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 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 9 - FOR HEARING AND APPEAL FOLLOWING DENIAL OR REVOCATION OF LICENSE; PENALTIES › Rule 15-16-1-4.9.1 - Administrative Decision

Current through June 25, 2024
The licensing agency will provide an opportunity for a
						fair hearing to every applicant or licensee who is dissatisfied with
						administrative decisions made in the denial or revocation of license.
1. The licensing agency shall notify the
					 applicant or licensee by registered mail or personal service the particular
					 reasons for the proposed denial or revocation of license. Upon written request
					 of applicant or licensee within ten (10) days of the date of notification, the
					 licensing agency shall fix a date not less than thirty (30) days from the date
					 of such service at which time the applicant or licensee shall be given an
					 opportunity for a prompt and fair hearing.
2. On the basis of such hearing or upon
					 default of the applicant or licensee, the licensing agency shall make a
					 determination specifying its findings of fact and conclusions of law. A copy of
					 such determination shall be sent by registered mail to the last known address
					 of the applicant or licensee or served personally upon the applicant or
					 licensee.
3. The decision
					 revoking, suspending, or denying the application or license shall become final
					 thirty (30) days after it is so mailed or served unless the applicant or
					 licensee, within such thirty (30) day period, appeals the decision in Chancery
					 Court pursuant to Section 43-11 -23 of the Mississippi Code of 1972. An
					 additional period of time may be granted at the discretion of the licensing
					 agency.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 9 - FOR HEARING AND APPEAL FOLLOWING DENIAL OR REVOCATION OF LICENSE; PENALTIES › Rule 15-16-1-4.9.2 - Penalties

Current through June 25, 2024
Any person establishing, conducting, managing, or
						operating facility without a license shall be declared in violation of these
						regulations and may be punished as set forth in the enabling statute. Further,
						any person who violates any provision of the enabling statute or of these
						regulations promulgated there to shall, upon conviction thereof, be guilty of a
						misdemeanor. Such misdemeanor shall, upon conviction, be as referenced in
						Section 43-1 1-25 of the Mississippi Code of 1972, Annotated.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 9 - FOR HEARING AND APPEAL FOLLOWING DENIAL OR REVOCATION OF LICENSE; PENALTIES › Rule 15-16-1-4.9.3 - Ban on Admissions

Current through June 25, 2024
If a condition of immediate jeopardy exists at a
						licensed facility, written notice of the determination of the condition shall
						be provided by the licensing agency to the licensed facility, along with the
						notification that a ban on all admissions is to be imposed within five (5)
						calendar days after the receipt of the notice by the licensed facility. If the
						licensing agency's determination of a condition of immediate jeopardy on the
						day of the licensure visit/survey is confirmed, a ban on all admissions shall
						be imposed until the licensed facility achieves compliance and such compliance
						is verified by the licensing agency. The licensing agency will verify the
						licensed facility's corrective actions as soon as possible after the licensing
						agency receives an acceptable plan of correction from the licensed facility.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.1 - Governing Body

Current through June 25, 2024
1. A facility shall
					 have an identifiable Governing Body with responsibility and authority for the
					 policies and activities of the program/agency. The governing authority, the
					 owner, or the person(s) designated by the governing authority shall be the
					 supreme authority in an RBIR responsible for the management, control, and
					 operation of the institution, including the appointment of qualified staff.
a. The Governing Body shall be designated in
					 writing.
b. When the Governing Body
					 of a facility is comprised of more than one person, the Governing Body shall
					 hold formal meetings at least quarterly. There shall be written bylaws
					 specifying frequency of meetings and quorum requirements. There shall be
					 written minutes of all meetings.
c.
					 When the Governing Body is composed of only one person, this person shall
					 assume all responsibilities of the Governing Body.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.2 - Organization

Current through June 25, 2024
Each RBIR shall establish a written organizational plan,
						which may be in the form of an organizational chart that clearly establishes a
						line of authority, responsibilities, and relationships. Written personnel
						policies and job descriptions shall be prepared and provided to each employee.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.3 - Director

