Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Homes for the Aged › Part 1 - GENERAL PROVISIONS › Section R. 325.1901 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 1. As used in these rules:
(a)"Act" means the public health code, 1978
					 PA 368, MCL
					 333.1101 to
					 333.25211.
(b) "Activities of daily living" means
					 activities associated with eating, toileting, bathing, grooming, dressing,
					 transferring, mobility, and medication management.
(c) "Admission policy" means a home's program
					 statement of its purpose, eligibility requirements, and application procedures
					 for admission.
(d) "Assistance"
					 means help provided by a home or an agent or employee of a home to a resident
					 who requires help with activities of daily living.
(e) "Authorized representative" means that
					 person or agency that has been granted written legal authority by a resident to
					 act on behalf of the resident or is the legal guardian of a resident.
(f) "Department" means the department of
					 licensing and regulatory affairs.
(g) "Director" means the director of the
					 department.
(h) "Discharge policy"
					 means a home's written statement of the criteria and procedures by which a
					 resident is discharged from the home.
(i) "Elopement" means a resident who has a
					 service plan that requires notice or arranged supervision to leave the facility
					 and is absent without notice or supervision.
(j) "Home" means a home for the aged as
					 defined in section
					 20106(3) of
					 the act, MCL
					 333.20106.
(k) "Incident" means an intentional or
					 unintentional event including, but not limited to, elopements and medication
					 errors, where a resident suffers physical or emotional harm.
(l) "Licensed health care professional" means
					 an individual who is licensed under article 15 of the act, MCL
					 333.16101 to
					 333.18838, and who is operating
					 within the scope of his or her license.
(m) "Major building modification" means an
					 alteration of walls that creates a new architectural configuration or revision
					 to the mechanical or electrical systems that significantly revise the design of
					 the system or systems. Normal building maintenance, repair, or replacement with
					 equivalent components are not considered major building modifications. A change
					 in room function shall not cause a conflict with these rules.
(n) "Medication management" means assistance
					 with the acquisition and administration of a resident's prescribed
					 medication.
(o) "Program statement"
					 means a written description of the home's overall philosophy and mission
					 reflecting the needs of residents and services provided to residents. A home
					 that represents to the public that it provides residential care or services, or
					 both, to individuals with Alzheimer's disease or a related condition shall
					 include in its program statement the information required by section
					 20178 of the act, MCL
					 333.20178.
(p) "Protection" means the continual
					 responsibility of the home to take reasonable action to ensure the health,
					 safety, and well-being of a resident as indicated in the resident's service
					 plan, including protection from physical harm, humiliation, intimidation, and
					 social, moral, financial, and personal exploitation while on the premises,
					 while under the supervision of the home or an agent or employee of the home, or
					 when the resident's service plan states that the resident needs continuous
					 supervision.
(q) "Resident" means
					 an individual who is 55 years of age or older, or an individual under the age
					 of 55 who has been admitted through a waiver of the director pursuant to
					 section
					 21311(3) of
					 the act, MCL
					 333.21311.
(r) "Resident admission contract" means a
					 written agreement between the home and the resident or the resident's
					 authorized representative that specifies the services to be provided, the fees
					 to be charged, including all fees related to admission such as deposits,
					 admission fees, advance care payments, application fees and all other
					 additional fees, and the home's policies related to the admission and retention
					 of a resident.
(s) "Room and board"
					 means the provision of housing and meals to meet the needs of the
					 resident.
(t) "Service plan" means
					 a written statement prepared by the home in cooperation with a resident, the
					 resident's authorized representative, or the agency responsible for a
					 resident's placement, if any, that identifies the specific care and
					 maintenance, services, and resident activities appropriate for the individual
					 resident's physical, social, and behavioral needs and well-being, and the
					 methods of providing the care and services while taking into account the
					 preferences and competency of the resident.
(u) "Supervision" means guidance of a
					 resident in the activities of daily living, and includes all of the following:
(i) Reminding a resident to maintain his or
					 her medication schedule in accordance with the instructions of the resident's
					 licensed health care professional as authorized by section
					 17708(2) of
					 the act, MCL
					 333.17708.
(ii) Reminding a resident of important
					 activities to be carried out.
(iii)
					 Assisting a resident in keeping appointments.
(iv) Being aware of a resident's general
					 whereabouts as indicated in the resident's service plan, even though the
					 resident may travel independently about the community.
(v) Supporting a resident's personal and
					 social skills.