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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 44 - BAN ON ADMISSIONS PROCEDURE › Rule 15-16-1-49.44.1 - Ban on Admissions

Current through June 25, 2024
If an immediate jeopardy is found to exist in an ICF-IID
						and/or in an ICF-IID residential community home as applicable, written notice
						of the determination shall be provided by the licensing agency to the ICF-IID
						or the ICF-IID Residential Community Home along with the notification that a
						ban on all admissions is to be imposed five calendar (5) days after the receipt
						of the notice by the ICF-IID and/or the ICF-IID residential community home
						unless a hearing is requested within five (5) calendar days following receipt
						of the notice from the licensing agency. If a hearing is requested by the
						ICF-IID, the administrative procedures established under Rule 49.9.1 shall be
						applied.
1. If the agency's
					 determination of noncompliance or Immediate Jeopardy on the day of the
					 licensure visit/ survey is confirmed, a ban on all admissions shall be imposed
					 until the ICF-IID or the ICF-IID residential community home achieves compliance
					 and such compliance is verified by the licensing agency. The licensing agency
					 will verify compliance of the ICF-IID and/or the ICF-residential community
					 home's corrective actions as soon as possible, but not later than 15 working
					 days after the licensing agency receives an acceptable allegation of compliance
					 and/or an acceptable plan of correction from the ICF-IID or the ICF-IID
					 residential community home. If the hearing determines that an Immediate
					 Jeopardy situation did not exist, as applicable, on the day of the
					 licensure/survey visit, no ban on all admissions will be imposed.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 45 - STATE MONITORING › Rule 15-16-1-49.45.1 - State Monitoring

Current through June 25, 2024
Monitors are identified by the licensing agency as
						appropriate professionals to monitor cited deficiencies. A monitor shall meet
						the guidelines regarding conflicts of interests as follows:
1. The monitor does not currently work, or,
					 within the past two (2) years, has worked as an employee, as employment agency
					 staff at the ICF-IID and/or at the ICF-IID residential community home or as an
					 officer, consultant, or agent for the ICF-IID and/or the ICF-IID Residential
					 Community Home to be monitored.
2.
					 The monitor has no financial interest or any ownership interest in the ICF-IID
					 and/or the ICF-IID Residential Community Home.
3. The monitor has no immediate family member
					 who has a relationship with the ICF-IID and/or the ICF-IID Residential
					 Community Home to be monitored.
4.
					 The monitor has no immediate family member who is a client in the ICF-IID
					 and/or the ICF-IID Residential Community Home.
5. If an ICF-IID has not achieved substantial
					 compliance within five (5) months of the annual licensure survey, the remedy of
					 state monitoring will be imposed as determined by the licensing
					 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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 45 - STATE MONITORING › Rule 15-16-1-49.45.2 - Compensation and Per Diem Costs

Current through June 25, 2024
All compensation and per diem costs of the State Monitor
						shall be paid by the ICF-IID and/or the ICF-IID Residential Community Home. The
						licensing agency shall bill the ICF-IID and/or the ICF-IID Residential
						Community Home for the costs of the State Monitor after termination of the
						monitoring services. The costs of the State Monitor for any weekly forty (40)
						hour period (forty [40] hours per week) shall not exceed the maximum allowable
						owner/administrator salary of a like sized ICF-IID as described in the
						Mississippi State Medicaid Plan. Within fifteen (15) days of receipt of the
						bill, the ICF-IID and/or the ICF-IID Residential Community Home shall pay the
						bill or request an administrative hearing to contest the costs for which it was
						billed.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 45 - STATE MONITORING › Rule 15-16-1-49.45.3 - Recommendation

Current through June 25, 2024
If the ICF-IID and/or the ICF-IID Residential Community
						Home has not achieved substantial compliance with licensure requirements within
						six (6) months from the annual survey date, the licensing agency may revoke the
						license of the ICF-IID and/or the ICF-IID Residential Community
						Home.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 46 - DIRECTED PLAN OF CORRECTION › Rule 15-16-1-49.46.1 - Directed Plan of Correction