Current through June 25, 2024
There shall be a full-time employee designated as
						Director of the licensed facility who shall be responsible for the management
						of the licensed facility, including day to day management, supervision,
						operation of the facility, and ensuring the individual service plan is
						implemented and carried out. The Director shall be at least twenty-one years of
						age and shall posses, at a minimum:
1. A Bachelor's degree in a health care
					 field, plus six (6) years of experience in the fields of health, social
					 services, management or administration; or
2. A Master's degree in a health care field,
					 plus five (5) years of experience in the field of health, social services,
					 management, or administration
3.
					 The Director shall not be a client of the licensed facility. The Director shall
					 have verification that he/she is not listed on the "Mississippi Nurses Aide
					 Abuse Registry." When the Director is not within the licensed facility, there
					 shall be an individual onsite at the licensed facility who shall represent the
					 Director, and be capable of assuming the responsibility of Director. Said
					 person must be at least twenty-one years of age, possess a bachelor's degree,
					 and shall have verification that he/she is not listed on the "Mississippi
					 Nurses Aide Abuse Registry."
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.4 - Financial

Current through June 25, 2024
1.
Accounting.
Accounting
					 methods and procedures should be carried out in accordance with a recognized
					 system of good business practice. The method and procedure used should be
					 sufficient to permit annual audit, accurate determination of the cost of
					 operation and the cost per client per day.
2.
Financial Structure.
All
					 facilities shall have a financial plan which guarantees sufficient resources to
					 meet operating cost at all times and to maintain standards required by these
					 regulations.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.5 - Personnel

Current through June 25, 2024
There must be responsible trained staff on duty on a 24-
						hour basis to provide direct care services, respond to injuries and symptoms of
						illness, and to handle emergencies. All direct care employees shall be a
						minimum of 18 years of age, and shall have verification that they are not
						listed on the "Mississippi Nurses Aide Abuse Registry." The staff shall be
						knowledgeable of each client's service plan. Personnel shall be employed and on
						duty, awake, and fully dressed to provide personal care to the clients. The
						facility shall be staffed to properly safeguard the health, safety and welfare
						of the clients, as required in these regulations. There shall be adequate staff
						to meet the needs of the clients as outlined in the individual service plans,
						but at a minimum, there shall be no fewer than one (1) direct care staff per
						four (4) or fewer clients at all times and a designated person in charge on
						each shift.
1. Personnel shall
					 receive training annually on topics and issues related to the population being
					 served in the licensed facility. Training shall be documented by a narrative of
					 the content and signatures of those attending.
2. Direct Care Staff may include care
					 assistants, nurses, social workers, activities personnel, or other staff who
					 provide direct care services to clients on a regular basis. If employed at more
					 than one facility, the facility must maintain a copy of each entities schedule
					 and ensure that their schedule does not overlap.
3. The Nursing Director or physician must be
					 available by telecommunications or able to be available on-site as needed 24
					 hours/day.
4. Nursing Director
a. Qualifications: Each facility must have a
					 Nursing Director who currently maintains an unrestricted license as a
					 Registered Nurse in Mississippi.
b.
					 Nursing activities must comply with Mississippi Board of Nursing Nurse Practice
					 Law.
c. Responsibilities: The
					 responsibilities of a Nursing Director are to advance community integration
					 through:
i. Overseeing the medication
					 management program, including staff training to implement the
					 program;
ii. Assisting the client
					 in the restoration and maintenance of maximal health;
iii. Consulting the primary physician to
					 advance the client with their medication management program;
iv. Advancing understanding of their unique
					 medical and pharmacological needs; and
v. Assuring that nursing care is provided in
					 accordance with the client's individual service plan;
d. The Nurse Director may be a contract
					 employee.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.7 - Employee's Health Status

Current through June 25, 2024
All licensed facility personnel shall receive a health
						screening by a licensed physician, a nurse practitioner/physician assistant, or
						a registered nurse prior to employment and annually thereafter. Records of this
						health screening shall be kept on file in the licensed facility.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.8 - 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 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.9 - Orientation

