reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.6 - Mandatory space and environment for 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
				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 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.
(c) The facility shall post
				water quality test results in at least one conspicuous location in the facility, in
				accordance with
				26:2H-12.1 4.
(d) Equipment requiring water drainage, such as
				ice machines and water fountains, shall be properly drained to a sanitary
				connection.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.7 - Mandatory space and environment for sanitation and waste management

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Solid waste shall be
				stored in clean, solidly constructed containers with tight-fitting lids for the
				storage of solid wastes.
(b) Storage
				areas for solid waste containers shall be kept clean. Waste shall be collected from
				all storage areas regularly to prevent nuisances such as odors, flies, or
				rodents.
(c) There shall be no back
				siphonage conditions present.
(d) All
				food service facilities shall be maintained in conformance with Chapter XII of the
				New Jersey State Sanitary Code, N.J.A.C. 8:24.
(e) If the facility has an incinerator, it shall
				operate with the necessary permits from the New Jersey Department of Environmental
				Protection and shall not create a nuisance to the facility or the
				community.
(f) Solid waste that is not
				regulated medical waste shall be stored within the containers provided for it
				outside the facility or in a separate room that is maintained in a clean and
				sanitary condition. Waste shall be collected from the storage room regularly to
				prevent nuisances such as odors, flies, or rodents, and so that the waste shall not
				overflow or accumulate beyond the capacity of the storage containers.
(g) Garbage compactors shall be located on an
				impervious pad that is graded to a drain. For new construction, the drain shall be
				connected to the sanitary sewage disposal system.
(h) Plastic bags shall be used for solid waste
				removal from resident care units and supporting departments. Bags 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 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 19 - MANDATORY INFECTION CONTROL AND SANITATION › Section 8:39-19.8 - Mandatory supplies and equipment for infection control and sanitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The sewage disposal
				system shall be maintained in good repair and operated in compliance with State and
				local laws, ordinances, and regulations.
(b) Water piping carrying non-potable water shall
				be clearly labeled.
(c) Commercial
				sterile supplies shall be used in accordance with manufacturers' recommendations,
				and before expiration dates, and packages shall be inspected to ensure
				integrity.
(d) Bed pan washers shall be
				in good working order and properly maintained.
(e) Toilet tissue and proper waste receptacles
				shall be provided.
(f) Suitable hand
				cleanser and sanitary towels or approved hand-drying machines shall be
				provided.
(g) Equipment and supplies
				used for sterilization, disinfection, and decontamination purposes shall be
				maintained according to manufacturers' specifications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 20 - ADVISORY INFECTION CONTROL AND SANITATION › Section 8:39-20.1 - Advisory policies and procedures for infection control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				routinely offers Hepatitis B vaccine to all employees, regardless of risk status or
				duties, without charge.
(b) Employees
				undergo periodic or annual health screening.
(c) The facility maintains records documenting
				contagious diseases contracted by employees during employment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 20 - ADVISORY INFECTION CONTROL AND SANITATION › Section 8:39-20.2 - Advisory staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The infection
				control coordinator is certified in Infection Control (CIC) by the National Board of
				Infection Control, P.O. Box 14661, Lenexa, KS 66286-4661.
(b) The infection control coordinator is an active
				member of the National Association for Professionals in Infection Control and
				Epidemiology, Inc. (APIC), 1275 K Street, NW, Suite 1000, Washington, DC
				20005-4006.
(c) The infection control
				coordinator has completed an APIC Basic Training Course or has received at least 25
				hours of training in infection control, and receives an additional six hours of
				training annually.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 20 - ADVISORY INFECTION CONTROL AND SANITATION › Section 8:39-20.3 - Advisory staff education and training for infection control

