reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 5 - MANDATORY ACCESS TO CARE › Section 8:39-5.2 - Admissions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall establish a single waiting
				list in chronological order. The order of names shall be predicated upon the order
				in which a completed written application is received. Hospitalized individuals ready
				for readmission to the facility are to be added to the top of the list as soon as
				the hospital notifies the facility of the contemplated discharge. As soon as a bed
				becomes available, it shall be filled from this waiting list. Provisions can be made
				for emergency, life-threatening situations or life-care community admissions.
1. The facility shall meet the following
				requirements:
i. The facility shall maintain only
				one waiting list; this list shall reflect a roster updated on a regular basis, of
				all individuals who have applied for admission to the facility;
ii. The waiting list shall reflect in
				chronological order the full name and address of the individual applying by the date
				the written application for admission is made;
iii. Facilities that participate in the Medicaid
				program shall utilize the waiting list to admit individuals on a first-come,
				first-serve basis in the order in which they apply until the provider's Medicaid
				occupancy level equals the Statewide occupancy level, or the Medicaid occupancy
				level set forth in the provider's Certificate of Need, whichever is higher;
				and
iv. A file shall be maintained
				containing full documentation to support any valid reason why the individual whose
				name appears first on the waiting list is not admitted to the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 5 - MANDATORY ACCESS TO CARE › Section 8:39-5.3 - Transfers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for transfer of residents to other health care facilities, and to health
				care services provided outside the nursing home, and in accordance with the
				physician's or advanced practice nurse's orders.
(b) All transfers shall be in accordance with
				8:39-4.1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 5 - MANDATORY ACCESS TO CARE › Section 8:39-5.4 - Discharges

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No resident shall be
				discharged between 5:00 P.M. and 8:00 A.M., except in an emergency or with the
				consent of the resident and family or responsible person.
(b) Discharge plans, for those residents
				considered to be likely candidates for discharge into the community or a less
				intensive care setting, shall be developed by the interdisciplinary team prior to
				discharge and shall reflect communication with the resident and/or the resident's
				family.
(c) All discharges shall be in
				accordance with 8:39-4.1 and 39.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 6 - ADVISORY ACCESS TO CARE › Section 8:39-6.1 - Advisory admission policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The waiting list of
				the facility incorporates a system to contact applicants or families at least
				quarterly, or according to an alternate schedule approved by the Department, to
				advise them concerning the status of the application and to inquire of the
				applicant's interest in remaining on the waiting list.
(b) Before admission, the resident's physician,
				the facility's social worker, the facility's admissions officer (if different from
				the social worker), and a registered professional nurse discuss the appropriateness
				of the placement.
(c) The facility makes
				available to indigent individuals at least 10 percent of its beds or, if the
				facility is licensed for 100 or more beds, at least 15 percent of its beds. For
				purposes of this subsection, an individual is "indigent" if he or she is an
				applicant for admission or a current resident of the facility, and if he or she
				would otherwise meet the eligibility requirements of Medicaid reimbursement or
				county or municipal financial assistance for nursing home care.
(d) The facility provides a copy of admissions
				policies and criteria to all applicants for admission.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 7 - MANDATORY RESIDENT ACTIVITIES › Section 8:39-7.1 - Mandatory administrative organization for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The director of
				resident activities shall supervise all resident activity staff and coordinate all
				resident activity programs.
(b) The
				director of resident activities shall hold at least one of the following four
				qualifications:
1. A baccalaureate degree from an
				accredited college or university with a major area of concentration in recreation,
				creative arts therapy, therapeutic recreation, art, art education, psychology,
				sociology, or occupational therapy;
2. A
				high school diploma and three years of experience in resident activities in a health
				care facility and satisfactory completion of an activities education program
				approved by the Department, after a review of the specific curriculum, consisting of
				90 hours of training, and incorporating the following elements:
i. Overview of the activity profession;
ii. Human development: the late adult
				years;
iii. Standards of practice:
				practitioner behavior;
iv. Activity care
				planning for quality of life; and
v.
