Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 86 - Residential Care Facilities and Assisted Living Facilities › Section 19 CSR 30-86.045 - Standards and Requirements for Assisted Living Facilities Which Provide Services to Residents with a Physical, Cognitive, or Other Impairment that Prevents the Individual from Safely Evacuating the Facility with Minimal Assistance

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the additional
				  standards for those assisted living facilities which provide services to
				  residents with a physical, cognitive, or other impairment that prevents the
				  individual from safely evacuating the facility with minimal
				  assistance.
AGENCY NOTE: All rules relating to long-term care
				  facilities licensed by the department are followed by a Roman Numeral notation
				  which refers to the class (either Class I, II or III) of standard as designated
				  in section 198.085.1, RSMo.
(1) This rule contains the additional
				standards for those assisted living facilities licensed pursuant to sections
				198.005
				and
				198.073,
				RSMo (CCS HCS SCS SB 616, 93rd General Assembly, Second Regular Session (2006))
				and complying with sections 198.073.4 and
				198.073.6,
				RSMo (CCS HCS SCS SB 616, 93rd General Assembly, Second Regular Session (2006))
				and
				19
				CSR 30-86.047 that choose to admit or continue to care
				for any individual having a physical, cognitive or other impairment that
				prevents the individual from safely evacuating the facility with minimal
				assistance.
(2) Definitions. For
				the purposes of this rule, the following definitions shall apply:
(A) Area of refuge-A space located in or
				immediately adjacent to a path of travel leading to an exit that is protected
				from the effects of fire, either by means of separation from other spaces in
				the same building or its location, permitting a delay in evacuation. An area of
				refuge may be temporarily used as a staging area that provides some relative
				safety to its occupants while potential emergencies are assessed, decisions are
				made, and evacuation has begun;
(B)
				Evacuating the facility-The act of the resident going from one (1) smoke
				section to another within the facility, going to an area of refuge within the
				facility, or going out of the facility;
(C) Individualized evacuation plan-A plan to
				remove the resident from the facility, to an area of refuge within the facility
				or from one (1) smoke section to another within the facility. The plan is
				specific to the resident's needs and abilities based on the current community
				based assessment;
(D) Minimal
				assistance-
1. Is the criterion which
				determines whether or not staff must develop and include an individualized
				evacuation plan as part of the resident's service plan;
2. Minimal assistance may be the verbal
				intervention that staff must provide for a resident to initiate evacuating the
				facility;
3. Minimal assistance may
				be the physical intervention that staff must provide, such as turning a
				resident in the correct direction, for a resident to initiate evacuating the
				facility;
4. A resident needing
				minimal assistance is one who is able to prepare to leave and then evacuate the
				facility within five (5) minutes of being alerted of the need to evacuate and
				requires no more than one (1) physical intervention and no more than three (3)
				verbal interventions of staff to complete evacuation from the
				facility;
5. The following actions
				required of staff are considered to be more than minimal assistance:
A. Assistance to traverse down stairways
				;
B. Assistance to open a door;
				and
C. Assistance to propel a
				wheelchair;
(E) Resident, only for the purpose of this
				rule, means any individual having a physical, cognitive or other impairment
				that prevents the individual from safely evacuating the facility with minimal
				assistance who is admitted to or continues to be cared for in the facility
				under the provisions of this rule; and
(F) Smoke section-A fire-rated separation of
				one (1) section of the building from the rest of the building.