reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 6 - RESIDENT CARE POLICIES › Section 5:27A-6.2 - Financial arrangements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall:
1. Inform residents of any and all fees for
				services provided and charges for supplies routinely utilized. The resident shall
				also be informed of costs of supplies which are specially ordered;
2. Maintain a written record of all financial
				arrangements with the resident and/or his or her family, guardian, or designated
				community agency, with copies furnished to the resident and, upon request, to the
				person or agency with whom the arrangements were made;
3. Assess no additional charges, expenses, or
				other financial liabilities in excess of the daily, weekly, or monthly rate included
				in the admission agreement, except:
i. Upon
				written approval and authority of the resident and/or his or her family, guardian,
				or designated community agency, who shall be given a copy of the written
				approval;
ii. Upon written orders of the
				resident's physician, stipulating specific services not included in the admission
				agreement; or
iii. Upon 30 days' prior
				written notice to the resident and/or his or her family of charges, expenses, or
				other financial liabilities that are in addition to the agreed daily, weekly, or
				monthly 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; and
4. Provide the resident with information regarding
				financial assistance available from third-party payors and/or other payors and
				referral systems for residents' financial assistance.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 6 - RESIDENT CARE POLICIES › Section 5:27A-6.3 - Personal needs allowance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				his or her representative shall reserve for each resident who receives a
				Supplemental Security Income (SSI) or General Public Assistance a monthly personal
				allowance of at least the amount specified by the Division of Family Development of
				the New Jersey State Department of Human Services pursuant to
N.J.S.A.
				44:7-87(h)
and N.J.A.C.
				10:123-3 and under the following conditions:
1.
				The resident shall not be required to provide the owner, administrator, employee or
				their representative(s) with any portion of the personal needs allowance;
2. No owner, administrator, employee or their
				representative(s) shall coerce, intimidate, or exploit residents into providing them
				with any portion of the personal needs allowance; and
3. Each resident shall receive his or her personal
				needs allowance within three working days of the receipt of the check by the
				administrator.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 5:27A-7.1 - Provision of personal care services

Current through Register Vol. 56, No. 14, July 15, 2024
Each resident shall be provided with personal care services
				  (bathing, oral hygiene, hair care, manicuring and pedicuring, and shaving) as needed
				  to maintain acceptable personal hygiene.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 5:27A-7.2 - Resident clothing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				the administrator's designee shall assist residents in obtaining clothing which is
				suitable for the climate and weather conditions, of proper size, and in sufficient
				amounts for necessary changes.
(b)
				Clothing shall be laundered as frequently as necessary to maintain cleanliness, in
				accordance with 5:27A-15.8.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 5:27A-7.3 - Facilities and furnishings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall ensure that each resident has, within his or her sleeping area, the following
				items, which shall at all times be clean and comfortable and in good repair:
1. Beds, as follows:
i. A standard bed not less than 36 inches in
				width;
ii. A bedspring which is in good
				condition;
iii. A mattress not less than
				four inches in thickness that fits the bed;
iv. Beds shall not be located under windows,
				against radiators or air conditioners, or in alcoves unless a resident has chosen to
				place his or her bed in such a location and the administrator has determined that
				such placement poses no safety risk to the resident;
v. Roll-away beds, day beds, cots and latex foam
				mattresses shall be prohibited. (Day beds may be permitted, if the resident so
				requests.);
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 5:27A-8.1 - Provision of meals

Current through Register Vol. 56, No. 14, July 15, 2024
The residential health care facility shall provide dietary
				  services to meet the daily nutritional needs of residents.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 5:27A-8.2 - Requirements for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement written policies and procedures for the provision of dietary
				services.
(b) If the facility fails to
				substantially comply with the requirements of this subchapter, or if residents of
				the facility have significant nutritional deficiencies, the Department may require a
				consultant dietitian to be retained by the facility to assist in correcting the
				deficiencies in dietary services cited by the Department, in addition to other
				enforcement actions. The facility shall retain the consultant dietitian until all
				deficiencies have been corrected.