Current through June 25, 2024
Directed Plan of Correction as defined under Rule 49.43.
						1 may be imposed as follows:
1. The
					 ICF-IID and/or the ICF-IID residential community home will be provided an
					 opportunity to submit an acceptable Plan of Correction resultant to survey
					 findings. If the licensing agency does not receive an acceptable plan of
					 correction, the licensing agency may impose one or more of the following
					 remedies:
a. Directed Plan of Correction;
					 and
b. Revocation of State
					 License.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.1 - Recommendation for Appointment of Temporary Management

Current through June 25, 2024
If the licensing agency recommends the appointment of a
						temporary manager, the recommendation shall specify the grounds upon which such
						recommendation is based, including an assessment of the capability of the
						ICF-IID and/or ICF-IID residential community home's current management to
						achieve and maintain compliance with all Licensure
						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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.2 - Notice of Imposition of Temporary Management

Current through June 25, 2024
A temporary manager may be imposed fifteen (15) days
						after the ICF-IID and/or the ICF-IID residential community home receives notice
						when a determination of an immediate jeopardy finding.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.3 - Conditions of Temporary Management

Current through June 25, 2024
The management of an ICF-IID or an ICF-IID residential
						community home must agree to relinquish control to the temporary manager and to
						pay his/her salary before the temporary manager can be installed in the ICF-IID
						and/or the ICF-IID residential community home.
1. The ICF-IID cannot retain final authority
					 to approve changes of personnel or expenditures of ICF-IID funds and be
					 considered to have relinquished control to the temporary manager.
2. The temporary manager must be given access
					 to all ICF-IID bank accounts.
3.
					 The temporary manager's salary/per diem fee shall not exceed the maximum
					 allowable owner/administrator salary of a like sized ICF-IID as described in
					 the Mississippi State Medicaid Plan
4. All compensation and per diem costs of the
					 temporary manager shall be paid by the ICF-IID and/or the ICF-IID residential
					 community home. The licensing agency shall bill the ICF-IID for the costs of
					 the temporary manager after termination of temporary management. Within fifteen
					 (15) days of receipt of the bill, the ICF-IID shall pay the bill or request an
					 administrative hearing to contest the costs for which it was billed.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.4 - Selection of Temporary Manager

Current through June 25, 2024
The licensing agency shall compile and maintain a list
						of individuals eligible to serve as temporary managers. The temporary manager
						must possess a Mississippi nursing home administrator's license. A contractual
						agreement will be executed between the temporary manager and the licensing
						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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.5 - Eligibility of Temporary Manager

Current through June 25, 2024
The following individuals are not eligible to serve as
						temporary managers:
1. Any individual
					 who has been found guilty of misconduct by any licensing board or professional
					 society in any State; or
a. Any individual
					 who has, or whose immediate family members have, any financial interest in or
					 pre-existing fiduciary duty to the ICF-IID and/or the ICF-IID residential
					 community home to be managed. Indirect ownership interest, such as through a
					 mutual fund, does not constitute financial interest for the purpose of this
					 restriction; or
b. Any individual
					 who currently serves or, within the past two (2) years, has served as a member
					 of the staff of the ICF-IID and/or the ICF-IID residential community home or
					 has a pre-existing fiduciary duty to the ICF-IID and/or the ICF-IID residential
					 community home;
c. Any individual
					 who does not possess sufficient training, expertise, and experience in the
					 operation of an ICF-IID and/or an ICF-IID residential community home as would
					 be necessary to achieve the objectives of temporary management; or
d. Any individual who at the time of the
					 imposition of temporary management could stand to gain an unfair competitive
					 advantage by being appointed as temporary manager of the ICF-IID and/or the
					 ICF-IID residential community home.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.6 - Condition of Appointment

Current through June 25, 2024
As a condition of appointment, the temporary manager
						must agree not to purchase, lease, or manage the ICF-IID and/or the ICF-IID
						residential community home for a period of two (2) years following the end of
						the temporary management period.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.7 - No Limitation

Current through June 25, 2024
Nothing contained in these sections shall limit the
						right of any ICF-IID and/or ICF-IID residential community home owner to sell,
						lease, mortgage, or close any ICF-IID and/or ICF-IID residential community home
						in accordance with all applicable laws.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.8 - Authority and Powers of the Temporary Manager

