reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.7 - Mandatory safety requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An outlet that is
				connected to an emergency power supply shall be used wherever life-sustaining
				equipment is in operation.
(b) All
				draperies, curtains, and wastebaskets shall be maintained flame retardant.
(c) All decorations shall be flame retardant. Open
				flames used for decoration or religious ceremonies shall not be left
				unsupervised.
(d) Cooking equipment
				shall be properly installed and maintained.
(e) Lint traps in clothes dryers shall be kept in
				a clean and safe condition.
(f) Kerosene
				heaters and staff and resident-owned heating devices shall not be
				permitted.
(g) Extension cords shall not
				be permitted unless they are provided by the maintenance or engineering department
				of the facility, inspected regularly, and inventoried by the maintenance and
				engineering department. Extension cords shall be for temporary use only in resident
				care areas.
(h) Hot (95 to 110 degrees
				Fahrenheit) and cold running water shall be provided. Hot water in resident areas
				shall not exceed 110 degrees Fahrenheit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.8 - Mandatory space and environment; all facilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide for and operate adequate ventilation in all areas used by residents. All
				areas of the facility used by residents shall be equipped with air conditioning and
				the air conditioning shall be operated so that the temperature in these areas does
				not exceed 82 degrees Fahrenheit.
(b)
				All exit doors to the facility shall be kept externally locked from 8:00 P.M. until
				6:30 A.M.
(c) All residents shall have,
				in their rooms:
1. A bed and a mattress of the
				correct size to fit the bed;
2. Sheets,
				blankets, a pillow, and additional pillow if required or desired;
3. A bed table with drawer;
4. A separate closet area and shelves for personal
				needs;
5. A privacy curtain around the
				bed excepting private rooms;
6. An
				unobstructed doorway;
7. Window
				coverings that are properly mounted and maintained;
8. Night lights;
9. Call bells immediately accessible to the
				resident in bed or an individual at bedside;
10. A comfortable chair for each resident in his
				or her room for use by the resident or resident's visitor;
11. An individual light for each resident in a
				room;
12. Supplies for oral needs,
				including a denture cup, if needed, and a clean toothbrush;
13. A basin, comb, and bedpan and/or urinal unless
				clearly unnecessary, stored in an appropriate storage space convenient to the
				resident; and
14. A waste
				receptacle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 32 - ADVISORY PHYSICAL ENVIRONMENT › Section 8:39-32.1 - Advisory general maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Inspections or
				rounds are conducted at least monthly by a designated person or committee on all
				units and areas for maintenance problems. Results of these rounds are reported to
				the administrator.
(b) Maintenance
				services are under the supervision of an employee with at least one of the
				following:
1. Five years of experience in
				maintaining a physical plant;
2. A
				baccalaureate degree in engineering from an accredited college or university and two
				years of experience in maintaining a physical plant; or
3. Professional licensure in New Jersey as an
				engineer with one year of experience in maintaining a physical plant.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 32 - ADVISORY PHYSICAL ENVIRONMENT › Section 8:39-32.2 - Advisory fire and emergency preparedness

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				conducts at least two evacuation drills each year, either simulated or using
				selected residents, at least one of which is conducted on a weekend or during an
				evening or night work shift. Results of the drills are to be summarized in a written
				report, which is shared with the county and municipal emergency management
				coordinators.
(b) A municipal, county,
				or State emergency management official conducts an education or training program in
				the facility on disaster planning and emergency preparedness at least once a
				year.
(c) Fire drills are conducted
				annually on each weekend shift.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 32 - ADVISORY PHYSICAL ENVIRONMENT › Section 8:39-32.3 - Advisory safety