Current through June 25, 2024
Facilities shall have an orientation program upon hire
						and ongoing annual training thereafter.
1. A facility shall have an orientation
					 program upon hire that shall include, but is not limited to, training in the
					 following topics for
all personnel
:
a. The policies and procedures of the
					 facility;
b. Emergency and
					 evacuation procedures;
c. Client's
					 rights;
d. Abuse/neglect and
					 exploitation prevention and requirements concerning the reporting of abuse and
					 neglect of clients;
e. Procedures
					 for reporting of incidents and accidents;
f. Instruction in the specific
					 responsibilities of the employee's job; and
g. Cultural competency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.10 - Annual Training

Current through June 25, 2024
1. A facility shall
					 ensure that each direct care staff participates in in-service training each
					 year. Routine supervision of direct care staff shall not be considered as
					 meeting this requirement.
2. The
					 facility shall document that direct care staff receive training on an annual
					 basis in:
a. Facility's policies and
					 procedures.
b. Emergency and
					 evacuation procedures;
c. Client's
					 rights;
d. Abuse and neglect
					 prevention and requirements concerning the reporting of abuse and neglect and
					 incidents and accidents;
e. Client
					 care services (Activities of Daily Living and Instrumental Activities of Daily
					 Living);
f. Infection control to
					 include Universal Precautions;
g.
					 Any specialized training to meet clients' needs, and
h. Cultural competency.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.11 - Personnel Files

Current through June 25, 2024
1. A facility shall
					 maintain a personnel record for each employee. At a minimum, this file shall
					 contain the following:
a. The application for
					 employment including the applicant's education, training, and experience;
b. A criminal history check, prior
					 to an offer of employment;
c.
					 Evidence of applicable professional credentials;
d. Documentation of required health
					 assessment as defined in the facility's policy and procedure;
e. Annual performance evaluation;
f. Employee's hire and termination dates;
g. Documentation of orientation
					 and annual training; and
h.
					 Documentation of a current, valid driver's license (if driving or transporting
					 clients).
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 10 - ORGANIZATION AND ADMINISTRATION › Rule 15-16-1-4.10.12 - Evaluation

Current through June 25, 2024
An employee's Annual Performance Evaluation shall
						include an evaluation of his/her interaction with clients, family, and other
						employees.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 11 - ADMISSIONS, DISCHARGES AND TRANSFERS › Rule 15-16-1-4.11.1 - Admission Criteria

Current through June 25, 2024
1. The facility
					 shall have a clear and specific written description of admission policies and
					 procedures. This should include, but is not limited to,
a) the application process and the criteria
					 for the rejection of an application;
b) types of clients suitable to the
					 facility;
c) services offered and
					 allowed in the facility.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 12 - DISCHARGE CRITERIA OR TRANSFER › Rule 15-16-1-4.12.1

Current through June 25, 2024
The Director shall, in consultation with the client and
						the representative, if applicable, assist in planning and implementing the
						transfer or discharge of the client when:
1. The client's adjustment to the facility is
					 not satisfactory as determined by the Director in consultation with the client
					 or his or her representative. It is the responsibility of the Director to
					 contact the client's representative, if applicable, and request assistance to
					 help the client in adjusting. This request is to be made at the first
					 indication of an adjustment problem;
2. The client is in need of services that the
					 facility cannot provide or obtain for the client; or
3. The client or representative has failed to
					 pay all fees and costs stated in the admission agreement or otherwise
					 materially breached the admission agreement.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 12 - DISCHARGE CRITERIA OR TRANSFER › Rule 15-16-1-4.12.2

Current through June 25, 2024
When a discharge or transfer is initiated by the
						facility, the Director must provide the client, and his/her representative, if
						applicable, with thirty (30) days prior written notice citing the reason for
						the discharge or transfer, except shorter notice may be given in cases where
						the client is a danger to self or others.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 12 - DISCHARGE CRITERIA OR TRANSFER › Rule 15-16-1-4.12.3

