
					 who:
a. received their license from the
					 Mississippi Board of Nursing Home Administrators on or after January 1, 2002;
					 and
b. have been employed by a
					 licensed facility for less than six (6) months, during which time the placement
					 must be completed.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 18 - STAFF DEVELOPMENT › Rule 15-16-1-45.18.5 - Surveyor Mentoring

Current through June 25, 2024
Surveyors shall be scheduled to spend two (2) concurrent
						days with a licensed facility for the purpose of training and mentoring.
						Selection of a licensed facility for placement of the surveyor shall be done at
						the discretion of the licensing agency, except no licensed facility shall be
						required to accept more than two (2) placements in any calendar year. Upon
						completion of said training, the surveyor shall not participate in a survey of
						the same licensed facility for a period not to exceed one year from the date of
						training placement. Any costs associated with the placement of a surveyor for
						the purposes of this section shall be borne by the licensing agency. The
						surveyor shall keep confidential and not disclose to any other persons any
						identifying information about any person or entity that the surveyor learned
						while observing operations as required by this section, except as otherwise
						mandated by law.
1. This section shall
					 apply to surveyors who have been employed by the licensing agency in a surveyor
					 capacity for less than six (6) months, during which time the placement must be
					 completed.
2. This section shall
					 not apply to surveyors who were previously employed by a licensed
					 facility.
3. Failure to
					 successfully complete the placement required under this section shall
					 disqualify the surveyor from serving in such capacity for the licensing agency
					 until a placement is completed.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.1 - Nursing Unit

Current through June 25, 2024
Medical, nursing, and personal service shall be provided
						in a specifically designated area which shall include bedrooms, special care
						room(s), nurses' station, utility room, toilet and bathing facilities, linen
						and storage closets, and wheelchair space. The maximum nursing unit shall be
						sixty (60) beds.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.2 - Bedrooms

Current through June 25, 2024
1. Location.
a. All resident bedrooms shall have an
					 outside exposure and shall not be below grade. Window area shall not be less
					 than one-eighth (1/8) of the required floor area. The window sill shall not be
					 over thirty-six (36) inches from the floor.
b. Resident bedrooms shall be located so as
					 to minimize the entrance of unpleasant odors, excessive noise, and other
					 nuisances.
c. Resident bedrooms
					 shall be directly accessible from the main corridor of the nursing unit
					 providing that accessibility from any public space other than the dining room
					 will be acceptable. In no case shall a resident bedroom be used for access to
					 another resident bedroom.
d. All
					 resident bedrooms shall be so located that the resident can travel from his/her
					 bedroom to a living room, day room, dining room, or toilet or bathing facility
					 without having to go through another resident bedroom.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.3 - Special Care Room

Current through June 25, 2024
Each facility shall have a special care room which shall
						be a single bedroom with at least a private half bath (lavatory and water
						closet). There shall be a special care room for each thirty (30) beds or major
						fraction thereof. A special care room shall meet the requirements of Rule
						45.20.2(3) and may be located anywhere in the building rather than a certain
						number per station.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.4 - Nurses' Station

Current through June 25, 2024
1. Each facility
					 shall have a nurses' station for each nursing unit. The nurses' station
					 includes as minimum the following:
a.
					 Annunciator board or other equipment for resident's call.
b. The minimum areas of the medicine
					 storage/preparation room shall be seventy-five (75) square feet.
c. Storage space for residents' medical
					 records and nurses' charts.
d.
					 Lavatory or sink with disposable towel dispenser.
e. Desk or counter top space adequate for
					 recording and charting purposes by physicians, nurse practitioners/physician
					 assistants, and nurses.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.5 - Utility Room

Current through June 25, 2024
Each facility shall provide a separate utility room for
						soiled and clean resident care equipment, such as bed pans, urinals, etc. The
						soiled utility room shall contain, as a minimum, the following
						equipment.
1. Provision for cleaning
					 utensils such as bed pans, urinals, et cetera.
2. Lavatory or sink and disposable towel
					 dispenser. The utility room for clean equipment shall have suitable
					 storage.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.6 - Toilet and Bathing Facilities