Current through June 25, 2024
1. A
					 temporary manager has the authority to direct and oversee the correction of the
					 deficiencies/licensure violations; to oversee and direct the management,
					 hiring, reassignment and/or discharge of any consultant or employee, including
					 the administrator of the ICF-IID and/or the ICF-IID residential community home;
					 to direct the expenditure of or obligate ICF-IID funds in a reasonable and
					 prudent manner; to oversee the continuation of the business and the care of the
					 clients; to oversee and direct those acts necessary to accomplish the goals of
					 the licensure and/or certification requirements; to alter ICF-IID procedures;
					 and to direct and oversee regular accountings and the provision of periodic
					 reports to the licensing agency.
2.
					 A temporary manager shall provide reports to the licensing agency by the
					 fifteenth (15th) day of each month showing the compliance status of the ICF-IID
					 and/or the ICF-IID residential community home;
3. A temporary manager shall observe the
					 confidentiality of the operating policies, procedures, employment practices,
					 financial information, and all similar business information of the ICF-IID
					 and/or the ICF-IID residential community home except that the temporary manager
					 shall make reports to the licensing agency as provided for in this
					 section.
4. The temporary manager
					 shall be liable for gross, willful or wanton negligence, intentional acts or
					 omissions, unexplained shortfalls in the ICF-IID and/or the ICF-IID residential
					 community home's funds, and breaches of fiduciary duty. The temporary manager
					 shall be bonded in an amount equal to the ICF-IID and/or the ICF-IID
					 residential community home's total revenues for the month preceding the
					 appointment of the temporary manager.
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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.9 - Authority of Temporary Manager

Current through June 25, 2024
The temporary manager shall not have the authority to do
						the following:
1. To cause or direct
					 the ICF-IID and/or the ICF-IID residential community Home or its owner to incur
					 debt or to enter into any contract with a duration beyond the term of the
					 temporary management of the ICF-IID and/or the ICF-IID residential community
					 home;
2. To cause or direct the
					 ICF-IID and/or the ICF-IID residential community home encumber its assets or
					 receivables, or the premises on which it is located, with any lien or other
					 encumbrances;
3. To cause or direct
					 the sale of the ICF-IID or the ICF-IID residential community home, its assets,
					 or the premises on which it is located;
4. To cause or direct the ICF-IID and/or the
					 ICF-IID residential community home to cancel or reduce its liability or
					 casualty insurance coverage;
5. To
					 cause or direct the ICF-IID and/or the ICF-IID residential community home to
					 default upon any valid obligations previously undertaken by the owners or
					 operators of the ICF-IID and/or the ICF-IID residential community home
					 including but not limited to, leases, mortgages, and security interests;
					 and
6. To incur capital
					 expenditures in excess of two-thousand dollars ($2,000.00) without the
					 permission of the owner of the ICF-IID and/or the ICF-IID residential community
					 home and the licensing 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 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 47 - TEMPORARY MANAGEMENT › Rule 15-16-1-49.47.10 - Duration of Temporary Manager

Current through June 25, 2024
Temporary management shall continue until a license is
						revoked or the ICF-IID and/or the ICF-IID residential community home achieves
						substantial compliance and is capable of remaining in substantial compliance.
						The licensing agency may replace any temporary manager whose performance, in
						the discretion of the licensing agency, is deemed unsatisfactory. No formal
						procedure is required for such removal or replacement but written notice of any
						action shall be given to the ICF-IID and/or the ICF-IID residential community
						home including the name of any replacement manager.
1. An ICF-IID and/or the ICF-IID residential
					 community home subject to temporary management may petition the licensing
					 agency for replacement of a temporary whose performance it considers
					 unsatisfactory. The licensing agency shall respond to a petition for
					 replacement within three (3) business days after receipt of said
					 petition.
2. Otherwise, the
					 licensing agency shall not terminate temporary management until it has
					 determined that the ICF-IID and/or the ICF-IID residential community home has
					 the management capability to ensure continued compliance with all licensure
					 requirements or until the facility's license is revoked.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.1 - Alzheimer's Disease

Current through June 25, 2024
The term "" means a chronic progressive disease of
						unknown cause that attacks brain cells or tissues.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.2 - Alzheimer's Disease/Dementia Care Unit (A/D Unit)