Current through June 25, 2024
At the request of the client or representative, copies of
						all pertinent information shall be given to the Director of the licensed
						facility to which the client is transferred.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 12 - DISCHARGE CRITERIA OR TRANSFER › Rule 15-16-1-4.12.4 - The following discharge information shall be recorded in the client's record

Current through June 25, 2024
The following discharge information shall be recorded in
						the client's record:
1. Date of
					 discharge;
2. Transfer facility;
3. Reason(s) for discharge; and
4. Condition upon discharge.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 12 - DISCHARGE CRITERIA OR TRANSFER › Rule 15-16-1-4.12.5

Current through June 25, 2024
Discharge records shall be retained for at least six (6)
						years from the date of discharge.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 13 - SERVICES › Rule 15-16-1-4.13.1

Current through June 25, 2024
The facility shall provide adequate services and
						oversight/supervision including adequate security measures, twenty-four (24)
						hours per day.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 13 - SERVICES › Rule 15-16-1-4.13.2

Current through June 25, 2024
The facility shall provide or coordinate services, to the
						extent needed or desired by clients. The client may participate in these
						services as written in their service plan. The following services are required:
1. Assistance with all activities of
					 daily living and instrumental activities of daily living;
2. At least three meals a day, seven days a
					 week, that take into account client's dietary requirements, preferences and
					 needs in residential facilities;
3.
					 Basic personal laundry services in residential facilities;
4. Opportunities for individual and group
					 socialization and to utilize community resources to create a normal and
					 realistic environment for community interaction within and outside the facility
					 (i.e. barber/beauty services, social/recreational opportunities);
5. Services for client requiring
					 occupational, physical and speech therapy, as outlined in their individual
					 service plan;
6. Services for
					 clients requiring social and emotional services;
7. Services for clients who have behavior
					 problems requiring ongoing staff support, intervention, and supervision to
					 ensure no danger or infringement of the rights of other clients or
					 individuals;
8. Household services
					 essential for the health and comfort of client (e.g. floor cleaning, dusting,
					 bed making, etc) in residential facilities;
9. Assistance with self-administration of
					 medications as needed and deemed appropriate by the Medication Management
					 Program; and,
10. A program of
					 recreational activities.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 13 - SERVICES › Rule 15-16-1-4.13.3 - Method of Medication Assistance

Current through June 25, 2024
The method of providing medication shall be the use of a
						pre-prepared blister pack of medication prescribed to the client. Packaging of
						the blister pack must be by a licensed pharmacist who has filled the
						prescription following licensed primary care provider's orders as to medication
						to be taken, dosage, and the time at which the medication is to be taken. The
						facility shall assess the skill level of the person assisting in delivering
						medication and provide training to assure competency.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 13 - SERVICES › Rule 15-16-1-4.13.4 - Nutritional Assessment

Current through June 25, 2024
A Registered Dietician shall provide ongoing evaluation
						and assessment when individual needs are identified and, at minimum, on a
						quarterly basis and more often if indicated. The Registered Dietician shall be
						notified for intervention as appropriate when a change in nutritional status,
						weight loss or weight gain is noted. The initial nutritional assessment shall
						be completed within 14 days after admission.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 14 - RECORDS AND REPORTS › Rule 15-16-1-4.14.1 - Conservatorship and Licensing Agency Records

Current through June 25, 2024
The Director shall maintain:
1. A record of the clients for whom he or she
					 serves as the conservator or a representative payee. This record shall include
					 evidence of the means by which the conservatorship or representative payee
					 relationship was established and evidence of separate accounts in a bank for
					 each client whose conservator or representative payee is the Director of the
					 licensed facility.
2. Inspection
					 reports from the licensing agency, any branch or division thereof in the
					 licensed facility, and submitted to the licensing agency as required, or when
					 requested.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 14 - RECORDS AND REPORTS › Rule 15-16-1-4.14.2 - Confidentiality and Security of Files