Current through Register Vol. 56, No. 14, July 15, 2024
At least four education or training programs on infection control
				  are held every year so that all staff members are fully informed about infection
				  control requirements that apply to them.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 21 - MANDATORY LAUNDRY SERVICES › Section 8:39-21.1 - Mandatory laundry policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Soiled laundry shall
				be stored in a ventilated area, separate from other supplies, and shall be stored,
				sorted, rinsed, and laundered only in areas specifically designated for those
				purposes.
(b) All soiled laundry from
				resident rooms and other service units shall be stored, transported, collected, and
				delivered in a covered laundry bag or cart. Laundry carts shall be in good repair,
				kept clean, and identified for use with either clean or soiled laundry.
(c) Soiled laundry contaminated with blood and/or
				body fluids shall be collected in an effectively closed leak proof bag of sufficient
				strength to safely contain such laundry from point of origin to point of
				processing.
(d) Clean laundry shall be
				protected from contamination during processing, storage, and transportation within
				the facility.
(e) Soiled and clean
				laundry shall be kept separate.
(f) An
				established protocol, reviewed by the infection control committee, shall be followed
				to reduce the number of bacteria in the fabrics.
(g) Equipment surfaces that come into contact with
				laundry shall be sanitized.
(h) The
				facility shall develop and implement policies and procedures, reviewed by the
				infection control committee, to protect staff from contamination when handling
				soiled laundry.
(i) Sour testing to
				ensure neutralization of alkaline residues from built detergents shall be conducted,
				and fabric pH shall be maintained at 7.0 or below after souring.
(j) The facility shall develop and implement
				policies and procedures to ensure that residents' personal clothing is collected,
				processed and returned to the resident in a sanitary manner and in good
				condition.
(k) The facility shall have a
				system to identify each resident's clothing and a procedure to locate and/or
				minimize loss of clothing.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 21 - MANDATORY LAUNDRY SERVICES › Section 8:39-21.2 - Mandatory space and environment for laundry facilities

Current through Register Vol. 56, No. 14, July 15, 2024
If the facility has an on-premises laundry, it shall provide a
				  receiving, holding, and sorting area with hand-washing facilities. The walls,
				  floors, and ceilings of the area shall be clean and in good repair. The flow of
				  ventilating air shall be from clean to soiled areas, and ventilation shall be
				  adequate to prevent heat and odor build-up.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 21 - MANDATORY LAUNDRY SERVICES › Section 8:39-21.3 - Mandatory supplies and equipment for laundry

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				have a supply of linen appropriate to the resident's needs that is clean, in good
				repair, and is at least three times the number of residents.
(b) The facility shall have a supply of blankets
				that is at least two times the number of residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 21 - MANDATORY LAUNDRY SERVICES › Section 8:39-21.4 - Mandatory quality assurance for laundry

Current through Register Vol. 56, No. 14, July 15, 2024
All facilities, including those that contract with a commercial
				  laundry service, shall evaluate the service as part of the quality assurance
				  program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 23 - MANDATORY MEDICAL SERVICES › Section 8:39-23.1 - Mandatory structural organization for medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each facility shall
				have a medical director who is currently licensed to practice medicine by the New
				Jersey State Board of Medical Examiners.
1. The
				medical director shall coordinate medical care and direct the administrative aspects
				of medical care in the facility.
2. The
				medical director shall approve all medical care policies and procedures. These
				policies and procedures shall be followed.
3. The medical director shall participate in the
				facility's quality assurance program through attendance at meetings, or interviews,
				and/or preparation or review of reports.
4. The medical director shall be an active
				participant on the facility's infection control committee, pharmacy and therapeutics
				committee, and a committee that is responsible for developing policies and
				procedures for resident care.
5. The
				medical director shall ensure that for each resident there is a designated primary
				and an alternate physician who can be contacted when necessary.
6. The medical director shall review all reports
				of incidents that have been documented in accordance with
				8:39-9.4(e)4.
7. The medical director, or physicians designated
				by the medical director, shall respond quickly and effectively to medical
				emergencies that are not handled by another attending physician, including inpatient
				admissions.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 23 - MANDATORY MEDICAL SERVICES › Section 8:39-23.2 - Mandatory medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each physician or
				advanced practice nurse order shall be properly entered into the resident's medical
				record.
(b) Each resident's attending
				physician or advanced practice nurse shall review the resident's medical record on a
				scheduled basis to ensure that care plans and medical orders are properly
				followed.
(c) The facility shall
				maintain a list of consultant physicians who are available for referrals made by the
				attending physician and shall make arrangements for referrals to psychological
				services.
(d) A physician or advanced
				practice nurse shall visit each resident at least every 30 days unless the medical
				record contains an explicit justification for not doing so. Following the initial
				visit, alternate 30-day visits may be delegated by a physician to a New Jersey
				licensed physician assistant, in accordance with facility policies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 23 - MANDATORY MEDICAL SERVICES › Section 8:39-23.3 - Defibrillator