				Methods of service delivery in the activity profession;
3. Served as director of resident activities on
				June 20, 1988, and has continuously served as activities director since that time;
				or
4. Holds current certification from
				the National Certification Council for Activity Professionals (National
				Certification Council for Activity Professionals, 3015 Upton Drive, Suite 103,
				Kensington, Maryland 20895) or the National Council for Therapeutic Recreation
				Certification (National Council for Therapeutic Recreation, Inc., 16 Squadron Blvd.,
				Suite 101, New City, NY 10956).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 7 - MANDATORY RESIDENT ACTIVITIES › Section 8:39-7.2 - Mandatory staffing amounts and availability for activities

Current through Register Vol. 56, No. 14, July 15, 2024
An average of 45 minutes of resident activities staff time per
				  resident per week shall be devoted to resident activities, which requires at least
				  one full-time equivalent staff member for every 53 residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 7 - MANDATORY RESIDENT ACTIVITIES › Section 8:39-7.3 - Mandatory resident activity services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Resident activities
				staff shall arrange a diversity of programs to maintain residents' sense of
				usefulness and self-respect. Included shall be activities in each of the following
				categories:
1. Social (for example, parties, club
				meetings, picnics, and other special events);
2. Physical (for example, exercise, sports,
				dancing, and swimming);
3. Creative (for
				example, crafts, poetry, drama, music therapy, art therapy, and
				gardening);
4. Educational and cultural
				(for example, discussion groups, guest speaker programs, concerts and other forms of
				live entertainment, and international meals);
5. Spiritual, such as religious
				services;
6. Awareness, including
				cognitive and sensory individual and group stimulation for confused and disoriented
				residents; and
7. Community-integrating
				(for example, visits by community volunteers, visits by nursery school classes,
				exchange visits with other health care facilities, participation in senior citizen
				organization meetings or support group sessions, and participation in
				adopt-a-grandparent programs).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 7 - MANDATORY RESIDENT ACTIVITIES › Section 8:39-7.4 - Mandatory space and environment for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
Each facility shall have an activities room that is equipped with
				  arts and crafts supplies, games, and reading materials.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 8 - ADVISORY RESIDENT ACTIVITIES › Section 8:39-8.1 - Advisory policies and procedures for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
There is a formal, continuous mechanism for activity planning,
				  implementation and evaluation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 8 - ADVISORY RESIDENT ACTIVITIES › Section 8:39-8.2 - Advisory staff qualifications for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
The director of resident activities possesses a baccalaureate
				  degree from an accredited college or university with a major area of concentration
				  in therapeutic recreation or creative arts therapy or holds current certification
				  from the National Certification Council for Activity Professionals (National
				  Certification Council for Activity Professionals, P.O. Box 62589, Virginia Beach,
				  Virginia 23466-2589) or National Council for Therapeutic Recreation Certification
				  (National Council for Therapeutic Recreation, Inc., P.O. Box 479, Thiells, NY
				  10984-0479).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 8 - ADVISORY RESIDENT ACTIVITIES › Section 8:39-8.3 - Advisory staffing amounts and availability for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) At least 55 minutes
				of resident activities staff time per resident per week is devoted to resident
				activities. (This is an average. It is equal to one full-time equivalent staff
				member for every 44 residents.)
(b) The
				facility maintains an active volunteer program that includes scheduled visits to the
				facility on at least a weekly basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 8 - ADVISORY RESIDENT ACTIVITIES › Section 8:39-8.4 - Advisory resident services for resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Resident activity
				programs are conducted during at least four evenings per week.
(b) Field trips are accessible for all residents
				who choose to participate, unless their participation would not be clinically
				feasible.
(c) Regularly scheduled
				outdoor recreation is provided.
(d)
				There is a pet therapy program for interested residents, with safeguards to prevent
				interference in the lives of other residents, and the program complies with policies
				and procedures developed by the facility (See Appendix A for example).