(c)
				The facility shall provide:
1. Policies and
				procedures for planning, preparing, and serving meals, purchasing food, supervising
				residents at mealtime, and providing therapeutic diets in accordance with admission
				policy of the facility and as prescribed by the resident's physician. "Therapeutic
				diet" means a diet prescribed by a physician, and may include modifications in
				nutrient content, caloric value, consistency, methods of food preparation, content
				of specific foods, or a combination of these modifications;
2. Nutrients and calories for each resident, in
				accordance with current recommended dietary allowance of the Food and Nutrition
				Board of the National Academy of Sciences, National Research Council, adjusted for
				age, sex, weight, and physical activity, therapeutic needs of the resident if
				therapeutic diets are provided, and chapter Appendix B, A Daily Food Guide,
				incorporated herewith by reference;
3. A
				current diet manual;
4. Diets served to
				residents that are consistent with the diet manual;
5. Written menu plans for all meals and
				snacks;
6. For each resident at each
				meal, a place setting consisting of at least a dish(es), a glass and/or cup, fork,
				spoon, and napkin, and a knife or additional utensils as required or requested by
				the resident. The facility shall routinely provide nondisposable dishes and utensils
				at all meals except for special meal activities or individual resident needs;
				and
7. For each resident's use, in the
				dining room at each meal, salt, pepper, sugar or sugar substitute, dairy or
				non-dairy additives for beverages, and condiments, unless contraindicated by the
				resident's physician.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 5:27A-8.3 - Administrator's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				the administrator's designee shall ensure that the dietary service:
1. Selects foods and beverages, which include
				fresh and seasonal foods, and prepares menus with regard for the nutritional and
				therapeutic needs, cultural backgrounds, food habits, and personal food preferences
				of residents;
2. Has written and dated
				menus for all meals and snacks, planned at least seven days in advance for all
				diets. The same menu shall not be used more than once in any continuous seven-day
				period. The facility shall offer substitute food and drink of equivalent nutritional
				value, if requested by a resident at least 24 hours in advance;
3. Posts current menus, with portion sizes, in the
				food preparation area and in a conspicuous place in resident's area, or provides a
				copy of the menu to each resident. Any changes or substitutes in menus shall be
				posted or provided in writing to each resident. Menus, with changes or substitutes,
				shall be kept on file in the facility for at least 30 days;
4. Prepares and serves daily to residents at least
				three meals;
5. Complies with written
				policies regarding meal hours. No more than 15 hours shall elapse between an evening
				meal and breakfast the next morning, and the first meal shall not be served before
				7:00 A.M.;
6. Provides evening snacks
				and beverages;
7. Prepares food by
				cutting, chopping, grinding, or blending to meet the needs of each
				resident;
8. Provides self-help feeding
				devices as required by residents;
9.
				Maintains a file of recipes for menu items that require a recipe, adjusted to yield,
				which shall be used in preparing foods listed on the posted menus;
10. Maintains thermometers in refrigerators and
				freezers;
11. Complies with written
				policies and procedures for the selection, storage, use, and disposition of
				nondisposable and disposable items. Disposable items shall not be reused;
12. Prepares work schedules for the dietary
				service so as to allow residents to eat at their own pace;
13. Maintains at least a three-day supply of
				non-perishable food on the premises; and
14. Develops a written schedule of cleaning
				operations for the kitchen, including daily, weekly, monthly, or annual tasks.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 5:27A-8.4 - Commercial food management services

Current through Register Vol. 56, No. 14, July 15, 2024
If a commercial food management firm provides dietary services,
				  the firm shall be required to conform to the standards of this subchapter.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 9 - HEALTH SERVICES › Section 5:27A-9.1 - Health maintenance and monitoring services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The residential
				health care facility shall provide health maintenance and monitoring services under
				the direction of a registered professional nurse.
(b) The facility shall have at least one
				registered professional nurse available at all times. Available, in this instance,
				shall mean on call and capable of being reached by telephone.
(c) A registered professional nurse shall be
				designated in writing as the director of health maintenance and monitoring services
				and shall be responsible for the direction, provision and quality of health
				maintenance and monitoring services. The director shall be responsible, in
				coordination with the administrator, for developing and implementing written
				objectives, standards of practice, policies and procedures and an organization plan
				for the health maintenance and monitoring service. The director may be employed
				directly by the facility or on a contractual basis.