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				maintain at least one defibrillator available to trained staff in a central
				location.
(b) The facility shall have a
				written protocol on the use of the defibrillator. The protocol shall address:
1. The testing and maintenance of the
				defibrillator according to the manufacturer's operational guidelines; and
2. The training of staff in the use of the
				defibrillator.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 24 - ADVISORY MEDICAL SERVICES › Section 8:39-24.1 - Advisory medical staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
The medical director is board-certified in a primary care
				  specialty, such as family medicine, gerontology, or general internal medicine.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 24 - ADVISORY MEDICAL SERVICES › Section 8:39-24.2 - Advisory resident medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				arranges for physician or advanced practice nurse visits in the facility on a
				scheduled appointment basis in an office provided for that purpose.
(b) The facility has a staff or consultant
				psychiatrist with admitting privileges to the inpatient psychiatric unit at a
				hospital.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 25 - MANDATORY NURSE STAFFING › Section 8:39-25.1 - Mandatory policies and procedures for nurse staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be a
				full-time director of nursing or nursing administrator who is a registered
				professional nurse licensed in the State of New Jersey, who has at least two years
				of supervisory experience in providing care to long-term care residents, and who
				supervises all nursing personnel.
(b)
				During a temporary absence of the director of nursing, the facility shall designate,
				in writing, a registered professional nurse to be on duty as an alternate to the
				director of nursing. The alternate shall be temporarily responsible for supervising
				all nursing personnel.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 25 - MANDATORY NURSE STAFFING › Section 8:39-25.2 - Mandatory nurse staffing amounts and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				shall provide nursing services and licensed nursing and ancillary personnel at all
				times. In accordance with
				13:37-6.2, the registered professional
				nurse may delegate selected nursing tasks in the implementation of the nursing
				regimen to licensed practical nurses and ancillary nursing personnel.
(b) The facility shall provide nursing services by
				registered professional nurses, licensed practical nurses, and nurse aides (the
				hours of the director of nursing are not included in this computation, except for
				the direct care hours of the director of nursing in facilities where the director of
				nursing provides more than the minimum hours required at
				8:39-25.1(a)  ) on the
				basis of:
1. Total number of residents multiplied
				by 2.5 hours/day; plus
2. Total number
				of residents receiving each service listed below, multiplied by the corresponding
				number of hours per day:
Wound care
0.75 hour/day
Nasogastric tube feedings and/or
gastrostomy
1.00 hour/day
Oxygen therapy
0.75 hour/day
Tracheostomy
1.25 hours/day
Intravenous therapy
1.50 hours/day
Use of respirator
1.25 hours/day
Head trauma stimulation/advanced
1.50 hours/day
neuromuscular/orthopedic care
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 26 - ADVISORY NURSE STAFFING › Section 8:39-26.1 - Advisory structural organization for nurse staffing