Current through June 25, 2024
A licensed nursing home or licensed personal care home
						(hereinafter referred to as "licensed facility" unless specified otherwise) may
						establish a separate A/D Unit for residents suffering from a form of dementia
						or Alzheimer's Disease. The rules and regulations as set forth in these
						regulations are in addition to the licensure requirements for the licensed
						facility, and do not exempt a licensed facility from compliance
						therewith.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.3 - Alzheimer's Disease/Dementia Care Unit Designation

Current through June 25, 2024
Any licensed facility that establishes an A/D Unit, and
						meets the requirements as set forth in this chapter, shall have said
						designation printed upon the certificate of licensure issued to said facility
						by the licensing agency. In order for an A/D Unit to receive designation, the
						facility must have also received licensure from the licensing agency as a
						nursing home or as a personal care home.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.4 - Ambulation

Current through June 25, 2024
The terms "ambulation" or "ambulatory" shall mean the
						resident's ability to bear weight, pivot, and safely walk independently or with
						the use of a cane, walker, or other mechanical supportive device (i.e.,
						including, but not limited to, a wheelchair). A resident who requires a
						wheelchair must be capable of transferring to and propelling the wheelchair
						independently or with prompting. No more than ten percent (10¢) of the
						resident census of the A/D Unit shall require assistance during any staffing
						shift as described and required herein.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.5 - Dementia

Current through June 25, 2024
The term "dementia" means a clinical syndrome
						characterized by a decline of long duration in mental function in an alert
						individual. Symptoms of dementia include memory loss and the loss or diminution
						of other cognitive abilities, such as learning ability, judgment,
						comprehension, attention, and orientation to time and place and to oneself. can
						be caused by such diseases as: Alzheimer's Disease, Pick's Disease, Parkinson's
						and Huntington's Disease, Creutzfeldt-Jakob Disease, multi-infarct dementia,
						etc.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 1 - DEFINITIONS › Rule 15-16-1-50.1.6 - Licensed Facility

Current through June 25, 2024
The term "licensed facility" shall mean any nursing home
						or personal care home licensed by the Mississippi Department of Health. For
						additional licensure information, refer to "Regulations Governing Licensure of
						Nursing Home Facilities" and "Regulations Governing Licensure of Personal Care
						Home Facilities".
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 2 - STAFFING › Rule 15-16-1-50.2.1 - Staffing

Current through June 25, 2024
In addition to the staffing requirements as set forth
						for licensed facilities, the following staffing requirements shall apply to A/D
						Units:
1. Minimum requirements for
					 nursing staff shall be based on the ratio of three (3.0) hours of nursing care
					 per resident per twenty-four (24) hours Licensed nursing staff and nursing
					 aides can be included in the ratio. Staffing requirements are based upon
					 resident census.
2. A Registered
					 Nurse or Licensed Practical Nurse shall be present on all shifts.
3. If the designated A/D Unit is not
					 freestanding, licensed nursing staff may be shared with the rest of the
					 facility for the purpose of meeting the minimum staffing
					 requirements.
4. Only staff trained
					 as specified in Rule 50.2.2 and Rule 50.2.3 below shall be assigned to the A/D
					 Unit.
5. A minimum of two (2) staff
					 members shall be on the A/D Unit at all times.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 2 - STAFFING › Rule 15-16-1-50.2.2 - Staff Orientation

Current through June 25, 2024
The goals of training and education for A/D Units are to
						enhance staff understanding and sensitivity toward the A/D Unit residents, to
						allow staff to master care techniques, to ensure better performance of duties
						and responsibilities, and to prevent staff burnout. The trainer(s) shall be
						qualified individuals with experience and knowledge in the care of individuals
						with Alzheimer's Disease and other forms of dementia. The licensed facility
						shall provide an orientation program to all new employees assigned to the A/D
						Unit. The orientation program shall be outlined in an orientation manual and
						shall include, but not be limited to:
1. The licensed facility's philosophy related
					 to the care of residents with Alzheimer's Disease and other forms of dementia
					 in the A/D Unit;
2. A description
					 of Alzheimer's Disease and other forms of dementia;
3. The licensed facility's policies and
					 procedures regarding the general approach to care provided in the A/D Unit,
					 including therapies provided; treatment modalities; admission, discharge, and
					 transfer criteria; basic services provided within the A/D Unit; policies
					 regarding restraints, wandering and egress control, and medication management;
					 nutrition management techniques; staff training; and family activities;
					 and
4. Common behavior problems and
					 recommended behavior management.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 2 - STAFFING › Rule 15-16-1-50.2.3 - In-Service Training