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There is a committee
				responsible for physical plant and resident safety and maintenance, which includes,
				at a minimum, representatives from administration, nursing, and maintenance services
				and meets at least quarterly.
(b)
				Regularly scheduled training meetings are held for residents and families,
				addressing safety issues in the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 33 - MANDATORY QUALITY ASSESSMENT AND/OR QUALITY IMPROVEMENT › Section 8:39-33.1 - Mandatory quality assessment and/or quality improvement structural organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Quality assessment
				and/or quality improvement procedures shall be developed and implemented through a
				written plan that specifies time frames.
(b) Responsibility for the quality assessment
				and/or quality improvement program shall be assumed by designated individuals, who
				shall include the director of nursing services, a physician or advanced practice
				nurse, and at least three other staff members, and who shall report directly to the
				administrator.
(c) Summary findings of
				the quality assessment and/or quality improvement program shall be submitted in
				writing to the administrator and the administrator shall take action that includes
				staff education or training on the basis of the program's findings.
(d) The quality assessment and/or quality
				improvement program shall review at least inventory control, maintenance inspections
				and reports, procedures for reporting incidents and hazards, and procedures for
				emergency response to incidents and hazards.
(e) Quality assessment and/or quality improvement
				program findings shall be presented to the administrator with recommendations for
				corrective actions to address problems.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 33 - MANDATORY QUALITY ASSESSMENT AND/OR QUALITY IMPROVEMENT › Section 8:39-33.2 - Mandatory quality assessment and/or quality improvement policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The quality
				assessment and/or quality improvement program shall identify problems in the care
				and services provided to the residents and shall include the audit of medical
				records.
(b) The quality assessment
				and/or quality improvement program shall monitor the performance of each
				service.
(c) The quality assessment
				and/or quality improvement program shall monitor trends in the following:
1. The prevalence of pressure sores and skin
				breakdowns;
2. Psychoactive drug
				use;
3. Transfers to
				hospitals;
4. Medication
				errors;
5. Catheterization rates and
				catheterization care;
6. Weight loss and
				fluid intake;
7. Infection rates in all
				residents;
8. Resident
				depression;
9. Restoration of function
				following specific types of events, such as hip fractures;
10. Use of restraints;
11. Resident falls resulting in injury;
12. Incidents of abuse, neglect or
				misappropriation of resident property; and
13. Other possible indicators of level of quality
				care not listed in this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 33 - MANDATORY QUALITY ASSESSMENT AND/OR QUALITY IMPROVEMENT › Section 8:39-33.3 - Mandatory quality assessment and/or quality improvement of resident services

Current through Register Vol. 56, No. 14, July 15, 2024
The quality assessment and/or quality improvement program shall
				  include the gathering of resident care information from residents and visitors.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 33 - MANDATORY QUALITY ASSESSMENT AND/OR QUALITY IMPROVEMENT › Section 8:39-33.4 - Mandatory quality assessment and/or quality improvement of staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
The quality assessment and/or quality improvement program shall
				  evaluate staff education programs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 34 - ADVISORY QUALITY ASSESSMENT AND/OR QUALITY IMPROVEMENT › Section 8:39-34.1 - Advisory quality assessment and/or quality improvement policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				develops and maintains an active, continuous quality improvement process that
				involves staff, residents, families and/or the community in improving the quality of
				services provided by the facility.
(b)
				The quality assessment and/or quality improvement program uses a resident
				classification system, such as acuities or specified diagnostic classifications, as
				an indicator in measuring resident outcomes.
(c) The quality assessment and/or quality
				improvement program includes periodic surveys of families to ascertain their
				satisfaction, suggestions, knowledge of resident's health conditions and treatments,
				and/or knowledge of facility policies and staff members' roles.
(d) There is a system to receive input on resident
				safety issues.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 35 - MANDATORY MEDICAL RECORDS › Section 8:39-35.1 - Mandatory organization for medical records