(d) Written policies and procedures shall include,
				but not be limited to, the following:
1. Assessing
				the health service needs of all residents in the facility;
2. Monitoring the conditions of the residents on a
				continuing basis;
3. Notification of the
				administrator if there are significant changes in a resident's condition;
4. Assessing the resident's needs for referral to
				a physician, advanced practice nurse, or physician assistant, or to community
				agencies as appropriate;
5. Maintaining
				records as required by the facility;
6.
				Serving as a resource person and health educator to the residents and to the
				administrator of the facility; and
7.
				Monitoring resident's medication.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 9 - HEALTH SERVICES › Section 5:27A-9.2 - Provision of health services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for health services to be provided to residents as needed.
(b) At the time of admission, arrangements shall
				be made between the administrator and the resident, guardian, or designated
				community agency regarding the physician, advanced practice nurse, or physician
				assistant, and dentist to be called in case of illness, or the person to be called
				for a resident who because of religious affiliation is opposed to medical
				treatment.
(c) The registered
				professional nurse shall notify the resident's physician, advanced practice nurse,
				or physician assistant of any significant change in the resident's physical or
				psychological condition.
(d) Each
				resident shall receive an initial nursing assessment from the registered
				professional nurse. Thereafter, each resident shall be reassessed annually or
				whenever there is a significant change in the resident's condition. The nursing
				assessment shall include, at a minimum, evaluation of the following:
1. Cognitive patterns;
2. Communication/hearing patterns;
3. Vision patterns;
4. Physical functioning and structural
				problems;
5. Continence;
6. Psychosocial well-being;
7. Mood and behavior patterns;
8. Activity pursuit patterns;
9. Disease diagnoses;
10. Health conditions;
11. Oral/nutritional status;
12. Oral/dental status;
13. Skin condition;
14. Medication use; and
15. Special treatment and procedures.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 5:27A-10.1 - Self-administration of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A designated
				employee shall provide supervision and/or assistance during a resident's
				self-administration of medications in accordance with the prescriber's orders. Prior
				to providing such assistance, the designated employee shall be trained by the health
				maintenance and monitoring director, the provider pharmacist, or the consultant
				pharmacist.
1. The facility shall document the
				provision of training to each employee who has been designated to provide resident
				supervision and/or assistance with self-administration of medications.
2. The facility shall maintain a daily record of
				the type and amount of medication taken by the resident and the time at which such
				medication is taken.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 5:27A-10.2 - Designation of a consultant pharmacist

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate a consultant pharmacist who shall be responsible for the direction,
				provision, and quality of pharmaceutical services. The consultant pharmacist may be
				the director of pharmaceutical services or pharmacist provider. The consultant
				pharmacist shall be responsible for, but not limited to, the following:
1. Training of employees;
2. Educating staff and residents regarding
				medications;
3. Establishing policies
				and procedures which ensure safe and appropriate self-administration of
				medications;
4. Medication regimen
				review signed by the consultant pharmacist at least quarterly; and
5. Inspecting all areas in the facility where
				medications are stored and maintaining records of such inspections.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 5:27A-10.3 - Storage of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide a medication storage area of sufficient size for the storage of all
				medications of residents, and shall assure that:
1. The storage area shall be conveniently located
				and adequately lighted;
2. The storage
				area shall be kept locked when not in use;
3. The storage area shall be used only for storage
				of medications and medical supplies;
4.
				The key to the storage area shall be kept on the person on duty responsible for
				resident supervision; and
5. Each
				resident's medications shall be kept separated in the storage area, with the
				exception of large volume medications which may be labeled and stored together in
				the storage area.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 11 - RECREATIONAL SERVICES › Section 5:27A-11.1 - Provision of recreational services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A planned,
				diversified program of recreational activities shall be offered at least six days a
				week, including individual and/or group activities, on-site or off-site, to meet the
				needs of residents. The administrator or the administrator's designee shall be
				responsible for the direction, provision and quality of the recreational services,
				shall post a current recreational activities schedule where it can be read by
				residents and staff, and shall ensure that activities are carried out in accordance
				with the schedule.
(b) Indoor and
				outdoor recreational activities shall be provided.