(e) The facility has an organized program for
				visits to residents by school or pre-school children throughout the year.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 9 - MANDATORY ADMINISTRATION › Section 8:39-9.1 - Ownership

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				inform the Department of the ownership and management of the facility and its
				location, and proof of ownership shall be available at the facility.
1. In the case of group or corporate management of
				a facility, the facility shall specify:
i. The
				name and address of the firm or corporation; and
ii. The names and addresses of all stockholders
				who own 10 percent or greater of the voting shares; members of any limited liability
				corporation; partners; and directors of the firm or corporation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 9 - MANDATORY ADMINISTRATION › Section 8:39-9.2 - Administrator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				be directed by an individual who holds a current New Jersey license as a nursing
				home administrator. The administrator shall be administratively responsible for all
				aspects of the facility.
1. In a facility with
				more than 240 beds, in addition to the licensed administrator, there shall be a
				full-time administrative supervisor who is assigned the evening shift and reports
				directly to the licensed administrator.
2. In a facility with 100 beds or more, the
				administrator shall serve full-time in an administrative capacity within the
				facility.
3. In facilities with fewer
				than 100 beds, a licensed administrator shall serve at least half-time within the
				facility.
4. Two facilities may share a
				common administrator, if such facilities are within a 20-mile radius and if the
				total number of beds for which both facilities are licensed is no more than
				120.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 9 - MANDATORY ADMINISTRATION › Section 8:39-9.3 - Mandatory policies and procedures for staff

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be
				written policies and procedures for personnel that are reviewed annually, revised as
				needed, and implemented. They shall include at least:
1. A written job description for each category of
				personnel in the facility and distribution of a copy to each newly hired
				employee;
2. Personnel policies in
				compliance with Federal and State requirements;
3. A system to ensure that written, job-relevant
				criteria are used in making evaluation, hiring, and promotion decisions;
4. A system to ensure that employees meet ongoing
				requirements for credentials; and
5.
				Written criteria for personnel actions that require disciplinary action.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 9 - MANDATORY ADMINISTRATION › Section 8:39-9.4 - Mandatory notification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator shall provide to the owner
				and/or governing body of the facility a copy of the licensing survey report and any
				additional survey-related data sent by the Department to the administrator of the
				facility.
(b) Results of the most recent
				licensure survey, Federal standard certification conducted by the Department and any
				plan of correction shall be available for inspection by any resident or visitor, in
				a readily accessible place, at all times. A notice announcing the availability of
				those results and all other surveys conducted in the past 12 months shall be
				conspicuously posted in diverse readily accessible areas of the facility.
(c) The facility shall make all policy and
				procedure manuals available to residents, families, and guardians during normal
				business hours or by prior arrangement.
(d) A facility shall notify the Department
				immediately in writing at such time as it becomes financially insolvent and upon the
				filing of a voluntary or involuntary petition for bankruptcy under Title 11 of the
				United States Code.
(e) The facility
				shall notify the Department immediately by telephone at (609) 633-8981 or (800)
				792-9770 after business hours, followed within 72 hours by written confirmation, of
				the termination of employment of the administrator or the director of nursing, and
				the name and qualifications of the proposed replacement.
(f) The facility shall notify the State Long-Term
				Care Ombudsman at (800) 792-8820 immediately of any suspected or reported resident
				abuse, neglect, or exploitation of residents aged 60 or older, pursuant to P.L. 1983
				c. 43 (N.J.S.A.
				52:27G-7.1), and shall notify the Department
				immediately at 1-800 792-9770 with respect to residents under the age of
				60.
(g) The facility shall notify the
				Department of the admission of any resident under 18 years of age.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 9 - MANDATORY ADMINISTRATION › Section 8:39-9.5 - Mandatory policies and procedures for residents' accounts

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				maintain a written record of all financial arrangements with each resident, next of
				kin who has entered into financial arrangements with the facility on behalf of the
				resident, and/or guardian. Copies of the record shall be accessible to the resident,
				next of kin who has entered into financial arrangements with the facility on behalf
				of the resident, or guardian during normal business hours or by prior
				arrangement.