Current through June 25, 2024
The facility shall ensure the confidentiality of client
						records, including information in a computerized medical record system, in
						accordance with the HIPAA Privacy Regulations (Title 45, Part 164, Subpart E of
						the Code of Federal Regulations) and any Mississippi state laws and regulations
						which provide a more stringent standard of confidentiality than the HIPAA
						Privacy Regulations. Information from or copies of records may be released only
						to authorized individuals, and the facility must ensure that unauthorized
						individuals cannot gain access to or alter client records. Original medical
						records shall not be released outside the facility unless under court order or
						subpoena or in order to safeguard the record in the event of a physical plant
						emergency or natural disaster.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 14 - RECORDS AND REPORTS › Rule 15-16-1-4.14.3 - Client Records

Current through June 25, 2024
. The facility shall maintain a separate record for each
						client. Such record shall be current and complete and shall be maintained in
						the facility or in a central administrative location readily available to
						facility staff and to the licensing agency. All records shall be maintained in
						an accessible, standardized order and format and shall be retained and disposed
						of in accordance with state laws.
1.
					 Client records shall contain the following:
a. General information form, including at a
					 minimum: Identifying information to include at least client's name, marital
					 status, date of birth, and gender;
b. Dates of admission and discharge;
c. Client's written authorization
					 and contact information of the representative or responsible person;
d. Admission agreement(s) and financial
					 statements;
e. Clients' rights and
					 licensed facility's rules, signed, dated, and witnessed;
f. Medical referral from physician or nurse
					 practitioner/physician assistant;
g. The admission assessment documenting the
					 appropriateness of the client's admission to facility;
h. Individual service plan, updates, and
					 quarterly reviews;
i. Name and 24
					 hour contact information for the primary physician and any other physician
					 involved in the client's care;
j.
					 Initial and annual health and physicals;
k. Current medication record, including any
					 reactions to such medication;
l.
					 Progress notes of care and services received and response to
					 treatment;
m. Social services and
					 activity contacts;
n. Record of all
					 personal property and funds;
o.
					 Representative payee statement, if applicable; and
p. Physician orders or nurse
					 practitioner/physician assistant orders (including, but not limited to,
					 therapies, diets, medications, etc.) and medication administration records.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 14 - RECORDS AND REPORTS › Rule 15-16-1-4.14.4 - Client Funds

Current through June 25, 2024
1. If a facility
					 offers the service of safekeeping and/or management of clients' personal funds,
					 the facility's admission agreement shall include the client's rights regarding
					 personal funds and list the services offered and charges, if any. Any charges
					 assessed shall not exceed the actual cost incurred by the facility for the
					 provision of the services.
2. There
					 is no obligation for a client to deposit funds with the facility or have the
					 facility manage his/her funds, and the facility may not require the client to
					 deposit his/her funds with the facility. If a facility offers the service of
					 safekeeping and if a client wishes to entrust funds, the facility shall:
a. Obtain written authorization from the
					 client and/or his/her representative to safekeeping of funds;
b. Provide each client with a receipt listing
					 the amount of money the facility is holding in trust for the client;
c. Maintain a current balance sheet
					 containing all financial transactions to include the signatures of staff and
					 the client for each transaction; and
d. Not accept more than three hundred dollars
					 ($300) of a client's money.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.1

Current through June 25, 2024
The facility shall have:
1. Written policies and procedures approved
					 by the Governing Body that address the following:
a. Confidentiality of client information and
					 security of client files;
b.
					 Advertising;
c. Personnel issues
					 including;
i. Orientation, ongoing training,
					 development, supervision, and performance evaluation of personnel members;
ii. Written job descriptions for
					 each position including volunteers;
iii. Requirements for a health assessment of
					 personnel prior to employment. These policies shall, at a minimum, require that
					 the individual has no evidence of active tuberculosis and is re-evaluated as
					 recommended by the Mississippi State Department of Health;
iv. Abuse prevention and reporting procedures
					 that include what constitutes abuse, how to prevent it and requirement that all
					 personnel report any incident of abuse or mistreatment to the director or
					 his/her designee, whether that abuse or neglect is done by another staff
					 member, a family member, a client, or any other person; and
v. Criteria for determining employment based
					 on the results of a criminal history check.
d. Client's rights;
e. A grievance procedure to include
					 documentation of grievances, investigation, resolution and response to
					 complainant in a timely manner, time frame in which facility will respond, and
					 an appeals process for grievances;
f. Safekeeping of personal possessions, if
					 applicable;
g. Clients' funds, if
					 applicable;
h. Emergency and
					 evacuation procedures;
i. Abuse
					 and neglect, and documentation and reporting of same;
j. Incidents and accidents and documentation
					 of same;
k. Admissions, transfers
					 and discharge procedures;
l.
					 Medication administration;
m.
					 Minutes of formal Governing Body meetings;
n. Organizational chart of the facility;
					 and
o. Written leases, contracts,
					 and purchase-of-service agreements (including all appropriate credentials) to
					 which the facility is a party.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.2 - Organizational Communication