(c) Residents shall have the opportunity to
				organize and participate in a resident council that presents the resident's concerns
				to the administrator of the facility.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 5:27A-12.1 - Emergency medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				have a procedure to access all available emergency medical services.
(b) The facility shall have a written plan for
				arranging for emergency transportation of residents to another health care facility
				for care and returning them to the residential health care facility.
(c) The facility shall maintain first aid supplies
				to meet the emergency needs of the residents. The supplies shall be approved by the
				physician, advanced practice nurse, or physician assistant who is available for
				resident emergencies and reviewed by the provider pharmacist.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 5:27A-12.2 - Emergency plans and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop written emergency plans, policies, and procedures which shall include plans
				and procedures to be followed in case of medical emergencies, power failures, fire,
				or natural disasters. The emergency plans shall be filed with the Department and the
				Department shall be notified when the plans are changed. Copies of emergency plans
				shall also be forwarded to both municipal and county emergency management officials
				for their review.
(b) The emergency
				plans, including a written evacuation diagram specific to the unit that includes
				evacuation procedure, location of fire exits, alarm boxes, and fire extinguishers,
				and all emergency procedures shall be conspicuously posted throughout the facility.
				All employees shall be trained in procedures to be followed in the event of a fire
				and instructed in the use of fire-fighting equipment and resident evacuation as part
				of their initial orientation and at least annually thereafter.
(c) Procedures for emergencies shall specify
				persons to be notified, process of notification and verification of notification,
				locations of emergency equipment and alarm signals, evacuation routes, procedures
				for evacuating residents, procedures for reentry and recovery, frequency of fire
				drills, tasks and responsibilities assigned to all personnel, and shall specify
				medications and records to be taken from the facility upon evacuation and to be
				returned following the emergency.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 5:27A-12.3 - Drills and tests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				conduct at least one fire drill every month, of which at least one annually shall
				take place during every working shift. The facility shall maintain documentation of
				all drills, including the date, hour, description of the drill, participating staff,
				and signature of the person in charge. All on-duty staff and all residents shall
				participate in drills.
(b) The facility
				shall request of the local fire department that at least one joint fire drill be
				conducted annually. Upon scheduling a joint fire drill, the facility shall notify
				first aid and civil defense agencies of this drill and shall participate in
				community-wide disaster drills.
(c) The
				facility shall maintain documentation that the fire detection/alarm system has been
				tested at least once per year.
(d) Fire
				extinguishers shall be conspicuously hung, kept easily accessible, shall be visually
				examined monthly and the examination shall be recorded on a tag which is attached to
				the fire extinguisher. Fire extinguishers shall also be inspected and maintained in
				accordance with manufacturers' requirements and N.J.A.C. 5:70. Each fire
				extinguisher shall be labeled to show the date of such inspection and maintenance.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 13 - RESIDENT RECORDS › Section 5:27A-13.1 - Maintenance of resident records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A current, complete
				record shall be maintained for each resident.
(b) Records and information regarding the
				individual resident shall be considered confidential and the resident shall have the
				opportunity to examine such records, in accordance with facility policies. The
				written consent of the resident shall be obtained for release of his or her records
				to any individual not associated with the facility, except in the case of the
				resident's transfer to another health care facility, or as required by law,
				third-party payor, or authorized government agencies.
(c) All resident's medical records shall be
				maintained for a period of 10 years after the discharge of a resident from the home,
				in accordance with
				26:8-5.
(d) The following records shall be maintained and
				shall be kept available on the premises for review at any time by representatives of
				the Department:
1. A register which contains a
				current census of all residents, along with other pertinent information, shall be
				maintained by each residential health care facility. The following standards for
				maintaining the register shall apply:
i. The
				administrator or the administrator's designee shall make all entries in the register
				and shall be responsible for its maintenance and safe-keeping;
ii. The register shall be kept up-to-date at all
				times. Admissions, discharges and discharge destination, and other changes shall be
				recorded within 48 hours;
iii. The
				register, which is a permanent record, shall be kept in a safe place, in a
				fire-resistant container; and
iv. All
				entries into the register shall be clear, legible, and written in ink or
				typed.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 14 - RESIDENT RIGHTS › Section 5:27A-14.1 - Policies and procedures regarding resident rights

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement written policies regarding the rights and responsibilities
				of residents, and shall be responsible for developing and adhering to procedures
				implementing such policies. These policies and procedures and a copy of
				55:13B-17 et seq. shall be given to
				residents and their next of kin and/or sponsors and/or guardians, and to each member
				of the facility's staff. These policies and procedures and
				55:13B-17 et seq. shall also be
				conspicuously posted in the facility.