Current through June 25, 2024
Ongoing in-service training shall be provided to all
						staff who may be in direct contact with residents of the A/D Unit. Staff
						training shall be provided at least quarterly. The licensed facility will keep
						records of all staff training provided and the qualifications of the
						trainer(s). The licensed facility shall provide hands on training on at least
						three (3) of the following topics each quarter:
1. The nature of Alzheimer's Disease,
					 including the definition, the need for careful diagnosis, and knowledge of the
					 stages of Alzheimer's Disease;
2.
					 Common behavioral problems and recommended behavior management
					 techniques;
3. Communication skills
					 that facilitate better resident-staff relations;
4. Positive therapeutic interventions and
					 activities, such- as exercise, sensory stimulation, activities of daily living
					 skills, etc.;
5. The role of the
					 family in caring for residents with Alzheimer's Disease, as well as the support
					 needed by the family of these residents;
6. Environmental modifications to avoid
					 problems and create a therapeutic environment;
7. Development of comprehensive and
					 individual care plans and how to update and implement them consistently across
					 shifts, establishing a baseline and concrete treatment goals and outcomes;
					 and
8. New developments in
					 diagnosis and therapy.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 3 - ASSESSMENT AND INDIVIDUAL CARE PLANS › Rule 15-16-1-50.3.1 - Assessments

Current through June 25, 2024
Prior to admission to the A/D Unit, each individual
						shall receive a medical examination and assessment from a licensed physician or
						nurse practitioner/physician assistant. In addition, prior to admission, each
						individual shall be assessed by a licensed practitioner whose scope of practice
						includes assessment of cognitive, functional, and social abilities, and
						nutritional needs. These assessments shall include the individual's family
						supports, level of activities of daily living functioning and level of
						behavioral impairment. The functional assessment shall demonstrate that the
						individual is appropriate for placement.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 3 - ASSESSMENT AND INDIVIDUAL CARE PLANS › Rule 15-16-1-50.3.2 - Care Plans

Current through June 25, 2024
Individual care plans shall be developed by the staff
						for each 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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 3 - ASSESSMENT AND INDIVIDUAL CARE PLANS › Rule 15-16-1-50.3.3 - Family Involvement

Current through June 25, 2024
Whenever possible and appropriate, the family shall be
						involved in the development of a resident's care plan. The family shall be
						provided with information regarding social services, such as support groups for
						families and friends. A designated family member shall be notified in a timely
						manner of care plan sessions. Documentation of such notification shall be kept
						by the licensed 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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 3 - ASSESSMENT AND INDIVIDUAL CARE PLANS › Rule 15-16-1-50.3.4 - Review of Care Plans

Current through June 25, 2024
Each care plan and functional assessment, developed upon
						admission to determine the resident's appropriateness for placement, shall be
						reviewed, evaluated for its effectiveness, and updated at least quarterly or
						more frequently if indicated by changing needs of the
						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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 3 - ASSESSMENT AND INDIVIDUAL CARE PLANS › Rule 15-16-1-50.3.5 - Admission and Discharge Criteria

Current through June 25, 2024
The following criteria must be applied and maintained
						for resident placement in an A/D Unit:
1. Only residents with a primary diagnosis of
					 Alzheimer's Disease or dementia, whose needs can be met by the licensed
					 facility, shall be admitted.
2. For
					 licensed facilities which are personal care homes, a person shall not be
					 admitted or continue to reside in an A/D Unit if the person does not meet the
					 admission criteria for the licensed facility unless otherwise exempted by such
					 applicable laws and regulations.
3.
					 The licensed facility must be able to identify at the time of admission and
					 during continued stay those residents whose needs for services are consistent
					 with these rules and regulations, and those residents who should be transferred
					 to an appropriate level of 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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 4 - THERAPEUTIC ACTIVITIES › Rule 15-16-1-50.4.1 - Therapeutic Activities