Current through June 25, 2024
1. A facility shall
					 establish procedures to assure written communication among personnel to provide
					 continuity of services to all clients.
2. Direct care staff shall have access to
					 information concerning clients that is necessary for effective performance of
					 the employee's assigned tasks.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.3 - Incidents/Accident

Current through June 25, 2024
1. The facility shall have written procedures
					 for the reporting and documentation of unusual incidents and other situations
					 or circumstances affecting the health, safety or well-being of a client or
					 clients. (i.e. death of unnatural causes, injuries, fights or physical
					 confrontations, situations requiring the use of passive physical restraints,
					 suspected incidents of abuse or neglect).
a.
					 Such procedures shall ensure timely verbal reporting to the Director or
					 designee and a preliminary verbal report to the State Licensing agency within
					 twenty-four (24) hours of the incident. A written report shall be submitted to
					 the licensing agency within seventy-two (72) hours.
b. Incidents or accidents shall be documented
					 in the client record. An incident report shall be maintained by the
					 facility.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.4 - Abuse, Neglect, and Exploitation

Current through June 25, 2024
The facility shall have comprehensive written procedures
						concerning client abuse and neglect to include provisions for:
1. Training and maintaining staff awareness
					 of abuse prevention, current definitions of abuse and neglect, reporting
					 requirements and applicable laws;
2. Ensuring that procedures for reporting
					 critical incidents involving abuse and neglect are followed;
3. Ensuring that the Director completes an
					 investigation report within five (5) working days;
4. Ensuring that the client and/or reporter
					 of the abuse is protected from potential harassment during the investigation;
					 and
5. Protecting clients from
					 abuse/neglect and/or injury inflicted by other clients, staff or third
					 parties.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.6 - Grievance Procedure

Current through June 25, 2024
A facility shall establish and have written grievance
						procedures to include, but not limited to:
1. A formal process to present grievances;
2. A formal appeals process for
					 grievances; and,
3. A process to
					 respond to client requests and/or client grievances in a timely manner, and the
					 time frames in which the facility will respond.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 15 - FACILITY POLICIES › Rule 15-16-1-4.15.7 - Photographs

Current through June 25, 2024
A facility shall have written policies and procedures
						regarding the photographing and audio or audiovisual recordings of clients for
						the purposes of advertising.
1. No
					 client shall be photographed or recorded without the client's or
					 representative's prior informed written consent. Such consent cannot be made a
					 condition for admission into, remaining in, or participating fully in the
					 activities of the facility. Consent agreements must clearly notify the client
					 of his/her rights under this regulation and must specify precisely what use is
					 to be made of the photograph or recordings. Consents are valid for a maximum of
					 one year from the date of execution. Clients are free to revoke such agreements
					 at any time, either orally or in writing.
2. All photographs and recordings shall be
					 used in a way that respects the dignity and confidentiality of the
					 client.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 16 - MEDICAL AND PERSONAL CARE SERVICES › Rule 15-16-1-4.16.1 - Medical Evaluation