(b) The facility shall
				provide the resident with 30 days prior written notice of charges, expenses, or
				other financial liabilities that are in addition to the agreed per diem rate. The
				resident's prior written approval for additional charges shall not be required in
				the event of a health emergency that requires the resident to receive immediate
				special services or supplies.
(c) Funds
				deposited with a facility for a particular resident's use and safekeeping shall be
				held in an account which is separate from any of the facility's operating accounts.
1. Funds in excess of $ 50.00 shall be deposited
				in an interest bearing account(s) and all interest earned on resident's funds shall
				be credited to that account.
2. If a
				resident's personal funds do not exceed $ 50.00, they shall be maintained in a
				separate interest bearing account, a non-interest bearing account, or a petty cash
				fund.
3. The facility shall assure the
				security of all personal funds of residents deposited with the facility, through
				purchase of a surety bond or an alternative that provides protection equivalent to a
				surety bond.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 10 - ADVISORY ADMINISTRATION › Section 8:39-10.1 - Advisory policies and procedures for administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				monitors trends in staff turnover.
(b)
				Each of at least five service directors participates in facility planning through
				preparation of annual budgets and annual reports, and participates in annual budget
				conferences among all service directors and the administrators.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 10 - ADVISORY ADMINISTRATION › Section 8:39-10.2 - Advisory staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
The administrator holds current professional certification from
				  the American College of Health Care Administrators, or possesses a master's degree
				  in health care administration or a related field.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 10 - ADVISORY ADMINISTRATION › Section 8:39-10.3 - Advisory staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Personnel who
				provide direct resident care are offered an opportunity to attend at least one
				education program each year and receive fee reimbursement or compensatory time off.
				Records of continuing education programs attended are maintained.
(b) The facility conducts a tuition aid program
				directed toward the career development and upward mobility of staff, including both
				professional and ancillary personnel.
(c) The facility is a teaching nursing home, that
				is, the site of an internship, externship, or residency training program for health
				professionals, as part of the curriculum of an accredited or State-approved school
				or training program. The facility has sought input from the residents and/or the
				resident council concerning teaching programs.
(d) The facility maintains a library of textbooks
				and/or recent periodicals on long-term care, geriatric care, nursing, and other
				disciplines that is accessible to staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 11 - MANDATORY RESIDENT ASSESSMENT AND CARE PLANS › Section 8:39-11.1 - Mandatory completion of resident assessment and coordination of care plans

Current through Register Vol. 56, No. 14, July 15, 2024
A registered professional nurse (RN) shall assess the nursing
				  needs of each resident, coordinate the written interdisciplinary care plan, sign and
				  date the assessment to certify that it is complete, and ensure the timeliness of all
				  services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 11 - MANDATORY RESIDENT ASSESSMENT AND CARE PLANS › Section 8:39-11.2 - Mandatory policies and procedures for resident assessment and care plans

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A physician
				or advanced practice nurse shall provide orders for each resident's care beginning
				on the day of admission.
(b) Each
				physician or advanced practice nurse order shall be executed by the nursing,
				dietary, social work, activities, rehabilitation or pharmacy service, as appropriate
				in accordance with professional standards of practice.
(c) Each resident shall be examined by a physician
				or advanced practice nurse within five days before, or 48 hours after,
				admission.
(d) An initial assessment and
				care plan shall be developed on the day of admission and shall address all immediate
				needs, including, but not limited to, personal hygiene, dietary needs, medications,
				and ambulation.
(e) A comprehensive
				assessment shall be completed for each resident within 14 days of admission,
				utilizing the Standardized Resident Assessment Instrument (Minimum Data Set 3.0, or
				version current as of time of assessment, incorporated herein by reference).