Current through June 25, 2024
1. Lavatory, toilet
					 and bathing facilities shall be provided in each nursing unit as follows:
a. Bathing Facilities 2 per nursing
					 unit
b. Combination toilet and
					 lavatory 2 per nursing unit
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 19 - MEDICAL, NURSING, AND PERSONAL SERVICES: PHYSICAL FACILITIES › Rule 15-16-1-45.19.7 - Other rooms and areas

Current through June 25, 2024
In addition to the above facilities, each nursing unit
						shall include the following rooms and areas:
1. linen closet;
2. wheelchair space.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 20 - REQUIREMENTS FOR ADMISSION › Rule 15-16-1-45.20.1 - Physical Examination Required

Current through June 25, 2024
Each resident shall be given a complete physical
						examination 30 days prior to admission and annually thereafter, including a
						history of tuberculosis exposure and an assessment for signs and symptoms of
						tuberculosis, by a licensed physician or nurse practitioner/physician
						assistant. The findings shall be entered as part of the Admission Record. The
						report of the examination shall include:
1. Orders, dated and signed, by a physician
					 or nurse practitioner/physician assistant for the immediate care of the
					 resident to include medication treatment, activities, and diet.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 20 - REQUIREMENTS FOR ADMISSION › Rule 15-16-1-45.20.2 - Tuberculosis (TB)

Current through June 25, 2024
Admission Requirements to Rule Out Active Tuberculosis
						(TB)
1. The following are to be
					 performed and documented within 30 days prior to the resident's admission to
					 the "Licensed facility":
a. TB signs and
					 symptoms assessment by a licensed Physician, Physician's Assistant or a
					 Licensed Nurse Practitioner, and
b.
					 A chest x-ray taken and a written interpretation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 20 - REQUIREMENTS FOR ADMISSION › Rule 15-16-1-45.20.3 - Transfer to another facility or return of a resident to respite care

Current through June 25, 2024
Transfer to another facility or return of a resident to
						respite care shall be based on the above tests (Rule 47.12.3 ) if done within
						the past 12 months and the patient has no signs and symptoms of
						TB.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 20 - REQUIREMENTS FOR ADMISSION › Rule 15-16-1-45.20.4 - Transfer to a Hospital or Visit to a Physician Office

Current through June 25, 2024
If a resident has signs or symptoms of active TB (i.e.,
						is a TB suspect) the licensed facility shall notify the MSDH, the hospital,
						transporting staff and the physician's office prior to transferring the
						resident to a hospital. Appropriate isolation and evaluation shall be the
						responsibility of the hospital and physician. If a resident has or is suspected
						to have active TB, prior written approval for admission or readmission to the
						facility is required from the MSDH TB State Consultant.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.1 - Service Beyond Capability of the Home

Current through June 25, 2024
Whenever a resident requires hospitalization or medical,
						nursing, or other care beyond the capabilities and facilities of the home,
						prompt effort shall be made to transfer the patient/resident to a hospital or
						other appropriate medical facility. In regard to the transfer of a ventilator
						dependent patient to another hospital or other location, the facility shall
						assure that equipment as necessary and a trained and competent registered
						nurse, respiratory therapist, nurse practitioner, physician's assistant or a
						physician accompany the patient/resident to the receiving
						hospital/location.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.2 - Activities of Daily Living

Current through June 25, 2024
Each resident shall receive assistance as needed with
						activities of daily living to maintain the highest practicable well-being.
						These shall include, but not be limited to:
1. Bath, dressing and grooming;
2. Transfer and ambulate;
3. Good nutrition, personal and oral hygiene;
					 and
4. Toileting.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.3 - Pressure Sores

Current through June 25, 2024
Residents with a pressure sore shall receive necessary
						treatment and service to promote healing and prevent the development of new
						pressure sores. Residents without pressure sores will not develop pressure
						sores unless the residents' clinical condition indicates they were
						unavoidable.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.4 - Urinary Incontinence

Current through June 25, 2024
Residents with urinary incontinence shall be assessed for
						need of bladder retraining program. An indwelling catheter will not be used
						unless the resident's clinical condition indicates that catheterization is
						necessary. These residents shall receive treatment and services to prevent
						urinary tract infections.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.5 - Range of Motion