Current through June 25, 2024
1. Each person
					 admitted to a licensed facility shall have admission orders and a health and
					 physical examination prescribed by a licensed physician or certified nurse
					 practitioner/physician assistant within thirty (30) days prior to admission.
The examination, which shall be reviewed by the Medical
						Director, shall include, at a minimum:
a. Review of physical health, psycho-social
					 status, cognitive status, and determination of services necessary to meet those
					 needs;
b. A summary of the client's
					 health needs, if any, including medication, treatment and special diet orders;
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 16 - MEDICAL AND PERSONAL CARE SERVICES › Rule 15-16-1-4.16.2 - Tuberculosis (TB): Admission Requirements to Rule out Active Tuberculosis (TB)

Current through June 25, 2024
1. The following
					 are to be performed and documented within 30 days prior to the client'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 have a written
					 interpretation.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 16 - MEDICAL AND PERSONAL CARE SERVICES › Rule 15-16-1-4.16.3

Current through June 25, 2024
Transfer to another facility or return of a client to
						respite care shall be based on the above tests (Rule 47.12.3 ) if done within
						the past 12 months and the client has no signs and symptoms of
						TB.
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 16 - MEDICAL AND PERSONAL CARE SERVICES › Rule 15-16-1-4.16.4

Current through June 25, 2024
Transfer to a Hospital or Visit to a Physician Office. If
						a client has signs or symptoms of active TB (i.e., is a TB suspect) the
						facility shall notify the MSDH, the hospital, transporting staff and the
						physician's office prior to transferring the client to a hospital. Appropriate
						isolation and evaluation shall be the responsibility of the hospital and
						physician. If a client 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.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 16 - MEDICAL AND PERSONAL CARE SERVICES › Rule 15-16-1-4.16.5 - Rehabilitative Services

Current through June 25, 2024
Clients shall be provided rehabilitative services, as
						identified in the written individualized plan of care. Such rehabilitative
						services require the written orders of an attending physician or nurse
						practitioner/physician assistant.
1.
					 The therapies shall be provided by a qualified therapist.
2. Appropriate equipment and supplies shall
					 be provided.
3. Each client'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.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 17 - FOOD SERVICE › Rule 15-16-1-4.17.1 - Meals

Current through June 25, 2024
The licensed facility shall provide clients with
						well-planned, attractive, and satisfying meals at least three (3) times daily,
						seven (7) days a week, which will meet their nutritional, social, emotional and
						therapeutic needs. The daily food allowance shall meet the current recommended
						dietary allowances.
1. Meals shall be
					 planned one (1) week in advance. Current menus must be posted and dated. A
					 record of meals served shall be maintained for a one (1) month
					 period.
2. A record of all food
					 purchases shall be maintained in the licensed facility for a one (1) month
					 period.
a. All meals for clients who require
					 therapeutic diets shall be planned by a Licensed Dietitian. If a therapeutic
					 diet is prescribed by the physician for the client, the licensed dietitian
					 shall visit the licensed facility at a minimum of once every thirty (30) days,
					 and shall file a consulting report with the licensed
					 facility.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 17 - FOOD SERVICE › Rule 15-16-1-4.17.2 - Menus

Current through June 25, 2024
1. Menus shall be planned and written at
					 least one week in advance and dated as served. The current week's menu shall be
					 posted in a conspicuous place in the facility.
2. The facility shall furnish medically
					 prescribed diets to clients in accordance with their service plan. These menus
					 shall be planned or approved by a Registered licensed Dietician.
3. Records of all menus as served shall be
					 kept on file for at least 30 days.
4. All substitutions made on the master menu
					 shall be recorded in writing
Miss. Code Ann.
						§
												41-75-13
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 4 - MINIMUM STANDARDS OF OPERATION FOR POST-ACUTE RESIDENTIAL BRAIN INJURY REHABILITATION FACILITIES › Subchapter 17 - FOOD SERVICE › Rule 15-16-1-4.17.3 - Food Supplies

Current through June 25, 2024
1. All food in the
					 facility shall be safe for human consumption.
2. Grade "A" pasteurized fluid milk and fluid
					 milk products shall be used or served. Dry milk products may not be used,
					 except for cooking purposes.
3.
					 Wild game or home canned foods shall not be served;
4. Other than fresh or frozen vegetables and
					 fruit, all foods must be from commercial sources.
Miss. Code Ann.
						§
												41-75-13