1. The complete assessment and care plan shall be
				based on oral or written communication and assessments provided by nursing, dietary,
				resident activities, and social work staff; and when ordered by the physician or
				advanced practice nurse, assessments shall also be provided by other health
				professionals.
2. The care plan shall
				include measurable objectives with interventions based on the resident's care needs
				and means of achieving each goal.
3.
				Each facility shall have the equipment and software necessary to enter, store, and
				transmit each resident's Standardized Resident Assessment Instrument (MDS 3.0 or
				most current version) electronically to the Department and shall transmit such data
				to the Department. The facility shall use software which meets technical
				specifications for the MDS 3.0 (or the version current at the time of assessment) as
				required by the United States Centers for Medicare and Medicaid Services at
				42 CFR §
											483.20(b), as amended and
				supplemented.
i. Additional information is
				available from the Centers for Medicare and Medicaid Services,
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 12 - ADVISORY RESIDENT ASSESSMENT AND CARE PLANS › Section 8:39-12.1 - Advisory policies and procedures for resident assessment and care plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The resident care
				plan is developed at a meeting held by an interdisciplinary team that includes
				professional and/or ancillary staff from each service providing care to the
				resident.
(b) The facility makes care
				planning meetings available at mutually agreeable times, including evenings and
				weekends, for the convenience of families and significant others.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 12 - ADVISORY RESIDENT ASSESSMENT AND CARE PLANS › Section 8:39-12.2 - Advisory resident services for off-site services

Current through Register Vol. 56, No. 14, July 15, 2024
The facility provides and/or arranges for someone to accompany
				  each resident to scheduled visits to off-site health care services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 13 - MANDATORY COMMUNICATION › Section 8:39-13.1 - Mandatory communication policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each service shall
				maintain a current manual of policies and procedures for providing
				services.
(b) The administrative staff
				shall retain a written current manual of policies and procedures for the facility as
				a whole and for each individual service.
(c) The facility shall notify any family promptly
				of an emergency affecting the health or safety of a resident.
(d) The facility shall notify the attending
				physician or advanced practice nurse promptly of significant changes in the
				resident's medical condition.
(e) The
				facility shall promptly notify a family member, guardian or other designated person
				about a resident's death.
1. Notification shall be
				made at the time of the pronouncement of the resident's death, and the time between
				the pronouncement of the resident's death and notification shall not exceed one hour
				unless the family member, guardian or other designated person to be contacted
				provided other instructions as to when the required notification is to
				occur.
2. The facility shall enter any
				alternate instructions in the resident's record alongside the contact
				information.
3. The facility shall
				maintain confirmation and written documentation of that notification.
4. The facility shall adopt and maintain in its
				manual of policies and procedures a delineation of the responsibilities of the
				facility's staff in making such prompt notification regarding the death of a
				resident as required by this paragraph.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 13 - MANDATORY COMMUNICATION › Section 8:39-13.2 - Mandatory resident communication services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Residents and their
				families shall be given the opportunity to participate in the development and
				implementation of the care plan, and their involvement shall be documented in the
				resident's medical record.
(b) Before or
				on the day of admission, residents and families shall be informed in writing about
				services provided by the facility, charges imposed for services at the facility, the
				availability of financial assistance, the rights and responsibilities of residents
				and families, and the role of each service on the health care team; and they shall
				be given a tour of resident care units in the facility.
(c) The facility shall listen to the views and act
				upon or respond to the grievances and recommendations of residents and families
				concerning proposed policy and operational decisions affecting resident care and
				life in the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 13 - MANDATORY COMMUNICATION › Section 8:39-13.3 - Mandatory staff communication qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Staff shall always
				communicate with residents and families in a respectful way, and shall introduce and
				identify themselves to residents as required and necessary.