Current through Register Vol. 56, No. 14, July 15, 2024
At least 14 days before a facility plans to cease operations, it
				  shall notify the New Jersey Department of Health, in writing, of the location and
				  method of retrieval of medical records.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 36 - ADVISORY MEDICAL RECORDS › Section 8:39-36.1 - Advisory policies and procedures for medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The name by which
				the resident wishes to be called is entered on the cover or first page of the
				medical record.
(b) There is a
				comprehensive discharge summary with statistical and narrative information from each
				service completed for each resident.
(c)
				The full medical records for all discharged or deceased residents are completed
				within 15 days.
(d) Telephone orders are
				countersigned by a physician or advanced practice nurse within 48 hours except for
				orders for non-prescription drugs or treatments, which are countersigned within
				seven days.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 36 - ADVISORY MEDICAL RECORDS › Section 8:39-36.2 - Advisory staff education and training for medical records

Current through Register Vol. 56, No. 14, July 15, 2024
The facility requires that staff use only standard professional
				  abbreviations in medical records and maintains a current list of such abbreviations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 36 - ADVISORY MEDICAL RECORDS › Section 8:39-36.3 - Advisory staff qualifications for medical records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				utilizes the services of a medical record practitioner or consultant who is:
1. Certified or eligible for certification as a
				registered record administrator (RRA) or an accredited record technician (ART) by
				the American Medical Record Association (American Medical Record Association, 875
				North Michigan Avenue, Suite 1850, John Hancock Center, Chicago, Illinois 60611);
				or
2. A graduate of a program in medical
				record science accredited by the Committee on Allied Health Education and
				Accreditation of the American Medical Association in collaboration with the Council
				on Education of the American Medical Record Association (American Medical Record
				Association, 875 North Michigan Avenue, Suite 1850, John Hancock Center, Chicago,
				Illinois 60611).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 37 - MANDATORY REHABILITATION › Section 8:39-37.1 - Mandatory policies and procedures for rehabilitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Orders from
				physicians or from advanced practice nurses, to the extent allowable by applicable
				laws, for speech therapy, physical therapy, occupational therapy, and audiology
				services shall include specific modalities and the frequency of treatment, and shall
				be entered into the resident's medical record.
(b) Orders from physicians or from advanced
				practice nurses, to the extent allowable by applicable laws, for medically
				appropriate speech therapy, physical therapy, occupational therapy and audiology
				services shall be properly followed, and the results of these services shall be
				entered into the resident's medical record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 37 - MANDATORY REHABILITATION › Section 8:39-37.2 - Mandatory rehabilitation staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Speech therapy and
				audiology services shall be provided by a speech-language pathologist who holds a
				current New Jersey license issued by the Audiology and Speech Language Pathology
				Advisory Committee, Division of Consumer Affairs of the New Jersey State Department
				of Law and Public Safety.
(b) Physical
				therapy shall be provided by a physical therapist licensed by the New Jersey State
				Board of Physical Therapy, or by a licensed physical therapy assistant under the
				direction of a licensed physical therapist, in accordance with N.J.S.A.
				45:9-37.1.
(c) Occupational therapy
				shall be provided by an occupational therapist who is licensed by the New Jersey
				Occupational Therapy Advisory Council, or by a licensed occupational therapy
				assistant under the direction of a licensed occupational therapist, in accordance
				with N.J.S.A. 45:9-37.5 1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 37 - MANDATORY REHABILITATION › Section 8:39-37.3 - Mandatory rehabilitation staffing amounts and availability

Current through Register Vol. 56, No. 14, July 15, 2024
Speech-language pathology evaluation, physical therapy
				  evaluation, occupational therapy evaluation, and audiology evaluation shall take
				  place within 72 hours of the original physician or advanced practice nurse order,
				  excluding weekends.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 37 - MANDATORY REHABILITATION › Section 8:39-37.4 - Mandatory rehabilitation supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				shall provide space for rehabilitation therapy in the facility. If space is
				unavailable, the facility shall make arrangements for transportation or transfer of
				residents who require rehabilitation therapy services.
(b) The facility shall provide visual privacy and
				provisions for auditory privacy for residents during evaluation and rehabilitation
				treatment, when clinically indicated.
(c) If the facility provides physical therapy
				on-site, physical therapy equipment available to the residents shall include at
				least parallel bars, stairs, mats, and padded tables.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 38 - ADVISORY REHABILITATION › Section 8:39-38.1 - Advisory rehabilitation staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
Speech therapy and audiology services are provided by individuals
				  who hold a Certificate of Clinical Competence issued by the American
				  Speech-Language-Hearing Association.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 38 - ADVISORY REHABILITATION › Section 8:39-38.2 - Advisory rehabilitation space and environment