Current through June 25, 2024
Residents with limited range of motion shall receive
						treatment and services to increase range of motion or prevent further decline
						in range of motion.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.6 - Mental and Psychosocial

Current through June 25, 2024
A resident who displays adjustment difficulty receives
						appropriate treatment and services to address the assessed
						problem.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.7 - Gastric Feeding

Current through June 25, 2024
Residents who are eating alone or with assistance are not
						fed by a gastric tube unless their clinical condition indicates that the use of
						a gastric feeding tube is unavoidable. The residents who are fed by a gastric
						tube receive the treatment and services to prevent complications or to restore,
						if possible, normal eating skills.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.8 - Accidents

Current through June 25, 2024
The facility shall ensure that the residents' environment
						remains as free of accident hazards as possible, and adequate supervision shall
						be provided to prevent accidents. If an unexplained accident occurs, this
						injury must be investigated and reported to appropriate state
						agencies.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.9 - Nutrition

Current through June 25, 2024
Residents shall maintain acceptable parameters of
						nutritional status, such as body weight and protein levels, unless residents'
						clinical condition indicates that this is unavoidable. All residents shall
						receive diets as orders by their physician or nurse practitioner/physician
						assistant. Residents identified with significant nutritional problems shall
						receive appropriate medical nutrition therapy based on current professional
						standards.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.10 - Hydration

Current through June 25, 2024
Each resident shall be provided sufficient fluid intake
						to maintain proper hydration and health.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 21 - RESIDENT CARE › Rule 15-16-1-45.21.11 - Special Needs

Current through June 25, 2024
Each resident with special needs shall receive proper
						treatment and care. These special needs shall include but are not limited to
						injections; parenteral and enteral fluids; colostomy, ureterostomy, ileostomy
						care; tracheostomy care; tracheal suction; respiratory care; foot care; and
						prostheses.
Miss. Code
						Ann. §
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 22 - PHYSICIAN SERVICES › Rule 15-16-1-45.22.1 - General

Current through June 25, 2024
A physician shall personally approve in writing a
						recommendation that an individual be admitted to a facility.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 22 - PHYSICIAN SERVICES › Rule 15-16-1-45.22.2 - Designated physician

Current through June 25, 2024
Each resident shall have a designated physician or nurse
						practitioner/physician assistant who is responsible for their care. In the
						absence of the designated physician or nurse practitioner/physician assistant,
						another physician or nurse practitioner/physician assistant shall be designated
						to supervise the resident medical care.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 22 - PHYSICIAN SERVICES › Rule 15-16-1-45.22.3 - Emergency physician

Current through June 25, 2024
The facility shall arrange for the provision of physician
						or nurse practitioner/physician assistant services twenty-four (24) hours a day
						in case of an emergency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 22 - PHYSICIAN SERVICES › Rule 15-16-1-45.22.4 - Physician visit

Current through June 25, 2024
The resident shall be seen by a physician or nurse
						practitioner every sixty (60) days.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 23 - REHABILITATIVE SERVICES › Rule 15-16-1-45.23.1 - Rehabilitative services

Current through June 25, 2024
Residents shall be provided rehabilitative services as
						needed upon the written orders of an attending physician or nurse
						practitioner.
1. The therapies shall
					 be provided by a qualified therapist.
2. Appropriate equipment and supplies shall
					 be provided.
3. Each resident's
					 medical record shall contain written evidence that services are provided in
					 accordance with the written orders of an attending physician or nurse
					 practitioner/physician assistant.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.1 - General

Current through June 25, 2024
The facility shall provide routine drugs, emergency drugs
						and biologicals to its residents or obtain them by agreement.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.2 - Policies and procedures

Current through June 25, 2024
Each facility shall have policies and procedures to
						assure the following:
1. Accurate
					 acquiring;
2. Receiving;
3. Dispensing;
4. Storage; and
5. Administration of all drugs and
					 biologicals.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.3 - Consultation