(b) The facility shall ensure that all staff,
				including staff members not fluent in English, are able to communicate effectively
				with residents and families.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 13 - MANDATORY COMMUNICATION › Section 8:39-13.4 - Mandatory staff education and training for communication

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each service shall
				conduct an orientation program for new employees of that service unless the
				orientation program is conducted by the administrator or a qualified designee.
1. For purposes of complying with this
				requirement, "new employees" shall be defined to include all permanent and temporary
				resident care personnel, nurses retained through an outside agency, and persons
				providing services by contract.
2. The
				orientation program shall begin on the first day of employment.
3. The orientation program for all staff shall
				include orientation to the facility and the service in which the individual will be
				employed, at least a partial tour of the facility, a review of policies and
				procedures, identification of individuals to be contacted under specified
				circumstances, and procedures to be followed in case of emergency.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 14 - ADVISORY COMMUNICATION › Section 8:39-14.1 - Advisory resident services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility has one
				or more wellness programs open to the public, such as programs to reduce or prevent
				smoking, alcohol and drug abuse, elder abuse, obesity, or hypertension.
(b) Periodic meetings are open to all staff,
				residents, and families to discuss any problems, encourage the resident to reach his
				or her potential, examine the goals and expectations of different individuals,
				describe how questions and complaints can be presented, and review the concept of
				interdisciplinary care.
(c) Provision is
				made for residents to retain membership, join, and/or participate in community
				activities. These should include organizations, community projects, holiday
				observances, or charitable events.
(d) A
				facility newsletter is provided to residents and families at least
				quarterly.
(e) Each staff member wears
				an easily readable name tag.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 14 - ADVISORY COMMUNICATION › Section 8:39-14.2 - Advisory staff education and training for communication

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Periodic meetings
				are held with each service to discuss ways to improve care of all
				residents.
(b) Education and training of
				staff includes an accredited program in cardiopulmonary resuscitation (CPR) which
				offers staff an opportunity to be recertified on an annual basis.
(c) Each service establishes and implements
				education or training programs for members of other services on diverse
				topics.
(d) Education or training
				sessions are offered which address new concepts and directions in cultural and
				interpersonal concepts.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 15 - MANDATORY DENTAL SERVICES › Section 8:39-15.1 - Mandatory resident dental services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide or arrange emergency dental care to relieve pain and infection.
(b) The facility shall assist interested residents
				in making arrangements to receive dental examinations, routine prophylaxis, and
				care.
(c) The facility shall ensure that
				arrangements are made to transport residents for routine and emergency dental
				care.
(d) All resident dentures shall be
				labeled.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 16 - ADVISORY DENTAL SERVICES › Section 8:39-16.1 - Advisory resident dental services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				provides in-house dental services, including treatment and prophylactic
				care.
(b) The facility follows
				established protocols for providing all residents with regularly scheduled routine
				prophylactic dental services and treatments when indicated, delivered by a dentist
				or a dental hygienist, except for residents whose medical records contain an
				explanation of why such services would not benefit the resident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 17 - MANDATORY DIETARY SERVICES › Section 8:39-17.1 - Mandatory structural organization for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate a full-time food service director who, if not a dietitian, functions with
				scheduled consultation from a dietitian. The food service director shall be
				responsible for the direction, provision, and quality of dietary services.
(b) Menus shall be planned and scheduled by the
				food service director or the dietitian, and shall be approved by the dietitian at
				least 14 days in advance.
(c) The
				dietitian shall perform the dietary assessment and reassessment, which shall include
				examination of and communication with the resident if the resident's condition
				permits.
(d) Services that are provided
				by a food service company shall be covered by a written contract.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 17 - MANDATORY DIETARY SERVICES › Section 8:39-17.2 - Mandatory policies and procedures for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				make available a current dietary manual, which shall have been approved by the
				dietitian and the medical director. The facility shall serve diets that are
				consistent with the dietary manual.
(b)
				The facility shall post current menus with portion sizes in the food preparation
				area. The facility shall keep menus for 30 days with any changes accurately
				recorded.