Current through Register Vol. 56, No. 14, July 15, 2024
The facility has an examination and treatment room for
				  rehabilitation therapy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 38 - ADVISORY REHABILITATION › Section 8:39-38.3 - Advisory rehabilitation supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				parallel bars and stairs, physical therapy equipment available to residents includes
				a whirlpool for hydrotherapy and ultrasound.
(b) The occupational therapy program provides
				individually designed adaptive equipment as needed to enhance residents'
				independence.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39 - MANDATORY SOCIAL WORK › Section 8:39-39.1 - Mandatory social work policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
A social worker shall develop and implement specific criteria to
				  identify residents who are likely candidates for discharge into the community or a
				  less intensive care setting and to coordinate discharge planning.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39 - MANDATORY SOCIAL WORK › Section 8:39-39.2 - Mandatory social work staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
Social work services shall be provided by one or more social
				  workers who are certified or licensed by the New Jersey State Board of Social Work
				  Examiners, in accordance with the Social Worker's Licensing Act of 1991 (N.J.S.A.
				  45:15BB-1 et seq.) and all amendments thereto and with the rules of the New Jersey
				  Board of Social Work Examiners, N.J.A.C. 13:44G.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39 - MANDATORY SOCIAL WORK › Section 8:39-39.3 - Mandatory social work amounts and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide an average of at least 20 minutes of social work services per week for each
				resident, which requires at least one full-time equivalent social worker for every
				120 residents.
(b) A social worker shall
				assist staff in coping with the personal needs and demands of particular residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39 - MANDATORY SOCIAL WORK › Section 8:39-39.4 - Mandatory resident social work services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A social worker
				shall interview the resident and family within 14 days before or after admission to
				the facility to identify any social work needs or problems, and to take a social
				history that includes family, education, and occupational background, adjustment and
				level of functioning, interests, support systems, and observations.
(b) A social worker shall provide counseling for
				residents and families.
(c) A social
				worker shall facilitate communication between staff and non-English speaking
				residents.
(d) A social worker shall
				offer information and help to each resident and family on obtaining financial
				assistance and on the meaning of administrative forms and releases to be signed by
				the resident or family.
(e) A social
				worker shall coordinate the facility's outreach services to the families of
				residents.
(f) A social worker shall
				coordinate discharge services for residents, which shall include linking the
				resident to necessary community services .
(g) A social worker shall perform advocacy
				services on behalf of the residents to ensure that concrete needs are met, such as
				clothing, laundry, and the resident's personal needs allowance if one is
				maintained.
(h) A social worker shall
				help residents and families identify and gain access to community services, using
				resource materials and a knowledge of the residents' needs and abilities.
(i) The facility shall provide clinical social
				work services to residents as needed and to families if related to issues that
				directly affect the resident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39 - MANDATORY SOCIAL WORK › Section 8:39-39.5 - Mandatory space and environment for social work

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall provide visual and auditory privacy for
				  resident or family social service interviews, and for confidential telephone calls
				  by social workers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This chapter sets
				forth rules and standards intended to ensure that long-term care facilities take
				steps to prevent the social isolation of residents when in-person contact,
				communication, or activities are prohibited, restricted, or limited, as permitted by
				Federal and State statute, rule, or regulation.
(b) The purpose of this chapter is to codify the
				requirements at
				N.J.S.A.
				26:2H-12.97 et seq., which direct the Department
				to adopt emergency rules to address the prevention of social isolation for residents
				of long-term care facilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.2 - Policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility must
				adopt and implement written policies and procedures intended to prevent the social
				isolation of residents.
(b) These
				required policies and procedures must, at a minimum, address the following:
1. Providing technology to residents for the
				purpose of maintaining contact with individuals outside of the facility;
2. Ensuring that appropriately trained staff is
				available to assist residents in maintaining contact with individuals outside of the
				facility; and
3. Standards for acquiring
				the technology to implement the requirements at (b)1 above.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.3 - Requirements for residents with disabilities that impede communication