Current through June 25, 2024
Therapeutic activities shall be provided to the
						residents of the A/D Unit seven (7) days per week. The therapeutic activities
						shall be scheduled by a Certified Therapeutic Recreation Specialist, a
						Qualified Therapeutic Recreation Specialist, or an Activity Consultant
						Certified, which must provide a minimum of eight (8) hours monthly in-house
						consultation to an activities designee.
1. Activities shall be delivered at various
					 hours.
2. Opportunities shall be
					 provided for daily involvement with nature, and sunshine (i.e., as in outdoor
					 activities) as weather permits.
3.
					 Residents will not be observed with negative outcome for long periods without
					 meaningful activities.
4.
					 Activities will:
a. tap into better long-term
					 memory than short;
b. provide
					 multiple short activities to work within short attention spans;
c. provide experience with animals, nature,
					 and children; and
d. provide
					 opportunities for physical, social, and emotional outlets.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 5 - SOCIAL SERVICES › Rule 15-16-1-50.5.1 - Social Services

Current through June 25, 2024
A licensed social worker, licensed professional
						counselor, or licensed marriage and family therapist shall provide social
						services to both the resident and support to family members, including but not
						limited to the following:
1. The
					 socialization of a resident shall be incorporated in the resident's care
					 plan.
2. The provision of support
					 to the resident's family, including formation of family support groups, shall
					 be offered by the licensed facility.
3. The social service consultation shall be
					 onsite, and shall be a minimum of eight (8) hours per month.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 6 - NUTRITIONAL SERVICES › Rule 15-16-1-50.6.1 - Nutritional Services

Current through June 25, 2024
A nutritional assessment shall be completed for each
						resident. If the nutritional assessment identifies therapeutic nutritional
						needs, or is ordered by the resident's physician, a registered dietician shall
						assess and plan a diet for the resident's nutritional needs.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 7 - PHYSICAL LAYOUT › Rule 15-16-1-50.7.1 - Physical Design

Current through June 25, 2024
In addition to the physical plant standards required for
						the licensed facility, an A/D Unit shall include the following:
1. A separate multipurpose room for dining,
					 group, and individual activities, and family visits which is a minimum of forty
					 (40) square feet per resident, but in no case shall be smaller than three
					 hundred-twenty (320) square feet;
2. A secured area for medication, storage,
					 and workspace;
3. A secure,
					 exterior exercise pathway that allows residents to walk on a level, non-slip
					 path. The path shall have a minimum width of four (4) feet. Seating shall be
					 next to the pathway, but outside the walking path. Lighting shall be indirect
					 with a minimum brightness of fifty (50) foot candles;
4. High visual contrast between floors and
					 walls, and doorways and walls, in resident use areas. With the exception of
					 fire exits, door and access ways may be designed to minimize contrast to
					 obscure or conceal areas the residents should not enter;
5. Floors, walls and ceiling that are
					 non-reflective to minimize glare;
6. Adequate and even lighting which minimizes
					 glare and shadows and is designed to meet the specific needs of the
					 residents;
7. Service sections that
					 are removed from resident areas. Kitchen services and storage shall be
					 separated from resident areas by a secure enclosure;
8. Security controls on all entrances and
					 exits;
9. Exterior fencing that
					 shall be placed at the pathway level, at a minimum height of six (6) feet.
					 Fencing shall be solid so as to block the view if mounted at the pathway level.
					 No entrance gates shall be visible from the exterior area. If the grading
					 allows, the fence shall be placed at the bottom of the central grade. An open
					 fence may be utilized if it is separated by a grade change; and
10. Physical Design Waiver for Existing
					 Facilities. The licensing agency, within its discretion, may waive only the
					 requirements in this section for the designation of an A/D Unit for any
					 licensed facility which was established prior to October 13, 1999, as
					 documented in the records of the licensing agency, a separate, secured unit for
					 the care of residents diagnosed with Alzheimer's Disease or other forms of
					 dementia. Waivers granted under this section may be granted, within the
					 discretion of the licensing agency, with conditions.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 7 - PHYSICAL LAYOUT › Rule 15-16-1-50.7.2 - Physical Environment and Safety