(c) The facility shall
				designate responsibility for observation and documentation of meals refused or
				missed by a resident and of any resident who requires assistance with
				meals.
(d) A dietitian shall adhere to
				an established system of nutritional assessment, which shall include examination of
				and communication with the resident if the resident's condition permits.
(e) The facility shall routinely provide
				nondisposable dishes and cutlery at all meals except for special meal activities or
				individual resident needs.
(f) Meals
				shall be scheduled in such a way that no more than 14 hours elapse between a
				substantial evening meal and breakfast the next morning. The first meal shall not be
				served before 7:00 A.M. unless requested by the resident.
1. Up to 16 hours may elapse between a substantial
				evening meal and breakfast the following day if the following conditions are met:
i. A resident group agrees to this meal span;
				and
ii. A nourishing bedtime snack is
				served.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 17 - MANDATORY DIETARY SERVICES › Section 8:39-17.3 - Mandatory staffing amounts and availability for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The dietitian shall
				spend an average of 15 minutes per resident each month providing dietary services in
				the facility, which requires one full-time equivalent dietitian for every 693
				residents.
(b) Dietary service personnel
				shall be present for a period of at least 12 hours each day.
(c) For each meal, the facility shall assign staff
				to help residents who require assistance with eating.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 17 - MANDATORY DIETARY SERVICES › Section 8:39-17.4 - Mandatory resident dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each resident shall
				receive a diet which:
1. Corresponds to the
				physician's or advanced practice nurse's order, the dietitian's instructions, and
				resident's food preferences;
2. Is
				served in the proper consistency and at the proper temperature; and
3. Provides nutrients and calories based upon
				current recommended dietary allowances of the National Academy of Sciences, adjusted
				for the resident's age, sex, weight, physical activity, physiological function, and
				therapeutic needs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 18 - ADVISORY DIETARY SERVICES › Section 8:39-18.1 - Advisory structural organization for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
A registered dietitian performs the resident dietary assessment
				  and participates in the interdisciplinary plan of care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 18 - ADVISORY DIETARY SERVICES › Section 8:39-18.2 - Advisory staff qualifications for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
The director of dietary services or the dietitian is registered
				  by the Commission on Dietetic Registration of the American Dietetic Association
				  (R.D.).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 18 - ADVISORY DIETARY SERVICES › Section 8:39-18.3 - Advisory staffing amounts and availability for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
The dietitian spends an average of 20 minutes per resident each
				  month providing dietary services in the facility. (This is an average. It is equal
				  to one full-time equivalent dietitian for every 520 residents.)
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 18 - ADVISORY DIETARY SERVICES › Section 8:39-18.4 - Advisory resident dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There are dietary
				observances for national and/or religious holidays.
(b) Fresh fruits and vegetables are served in
				season on a daily basis.
(c) The
				facility utilizes a dining room/area, other than day rooms, for residents with
				special needs.
(d) Residents have access
				to a refrigerator or snack bar.
(e)
				Residents are offered a selective menu consisting of at least three main entrees at
				each meal.
(f) A menu committee composed
				of residents participates in meal planning.
(g) The facility sponsors a guest meal program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 18 - ADVISORY DIETARY SERVICES › Section 8:39-18.5 - Supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
The facility provides cloth table covers and cloth napkins at
				  least once a day.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.1 - Mandatory organization for infection control and sanitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				have an infection prevention and control program conducted by an infection control
				committee which shall include representatives from at least administrative, nursing,
				medical, dietary, housekeeping or environmental services, and pharmacy staffs. The
				infection control committee shall review all infection control policies and
				procedures, periodically review infection control surveillance data, and formulate
				recommendations to the administrator regarding infection control
				activities.
(b) Responsibility for the
				infection prevention and control program shall be assigned to an employee who is
				designated as the infection control coordinator, with education, training, completed
				course work, or experience in infection control or epidemiology; or services shall
				be provided by contract. If the services are provided by contract, the facility
				shall designate an on-site employee to implement, coordinate, and ensure compliance
				with infection control policies and procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.2 - Mandatory employee health policies and procedures for infection control and sanitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Employees who have
				signs or symptoms of a communicable disease shall not be permitted to perform
				functions that expose residents to risk of transmission of the disease.