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The social isolation
				prevention policies and procedures adopted and implemented by each facility are to
				include protocols and procedures that provide for residents of the facility who have
				disabilities that impede their ability to communicate, to be given access to
				assistive and supportive technology, as may be necessary, to facilitate the
				residents' engagement in face-to-face or verbal/auditory-based contact,
				communications, and religious and recreational activities with other residents,
				family members, friends, and other external support systems, through electronic
				means, including, but not limited to, residents who are:
1. Blind;
2. Deaf;
3. Deaf-blind;
4. Diagnosed with Alzheimer's disease or other
				related dementias; or
5. Diagnosed with
				developmental disabilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.4 - Acquisition of technology

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Facilities must
				develop and implement specific administrative policies and procedures, as may be
				necessary, to ensure that residents are able to engage in face-to-face or
				verbal/auditory-based contact, communications, and religious and recreational
				activities with other facility residents and with family members, friends, and
				external support systems, through electronic means. These policies and procedures
				must address the acquisition, maintenance, and replacement of:
1. Computers;
2. Videoconferencing equipment;
3. Distance-based communications
				technology;
4. Assistive and supportive
				technology and devices; and
5. Other
				technological equipment, accessories, and electronic licenses.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.5 - Maintenance of technology

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Facilities must
				develop policies and procedures addressing the maintenance of the technology
				acquired pursuant to the requirements of this subchapter. These policies and
				procedures must address:
1. The use of
				environmental barriers and other controls when the equipment and devices are in use,
				especially in cases where the equipment or devices are likely to become contaminated
				with bodily substances, are touched frequently with gloved or ungloved hands, or are
				difficult to clean; and
2. The
				disinfecting of the equipment and devices and any environmental barriers or other
				physical controls used in association therewith after each use.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.6 - Use of and training of residents in acquired technology

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Facilities must develop policies and
				procedures addressing a resident's:
1. Requisition
				of devices and equipment;
2. Timely
				provision of devices and equipment; and
3. Return of devices and equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.7 - Facility responsibility for training residents in use of equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each facility shall
				designate at least one member of the therapeutic recreation or activities
				department, or, if the facility does not have such a department, designate at least
				one senior staff member, as determined by the facility administrator, to train other
				appropriate facility employees to provide direct assistance to residents, upon
				request, and on an as-needed basis, as necessary, to ensure that each resident is
				able to successfully access and use the technology, devices, and equipment acquired.
				These facility employees who are appropriate to be trained to assist residents
				include, but are not limited to:
1. Activities
				professionals;
2. Activities
				volunteers;
3. Social workers;
4. Occupational therapists; and
5. Therapy assistants.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.8 - Resident assessments

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				shall develop and implement policies and procedures to ensure that appropriate staff
				assess and regularly reassess the individual needs and preferences of facility
				residents with respect to the residents' participation in social interactions and
				religious and recreational activities.
1. These
				assessments and reassessments are to be documented in the resident's medical
				record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.9 - Individualized visitation plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility
				shall develop and implement policies and procedures to ensure that upon the request
				of a resident or a resident's family member or guardian, appropriate facility staff
				must develop an individualized visitation plan for the resident. The individualized
				visitation plan shall:
1. Identify the assessed
				needs and visitation preferences of the resident;
2. Identify the visitation preferences specified
				by the resident's family members, if any;
3. Address the need for a visitation schedule and
				establish a visitation schedule, if deemed to be appropriate;
4. Describe the location and modalities to be used
				in visitation; and
5. Describe the
				respective responsibilities of staff, visitors, and the resident when engaging in
				visitation pursuant to the individualized visitation plan.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 39A - SOCIAL ISOLATION PREVENTION › Section 8:39-39A.10 - Funding