Current through June 25, 2024
Each facility shall obtain the services of a licensed
						pharmacist who will be responsible for:
1. Establishing a system of records of
					 receipt and disposition of all controlled drugs and to determine that drug
					 records are in order and that an account of all controlled drugs are maintained
					 and reconciled;
2. Provide drugs
					 regimen review in the facility on each resident every thirty (30) days by a
					 licensed pharmacist;
3. Report any
					 irregularities to the attending physician or nurse practitioner/physician
					 assistant and the director or nursing; and
4. Records must reflect that the consultation
					 pharmacist monthly report is acted upon.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.4 - Labeling of drugs

Current through June 25, 2024
Each facility shall follow the Mississippi State Board of
						Pharmacy labeling requirements.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.5 - Disposal of drugs

Current through June 25, 2024
1. Unused portions
					 of medicine may be given to a discharged resident or the responsible party upon
					 orders of the prescribing physician or nurse practitioner/physician
					 assistant.
2. Drugs and
					 pharmaceuticals discontinued by the written orders of an attending physician or
					 nurse practitioner/physician assistant or left in the facility on discharge or
					 death of the resident will be disposed of according to the Mississippi State
					 Board of Pharmacy disposal requirements.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 24 - PHARMACY SERVICES › Rule 15-16-1-45.24.6 - Poisonous Substances

Current through June 25, 2024
All poisonous substances such as insecticides, caustic
						cleaning agents, rodenticide, and other such agents must be plainly labeled and
						kept in locked cabinet or closet. No substances of this type shall be kept in
						the following areas: kitchen, dining area, food storage room or pantry,
						medicine cabinet or drug room, resident's bedroom or toilet, public rooms, or
						spaces.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 25 - MEDICAL RECORDS SERVICES › Rule 15-16-1-45.25.1

Current through June 25, 2024
1. A medical record shall be maintained in
					 accordance with accepted professional standards and practices on all residents
					 admitted to the facility. The medical records shall be completely and
					 accurately documented, readily accessible, and systematically organized to
					 facilitate retrieving and compiling information.
2. A sufficient number of personnel,
					 competent to carry out the functions of the medical record service, shall be
					 employed.
3. The facility shall
					 safeguard medical record information against loss, destruction, or unauthorized
					 use.
4. All medical records shall
					 maintain the following information: identification data and consent form;
					 assessments of the resident's needs by all disciplines involved in the care of
					 the resident; medical history and admission physical exam; annual physical
					 exams; physician or nurse practitioner/physician assistant orders; observation,
					 report of treatment, clinical findings and progress notes; and discharge
					 summary, including the final diagnosis.
5. All entries in the medical record shall be
					 signed and dated by the person making the entry. Authentication may include
					 signatures, written initials, or computer entry. A list of computer codes and
					 written signatures must be readily available and maintained under adequate
					 safeguards.
6. All clinical
					 information pertaining to the residents stay shall be centralized in the
					 resident's medical records.
7.
					 Medical records of discharged residents shall be completed within sixty (60)
					 days following discharge.
8.
					 Medical records are to be retained for five (5) years from the date of
					 discharge or, in the case of a minor, until the resident reaches the age of
					 twenty-one (21), plus an additional three (3) years.
9. A resident index, including the resident's
					 full name and birth date, shall be maintained.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 26 - SOCIAL SERVICES AND RESIDENT ACTIVITIES › Rule 15-16-1-45.26.1 - Program

Current through June 25, 2024
Each facility shall provide services to assist all
						residents in dealing with social and related problems through one or more case
						workers on the staff of the facility or through arrangements with an
						appropriate outside agency.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 26 - SOCIAL SERVICES AND RESIDENT ACTIVITIES › Rule 15-16-1-45.26.2 - Records

Current through June 25, 2024
Social services information concerning each resident
						shall be obtained and kept. This information shall cover social and emotional
						factors related to the resident's condition and information concerning his home
						situation, financial resources and relationships with other
						people.
Miss. Code Ann.
						§
												43-11-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 45 - MINIMUM STANDARDS OF OPERATION FOR INSTITUTIONS FOR THE AGED OR INFIRM › Subchapter 26 - SOCIAL SERVICES AND RESIDENT ACTIVITIES › Rule 15-16-1-45.26.3 - Training

Current through June 25, 2024
All nursing personnel and employees having contact with
						resident shall receive social service orientation and in-service training
						toward understanding emotional problems and social needs of
						residents.
Miss. Code Ann.
						§
												43-11-13