(b) Each employee of the facility, upon
				employment, shall receive inservice education concerning the implementation of
				policies and procedures regarding resident rights.
(c) The facility shall comply with all applicable
				State and Federal statutes, rules, and regulations concerning resident rights,
				including 52:27G-7.1 et seq. and 55:13B-17 et
				seq.
(d) Any suspected case of resident
				abuse or exploitation shall be reported to the county welfare agency, in accordance
				with 55:13B-1 et seq., The Rooming and
				Boarding House Act of 1979. If the resident is 60 years of age or older, the State
				of New Jersey Office of the Ombudsman for the Institutionalized Elderly shall also
				be notified at 1-877-582-6995, pursuant to
				52:27G-7.1 et seq. If the resident is
				less than 60 years of age, the Residential Health Care Evaluation Program of the
				Department shall also be notified at (609) 633-6251.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.1 - Provision of housekeeping, sanitation, safety and maintenance services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a sanitary, safe and homelike environment for
				residents.
(b) The facility shall
				provide housekeeping, laundry, pest control, and maintenance services.
(c) Written objectives, policies, a procedure
				manual, and an organizational plan for housekeeping, sanitation, safety, laundry and
				maintenance services shall be developed and implemented.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.2 - Housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written work plan
				for housekeeping operations shall be established and implemented, with
				categorization of cleaning assignments as daily, weekly, monthly, or annually within
				each area of the facility.
(b)
				Procedures shall be developed for selection and use of housekeeping and cleaning
				products and equipment.
(c) Housekeeping
				personnel shall be trained in cleaning procedures within the scope of their
				responsibility, including the use, cleaning, and care of equipment.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.3 - Resident environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following housekeeping and sanitation
				conditions shall be met:
1. The facility and its
				contents, including all environmental surfaces, shall be clean to sight and touch
				and free of dirt and debris;
2. All
				rooms shall be ventilated to help prevent condensation, mold growth, and noxious
				odors;
3. All resident areas shall be
				free of noxious odors;
4. All facility
				furnishings shall be clean and in good repair, and facility mechanical equipment
				shall be in working order. Broken or worn items shall be repaired, replaced, or
				removed promptly;
5. All equipment and
				materials necessary for cleaning, disinfecting, sanitizing, and sterilizing (if
				applicable) shall be provided;
6.
				Thermometers which are accurate to within three degrees Fahrenheit shall be
				maintained in refrigerators, freezers, and storerooms used for perishable and other
				items subject to deterioration, in accordance with Chapter XII of the New Jersey
				Sanitary Code, N.J.A.C. 8:24, copies of which are available by contacting the
				Residential Health Care Evaluation Program of the Department at (609)
				633-6251;
7. Sufficient and adequately
				lighted storage space shall be provided in the facility for the proper storage of
				residents' clothing, linens, drugs, food, cleaning and other supplies;
8. Articles in storage shall be elevated from the
				floor and away from walls (if moisture is present), ceilings, and air
				vents;
9. Unobstructed aisles shall be
				provided in storage areas;
10. Effective
				and safe controls shall be used to minimize and eliminate the presence of rodents,
				flies, roaches and other vermin in the facility. The premises shall be kept in such
				condition as to prevent the breeding, harborage, or feeding of vermin. All openings
				to the outer air shall be effectively protected against the entrance of
				insects;
11. Items that come in contact
				with open skin or mucous membranes shall be sterilized, or, at a minimum, receive
				high-level disinfection;
12. Items that
				come in contact with intact skin, such as bedpans, toilets and sinks, shall be
				disinfected, using a process for disinfection established by the facility as
				specified above, at
				5:27A-15.2; and
13. Toilet tissue, soap, paper towels or air
				dryers, and waste receptacles shall be provided in each bathroom at all times.