Current through Register Vol. 56, No. 14, July 15, 2024
Information on the process for facilities seeking to request
				  funding for communicative technologies and accessories necessary to comply with this
				  subchapter from civil monetary penalty (CMP) funds, as approved by the Federal
				  Centers for Medicare and Medicaid Services, is available on the Department's website
				  at:
http://www.nj.gov/health/healthfacilities/cmp/
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 40 - ADVISORY SOCIAL WORK › Section 8:39-40.1 - Advisory staff qualifications for social work

Current through Register Vol. 56, No. 14, July 15, 2024
A social worker has a master's degree in social work from an
				  accredited university or education program. He or she should provide consultant
				  services at least eight hours per month, or be on the facility's staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 40 - ADVISORY SOCIAL WORK › Section 8:39-40.2 - Advisory staff amounts and availability for social work

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A social worker is
				available to the facility on evenings and weekends at scheduled times or by
				previously arranged appointments for interaction with residents and families, and is
				available seven days a week in cases of emergency or serious need.
(b) A social worker assists staff with problems
				and issues related to aging and illness.
(c) A social worker orients nurse aides to the
				social needs of new residents before the resident's arrival in the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 40 - ADVISORY SOCIAL WORK › Section 8:39-40.3 - Advisory resident social work services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A social worker
				meets with the resident on the day of admission.
(b) A social worker conducts support groups for
				families.
(c) A social worker conducts
				group counseling sessions for residents and families.
(d) A social worker participates in pre-admission
				planning with residents and families prior to their admission to the nursing
				home.
(e) The social worker encourages
				and monitors a regular visiting pattern by families and provides outreach services
				to families where the visiting pattern has changed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 40 - ADVISORY SOCIAL WORK › Section 8:39-40.4 - Advisory space and environment for social work

Current through Register Vol. 56, No. 14, July 15, 2024
Social workers are to be provided with a private office equipped
				  with a telephone or, in facilities with 60 or fewer licensed beds, with access to a
				  private office equipped with a telephone.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 40 - ADVISORY SOCIAL WORK › Section 8:39-40.5 - Advisory social work staff education and training

Current through Register Vol. 56, No. 14, July 15, 2024
The facility encourages the social worker to participate in
				  community agency associations and other professional organizations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 41 - MANDATORY STAFF POSTING AND REPORTING STANDARDS › Section 8:39-41.1 - Authority and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner of the Department of Health
				promulgates this subchapter pursuant to the authority of
				N.J.S.A.
				26:2H-5h.
(b) The purpose of this subchapter is to provide
				residents, their families and the public information as to the extent of direct
				resident care staffing levels provided by long-term care facilities; establish
				requirements for long-term care facilities to post, on a shift-by-shift basis,
				information about direct resident care staffing levels in a visible and accessible
				location; and establish procedures for long-term care facilities to report
				aggregated data to the Department on a monthly basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 41 - MANDATORY STAFF POSTING AND REPORTING STANDARDS › Section 8:39-41.2 - Information required to be posted; retention

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				post the direct resident care staffing information described at (c) below, utilizing
				the Resident Care Staffing Report, incorporated herein by reference and set forth at
				chapter Appendix F, prior to the start of the shift for which information is being
				reported in a visible location in the facility that is accessible to residents,
				their families, members of the public, and caregivers.
(b) A facility shall post the direct resident care
				staffing information required by
				42
				CFR 483.30(e), incorporated
				herein by reference, as amended and supplemented, on the Resident Care Staffing
				Report.
(c) Each facility shall collect
				the following information for each shift in the facility:
1. Resident census at the start of the shift for
				which information is being reported;
2.
				The hours each registered nurse, licensed practical nurse and/or certified nurse
				aide responsible for direct resident care is scheduled to work on the shift for
				which information is being reported;
3.
				Number of staff; and
4. The
				staff-to-resident ratio.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 41 - MANDATORY STAFF POSTING AND REPORTING STANDARDS › Section 8:39-41.3 - Reporting requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each long-term care facility shall report the
				following information to the Department once a month on a web-based interface to be
				developed and communicated by the Department, which shall include the use of the
				information already collected on the Resident Care Staffing Report, as set forth as
				chapter Appendix G:
1. Broken down by shift, the
				average of the previous month's daily ratios of staff-to-residents for each category
				of direct resident care staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 41 - MANDATORY STAFF POSTING AND REPORTING STANDARDS › Section 8:39-41.4 - Penalty