(b) If a communicable disease prevents the
				employee from working, a physician's or advanced practice nurse's statement
				approving the employee's return shall be required. Prior to the employee's return to
				work, the physician's or advanced practice nurse's statement shall be reviewed by
				the administrator or the administrator's designee. However, when an employee has
				been absent for no longer than three days, the employee's return to work may be
				approved by either the facility's director of nursing or the infection control
				committee, following assessment by a registered professional nurse.
(c) The facility shall develop and implement
				procedures for the care of employees who become ill while at work or who have a
				work-related accident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.3 - Mandatory waste removal policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Regulated medical
				waste shall be collected, stored, handled, and disposed of in accordance with
				applicable Federal laws and regulations, and the facility shall comply with the
				provisions of 13:1E-48.1 et seq., the Comprehensive
				Regulated Medical Waste Management Act, and all rules promulgated pursuant to the
				aforementioned Act including, but not limited to, N.J.A.C. 7:26-3A.
(b) The infection control committee shall develop
				and implement written policies and procedures for collection, storage, handling, and
				disposal of all solid waste that is not regulated medical waste.
(c) All solid waste that is not regulated medical
				waste shall be disposed of in a sanitary landfill or other manner approved by the
				Department of Environmental Protection. Disposal shall be as frequent as necessary
				to avoid creating a nuisance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.4 - Mandatory general policies and procedures for infection control and sanitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop, implement, comply with, and review, at least annually, written policies and
				procedures regarding infection prevention and control which are consistent with the
				most up-to-date Centers for Disease Control and Prevention publications,
				incorporated herein by reference, including, but not limited to, the following:
1. Guidelines for Handwashing and Hospital
				Environmental Control;
2. Guidelines for
				Isolation Precautions in Hospitals;
3.
				Prevention and Control of Tuberculosis in Facilities Providing Long-term Care to the
				Elderly;
4. Prevention of Nosocomial
				Pneumonia;
5. Prevention of Catheter
				Associated Urinary Tract Infections; and
6. Prevention of Intravascular
				Infections.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.5 - Mandatory staff qualifications; health history and examinations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				require all new employees to complete a health history and to receive an examination
				performed by a physician or advanced practice nurse, or New Jersey licensed
				physician assistant, within two weeks prior to the first day of employment or upon
				employment. If the new employee receives a nursing assessment by a registered
				professional nurse upon employment, the physician's or advanced practice nurse's
				examination may be deferred for up to 30 days from the first day of employment. The
				facility shall establish criteria for determining the completeness of physical
				examinations for employees.
(b) Each new
				employee, including members of the medical staff employed by the facility, upon
				employment shall receive a two-step Mantoux tuberculin skin test with five
				tuberculin units of purified protein derivative. The only exceptions shall be
				employees with documented negative two-step Mantoux skin test results (zero to nine
				millimeters of induration) within the last year, employees with a documented
				positive Mantoux skin test result (10 or more millimeters of induration), employees
				who have received appropriate medical treatment for tuberculosis, or when medically
				contraindicated. Results of the Mantoux tuberculin skin tests administered to new
				employees shall be acted upon as follows:
1. If
				the first step of the Mantoux tuberculin skin test result is less than 10
				millimeters of induration, the second step of the two-step Mantoux test shall be
				administered one to three weeks later.
2. If the Mantoux test is significant (10
				millimeters or more of induration), a chest x-ray shall be performed and, if
				necessary, followed by chemoprophylaxis or therapy.
3. Any employee with positive results shall be
				referred to the employee's personal physician or advanced practice nurse and if
				active tuberculosis is suspected or diagnosed shall be excluded from work until the
				physician or advanced practice nurse provides written approval to return.