Current through June 25, 2024
The A/D Unit shall:
1. Provide freedom of movement for the
					 residents to common areas and to their personal spaces. The facility shall not
					 lock residents out of or inside their rooms;
2. Provide trays, plates, and eating utensils
					 which provide visual contrast between them and the table and that maximize the
					 independence of the individual residents;
3. Label or inventory all residents'
					 possessions;
4. Provide comfortable
					 chairs, including at least one in the common use area that allows for gentle
					 rocking or gliding;
5. Encourage
					 and assist residents to decorate and furnish their rooms with personal items
					 and furnishings based on the resident's needs, preferences and
					 appropriateness;
6. Individually
					 identify residents' rooms to assist residents in recognizing their
					 room;
7. Keep corridors and
					 passageways through common use areas free of objects which may cause falls;
					 and
8. Only use a public address
					 system in an A/D Unit (if one exists) for emergencies.
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 50 - MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER'S DISEASE/DEMENTIA CARE UNIT › Subchapter 7 - PHYSICAL LAYOUT › Rule 15-16-1-50.7.3 - Egress Control

Current through June 25, 2024
The licensed facility shall develop policies and
						procedures to deal with residents who may attempt to wander outside of the A/D
						Unit. The procedures shall include actions to be taken in case a resident
						elopes.
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 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 1 - General: Legal Authority › Rule 15-16-1-51.1.1 - Adoption of Rules, Regulations, and Minimum Standards

Current through June 25, 2024
By virtue of authority vested in it by Mississippi Code
						Annotated, 43-11-1 through 43-11-27 (Supplemented 1986), The Mississippi
						Department of Health does hereby adopt and promulgate Rules, Regulations, and
						Minimum Standards for Institutions for the Aged and Infirm which includes
						Skilled Nursing Facilities, Intermediate Care Facilities, Personal Care
						Homes.
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 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 1 - General: Legal Authority › Rule 15-16-1-51.1.2

Current through June 25, 2024
The 1990 Legislature amended the code to include
						Psychiatric Residential Treatment Facilities as an institution for the Aged or
						Infirm.
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 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 1 - General: Legal Authority › Rule 15-16-1-51.1.3 - "Psychiatric Resident Treatment Facility"

Current through June 25, 2024
"Psychiatric Resident Treatment Facility" means any
						non-hospital establishment with permanent facilities which provides a
						twenty-four (24) hour program of care by qualified therapists including, but
						not limited to, duly licensed mental health professionals, psychiatrists,
						psychologists and licensed certified social workers, for emotionally disturbed
						children and adolescents referred to such facility by a court, local school
						district or by the Department of Human Services, who are not in an acute phase
						of illness requiring the services of a psychiatric hospital, and are in need of
						such restorative treatment services. For purposes of this paragraph, the term
						"emotionally disturbed" means a condition exhibiting one or more of the
						following characteristics over along period of time and to a marked degree,
						which adversely affects educational performance:
1. An inability to learn which cannot be
					 explained by intellectual, sensory or health factors;
2. An inability to build or maintain
					 satisfactory relationships with peers and teachers;
3. Inappropriate types of behavior or
					 feelings under normal circumstances;
4. A general pervasive mood of unhappiness or
					 depression; or
5. A tendency to
					 develop physical symptoms or fears associated with personal or school
					 problems.
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 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 2 - TYPES OF LICENSE › Rule 15-16-1-51.2.1 - Regular License

Current through June 25, 2024
A license shall be issued to each institution for the
						aged or infirm that meets the requirements as set forth in these regulations.
						The license shall show the classification (Skilled Nursing Facility,
						Intermediate Care Facility, Personal Care Home, and Psychiatric Residential
						Treatment 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 51 - MINIMUM STANDARDS OF OPERATION FOR PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Subchapter 2 - TYPES OF LICENSE › Rule 15-16-1-51.2.2 - Provisional License

Current through June 25, 2024
Within its discretion, the Mississippi Department of
						Health may issue a provisional license when a temporary condition of
						non-compliance with these regulations exists in one or more particulars. A
						provisional license shall be issued only if the Department of Health is
						satisfied that preparations are being made to qualify for a regular license and
						that the health and safety of patients will not be endangered meanwhile. One
						conditional on which a provisional license may be issued is as follows: A new
						institution for the aged or infirm may be issued a provisional license prior to
						opening and subsequent to meeting the required minimum staffing personnel. The
						license issued under this condition shall be valid until the issuance of a
						regular license or March 31 following date of issuance whichever may be sooner.
						A provisional license may be reissued only if it is satisfactorily proven to
						the Department of Health that efforts are being made to fully comply with these
						regulations by a specified time.
Miss. Code Ann.
						§
												43-11-13