Current through Register Vol. 56, No. 14, July 15, 2024
If the Commissioner determines that a facility has violated any
				  provision of this subchapter, the Department may issue an enforcement action
				  pursuant to P.L.
				  2005, c. 21,
				  §2 (e),
				  26:2H-5g(e), and
				  N.J.A.C. 8:43E-3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.1 - Nurse aide competency

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An individual who meets any of the following
				criteria shall be considered by the Department to be competent to work as a nurse
				aide in a licensed long-term care facility in New Jersey:
1. Has a currently valid nurse aide in long-term
				care facilities certificate and is registered in good standing on the New Jersey
				Nurse Aide Registry;
2. Has been
				employed for less than 120 days and is currently enrolled in an approved nurse aide
				in long term care facilities training course and scheduled to complete the
				competency evaluation program (skills and written/oral examination) within 120 days
				of employment; or
3. Has been employed
				for no more than 120 days, has completed the required training specified in (a)2
				above, and has been granted a conditional certificate by the Department while
				awaiting clearance from the criminal background investigation conducted in
				accordance with N.J.A.C. 8:43I.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.2 - Requirements for nurse aide certification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An applicant for
				certification as a nurse aide in long-term care facilities shall:
1. Successfully complete a nurse aide in long-term
				care facilities training program that has been approved by the Department;
2. Provide evidence that he or she is of good
				moral character, including, but not limited to, compliance with the requirements of
				the Criminal Background Investigation Program in accordance with N.J.A.C. 8:43I;
				and
3. Pass both the Department's
				clinical skills competency exam and written/oral exam.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.3 - Exceptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following persons may take the
				Department's written/oral examination without first completing a nurse aide training
				course and clinical skills evaluation approved in accordance with
				8:39-43.10:
1. Students, graduate nurses, or foreign licensed
				nurses, pending licensure, who submit evidence of successful completion of a course
				in the fundamentals of nursing;
2.
				Persons who submit evidence of the successful completion of a course in the
				fundamentals of nursing within the 12 months immediately preceding application to
				take the written/oral competency examination, including:
i. Persons certified as a nurse aide in long-term
				care facilities in another state by a state governmental agency and listed on that
				state's nurse aide registry, who do not meet the requirements for equivalency
				specified at (a)1 above; and
ii. Persons
				who have had training and experience as a nurse aide in a military service,
				equivalent to that of a nurse aide;
3. Persons who are certified as homemaker-home
				health aides by the New Jersey Board of Nursing, in accordance with N.J.A.C.
				13:37-14, and who successfully complete the Long-Term Care Module of the Core
				Curriculum for Unlicensed Assistive Personnel approved by the Department;
				and
4. Persons who successfully complete
				the Core Curriculum for Unlicensed Assistive Personnel approved by the Department
				and the New Jersey Board of Nursing, and the Long-Term Care Module of the Core
				Curriculum for Unlicensed Assistive Personnel approved by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.4 - Certificates

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A nurse aide in long-term care facilities
				certificate shall be valid for a period of two years from the date of
				issue.
(b) A nurse aide certificate
				shall not be retained by an employer for any reason.
(c) A nurse aide certificate is not transferable
				by sale, gift, duplication, or other means and shall not be forged or altered.
(d) Notwithstanding (a), (b), or (c)
				above, any nurse aide certification with an expiration date of March 1, 2020 through
				December 31, 2020, shall be extended until March 19, 2021.
(e) Notwithstanding (a), (b), (c), or (d) above,
				the expiration date of any nurse aide certification scheduled to expire between
				March 1, 2020, and the date the COVID-19 Public Health Emergency expires or
				terminates, shall be extended until 30 days after the date the COVID-19 Public
				Health Emergency expires or terminates.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.5 - Revocation and suspension of certificates