				Resident's personal cloth towels may be used instead of paper towels in private or
				semi-private bathrooms. A self-draining dish or device shall be provided for storage
				of bar soap, if bar soap is used.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.4 - Waste removal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All solid or liquid waste that is not
				regulated medical waste, garbage, or trash shall be collected, stored, and disposed
				of in accordance with the rules of the New Jersey State Department of Environmental
				Protection and the New Jersey State Department of Health (
N.J.A.C.
				8:24
). Solid waste shall be stored in insectproof, rodentproof, fireproof,
				nonabsorbent, watertight containers with tightfitting covers and collected from
				storage areas regularly so as to prevent nuisances such as odors. Procedures and
				schedules shall be established and implemented for the cleaning of storage areas and
				containers for solid or liquid waste, garbage, and trash, in accordance with
N.J.A.C. 8:24
.
(b)
				Garbage compactors shall be located on an impervious pad that is graded to a drain.
				The drain shall be unobstructed and connected to the sanitary sewage disposal
				system.
(c) Plastic bags shall be used
				for solid waste removal. Plastic bags used for solid waste removal shall be of
				sufficient strength to safely contain waste from point of origin to point of
				disposal and shall be effectively closed prior to disposal.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.5 - Heating and air conditioning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The heating and, if
				applicable, air conditioning system shall be adequate to maintain the required
				temperature in all areas used by residents. When the heating system is used, the
				temperature in the facility shall be kept at a minimum of 72 degrees Fahrenheit (22
				degrees Celsius) during the day ("day" means the time between sunrise and sunset)
				and 68 degrees Fahrenheit (20 degrees Celsius) at night, when residents are in the
				facility.
1. Filters for heaters and air
				conditioners shall be provided and maintained in accordance with manufacturer's
				specifications.
2. Tanks for all new
				installations of oil furnaces or other equipment shall be located outside the
				building. Previously installed oil storage tanks shall have the vent pipe and fill
				pipe located outside the building.
3. An
				identifiable electrical emergency shut-off switch shall be provided, on the first
				floor, for any oil burner.
4. Portable
				heaters shall not be permitted.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.6 - Water supply

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The water supply
				used for drinking or culinary purposes shall be adequate in quantity, of a safe and
				sanitary quality, and from a water system which shall be constructed, protected,
				operated, and maintained in conformance with the New Jersey Safe Drinking Water Act,
				58:12A-1 et seq., N.J.A.C. 7:10, and
				local laws, ordinances, and regulations. Copies of the Safe Drinking Water Act can
				be obtained from the Department of Environmental Protection, Bureau of Safe Drinking
				Water, PO Box 426, Trenton, New Jersey 08625-0426.
(b) There shall be no back-siphonage conditions
				present.
(c) There shall be no cross
				connections between city and well water supplies. When the facility uses well water
				for potable water every day, a double check valve shall be permitted if the facility
				has approval for such use from the water company and the New Jersey State Department
				of Environmental Protection.
(d) The
				temperature of the hot water used for bathing and handwashing shall be maintained
				between 95 degrees and 120 degrees Fahrenheit (35 to 49 degrees Celsius).
(e) Equipment requiring drainage, such as ice
				machines, shall be drained to a sanitary connection.
(f) The sewage disposal system shall be maintained
				in good repair and operated in compliance with State and local laws, ordinances, and
				regulations.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.7 - Building and grounds maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The building and
				grounds shall be well maintained at all times. The interior and exterior of the
				building shall be kept in good condition to ensure an attractive appearance, provide
				a pleasant atmosphere, and safeguard against deterioration. The building and grounds
				shall be kept free from fire hazards and other hazards to resident's health and
				safety.
(b) A written work schedule for
				building and grounds maintenance operations shall be established and implemented,
				with categorization of maintenance assignments as daily, weekly, monthly, or
				annually within each area of the facility and the grounds.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 5:27A-15.8 - Laundry services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies and
				procedures shall be established and implemented for the facility's laundry services,
				including, but not limited to, policies and procedures regarding the following:
1. The storage and transportation of
				laundry;
2. Collection and storage of
				soiled laundry in a ventilated area;
3.
				Protection of clean laundry from contamination during processing, transporting, and
				storage; and
4. Handling and laundering
				of resident's clothing and personal items separately from other laundry.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.1 - Infection control program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop and implement an infection prevention and control program.