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A certificate issued
				to a nurse aide in accordance with this subchapter shall be revoked in the following
				cases:
1. Finding of abuse, neglect or
				misappropriation of property of a resident of a long-term care facility or assisted
				living residence, or of a patient, resident, or client of any other facility or
				agency licensed by the Department;
2.
				Conviction or guilty plea as specified at
				8:39-9.3(b)  or other
				crime or offense as specified at
				8:43I-2.1(b);
				or
3. Sale, purchase, or alteration of a
				certificate; use of fraudulent means to secure the certificate, including filing
				false information on the application; or forgery, imposture, dishonesty, or cheating
				on an examination.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.6 - Recertification

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department shall require the renewal and
				updating of a nurse aide listing on the registry at least once every two years on a
				schedule established by the Department.
(b) In order to be recertified, an individual
				shall have a currently valid nurse aide in long-term care facilities certificate and
				shall have been employed performing nursing or nursing-related services for at least
				seven hours for pay, in a licensed health care facility or for an agency licensed by
				the Department, within the past 24 months from the date of expiration as specified
				on the nurse aide certificate, and shall not have had his or her certificate revoked
				in accordance with
				8:39-43.5(a), and shall
				not have his or her certificate suspended in accordance with
				8:39-43.5(b).
(c) The designated facility representative shall
				verify such employment by signing the individual's recertification data mailer upon
				request of the individual.
(d) Any
				individual who does not meet the recertification requirement listed in (b) above and
				who wishes to be recertified, shall repeat the requirements for certification at
				8:39-43.2, unless the original date of
				issue of the certificate is within the five years prior to the expiration date
				listed on the certificate and the nurse aide successfully completes the skills
				evaluation and written/oral examination.
1. Any
				individual who has allowed his or her certificate to expire must undergo a criminal
				background investigation as required by N.J.A.C. 8:43I, regardless of whether the
				person must complete a training program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.7 - Nurse aide registries

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department shall
				establish and maintain a nurse aide registry in accordance with
				42 CFR
				483.156, as supplemented and amended.
(b) The Department shall establish and maintain a
				nurse aide abuse registry in accordance with
				42 CFR
				483.156, as supplemented and amended.
1. The nurse aide abuse registry shall include the
				names of individuals who are found to have abused, neglected or misappropriated the
				property of any resident while working in a long-term care facility as an
				uncertified nurse aide.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 43 - CERTIFICATION OF NURSE AIDES IN LONG-TERM CARE FACILITIES › Section 8:39-43.8 - Hearings for resident abuse, resident neglect, or misappropriation of resident property

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to entering a
				finding on the nurse aide abuse registry, the Department shall provide an
				opportunity of at least 30 days notice to the certified nurse aide or uncertified
				nurse aide, identifying the intended action, the factual basis and source of the
				finding, and the individual's right to a hearing.
(b) If a hearing is requested, it shall be
				conducted by the Office of Administrative Law or by a hearing officer of the
				Department in accordance with hearing procedures established by the Administrative
				Procedure Act.,
				52:14B-1 et seq. and 52:14F-1 et seq.
				and the Uniform Administrative Procedure Rules, N.J.A.C. 1:1.
(c) No further right to an administrative hearing
				shall be offered to a certified nurse aide or uncertified nurse aide who has been
				afforded a hearing before a State or local administrative agency or other neutral
				party, or in a court of law, at which time the nurse aide received adequate notice
				and an opportunity to testify and to confront witnesses, and where there was an
				impartial hearing officer who issued a written decision verifying the findings of
				abuse, neglect, or misappropriation of property of a resident. The individual shall
				have a right to enter a statement to be included in the registry contesting such
				findings.