(b) The health maintenance and monitoring nurse,
				in coordination with the administrator, shall be responsible for the direction,
				provision, and quality of infection prevention and control services. The health
				maintenance and monitoring nurse, in coordination with the administrator, shall be
				responsible for, but not limited to, developing and maintaining written objectives,
				a policy and procedure manual, and an organizational plan for the infection
				prevention and control service.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.2 - Development of infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop, implement, and review, at least annually, written policies and procedures
				regarding infection prevention and control. Written policies and procedures shall be
				consistent with the following Centers for Disease Control publications, incorporated
				herein by reference, as amended and supplemented:
1. Guidelines for Hand Hygiene in Health Care
				Settings, PB85-923404, MMWR October 25, 2002/51 (RR-16) as amended and
				supplemented;
2. Guidelines for
				Isolation Precautions in Hospitals, PB96-138102, February 18, 1997, as amended and
				supplemented;
3. Prevention and Control
				of Tuberculosis in Facilities Providing Long-Term Care to the Elderly, MMWR/39
				(RR-10), July 13, 1990, as amended and supplemented; and
4. Guidelines for Preventing Health
				Care-Associated Pneumonia, MMWR/53 (RR-03), March 26, 2004, as amended and
				supplemented.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.3 - General infection control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies and
				procedures shall be established and implemented regarding infection prevention and
				control, including, but not limited to, policies and procedures for the following:
1. In accordance with Chapter II, New Jersey State
				Sanitary Code, Communicable Diseases, N.J.A.C. 8:57, a system for investigating,
				reporting, and evaluating the occurrence of all infections or diseases which are
				reportable or conditions which may be related to activities and procedures of the
				facility, and maintaining records for all residents or personnel having these
				infections, diseases, or conditions;
2.
				Infection control and isolation, in accordance with applicable Occupational Safety
				and Health Administration (OSHA) requirements (see OSHA Standards--29
				CFR--Bloodborne pathogens--1910.1030 incorporated herein by reference, as amended
				and supplemented);
3. Exclusion from
				work, and authorization to return to work, for personnel with communicable
				diseases;
4. Surveillance techniques to
				minimize sources and transmission of infection;
5. Techniques to be used during each resident
				contact, including handwashing before and after caring for a resident;
6. Protocols for identification of residents with
				communicable diseases and education of residents regarding prevention and spread of
				communicable diseases; and
7. Where
				applicable, cleaning, sterilization and disinfection practices and techniques used
				in the facility, including, but not limited to, the following:
i. Care of utensils, instruments, solutions,
				dressings, articles, and surfaces;
ii.
				Selection, storage, use, and disposition of disposable and nondisposable resident
				care items. Disposable items shall not be reused;
iii. Methods to ensure that sterilized materials
				are packaged, labeled, processed, transported, and stored to maintain sterility and
				to permit identification of expiration dates; and
iv. Care of urinary catheters, intravenous
				catheters, respiratory therapy equipment, and other devices and equipment that
				provide a portal of entry for pathogenic microorganisms.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.4 - Employee health and resident policies and procedures for infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each new employee,
				including members of the medical staff employed by the facility, upon employment and
				each resident upon admission shall receive a two-step Mantoux tuberculin skin test
				with five tuberculin units of purified protein derivative. The only exceptions shall
				be employees or residents with documented negative two-step Mantoux skin test
				results (zero to nine millimeters of induration) within the last year, employees or
				residents with a documented positive Mantoux skin test result (10 or more
				millimeters of induration), employees or residents who have received appropriate
				medical treatment for tuberculosis, or when medically contraindicated. Results of
				the Mantoux tuberculin skin tests administered to new employees or residents 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 and if active tuberculosis is
				suspected or diagnosed shall be excluded from work until the physician provides
				written approval to return.
4. Any
				resident with positive results shall receive care in accordance with
				5:27A-16.2(a)3.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.5 - Staff education and training for infection prevention and control

Current through Register Vol. 56, No. 14, July 15, 2024
All employees shall be informed about the facility's infection
				  control procedures, including personal hygiene requirements.
New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 5:27A-16.6 - Regulated medical waste

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 and State laws and regulations.
(b) 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.