Current through Register Vol. 56, No. 14, July 15, 2024
Facilities with more than 200 licensed beds employ at least one
				  full-time equivalent staff educator; facilities with between 100 and 200 licensed
				  beds employ at least a half-time staff educator; or facilities with fewer than 100
				  licensed beds employ a staff educator at least one-fifth time.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 26 - ADVISORY NURSE STAFFING › Section 8:39-26.2 - Advisory policies and procedures for nurse staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				establishes and implements a system for assigning nursing personnel on the basis of
				a classification system involving resident acuity.
(b) The facility uses a primary system in which
				nurse aides are assigned on a regular basis to specific residents to provide
				continuity of care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 26 - ADVISORY NURSE STAFFING › Section 8:39-26.3 - Advisory nurse staffing amounts and availability

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A registered
				professional nurse is on duty at all times in facilities with fewer than 100
				licensed beds, two registered professional nurses are on duty at all times in
				facilities with 100 to 200 licensed beds, and three registered nurses are on duty at
				all times in facilities with more than 300 beds.
(b) The facility provides direct nursing services
				pursuant to 8:39-25.2(b)  which are
				increased by at least 10 percent.
(c) At
				least 50 minutes per resident per day of resident care is provided by licensed
				nurses, that is, registered professional nurses and licensed practical nurses. (This
				is an average. It is equal to one full-time equivalent nurse for every ten
				residents.)
(d) All nurse aides working
				in the facility have completed a training and orientation program to all services of
				at least two weeks full-time duration within the facility prior to their permanent
				assignment in the facility.
(e) Each
				resident care unit in the facility meets the nurse staffing requirements mandated in
				8:39-25.2(b).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 26 - ADVISORY NURSE STAFFING › Section 8:39-26.4 - Advisory qualifications for nurse staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The director of
				nursing has a baccalaureate or master's degree in nursing or a health-related
				field.
(b) An advanced practice nurse
				who is Board certified in family, adult, or geriatric practice is available on staff
				or under contract with the facility to perform assessments and to provide
				consultation to other staff members.
(c)
				The facility employs an advanced practice nurse certified in gerontology or
				psychiatric nursing on at least a half time basis.
(d) A nurse who holds certification in
				gerontological nursing, rehabilitation nursing, or a related field of nursing from
				the American Nurses Credentialing Center of the American Nurses Association, is
				available on staff or under contract with the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 27 - MANDATORY QUALITY OF CARE › Section 8:39-27.1 - Mandatory policies, procedures and practices for quality of care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and ensure that each resident receives all care and services needed to
				enable the resident to attain and maintain the highest practicable level of physical
				(including pain management), emotional and social well-being, in accordance with
				individual assessments and care plans.
(b) All resident care policies shall be written
				and developed by a resident care committee, shall be available to physicians,
				advanced practice nurses, staff, residents, their relatives or guardians, and the
				public, and shall be implemented in accordance with acceptable professional
				standards of practice.
(c) The
				interdisciplinary committee or equivalent shall develop, review at least annually,
				revise as needed, and ensure implementation of written policies and procedures for
				the use of restraints and assure that the facility continuously attempts to
				eliminate the need for restraints. Guidance for such policies and procedures is
				provided in Appendix D of this chapter. Policies shall include the collection of the
				following data:
1. All emergency restraint
				applications;
2. Indicators for the
				frequency of the use of restraints in the facility;
3. Evaluation of all cases in which there is:
i. A failure to obtain or receive a physician's or
				advanced practice nurse's order;
ii. A
				negative clinical outcome; and
4. Indicators of the frequency of the use of
				psychopharmacological agents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 27 - MANDATORY QUALITY OF CARE › Section 8:39-27.2 - Mandatory resident services for personal care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Residents shall be
				weighed accurately every month. Whenever there is a gain or loss of five percent or
				more, a note shall be entered into the medical record stating whether the care plan
				should be modified. If the resident cannot be weighed, alternate measures shall be
				used to monitor weight change.
(b)
				Nonambulatory residents shall be repositioned at least once every two
				hours.
(c) Effective and safe measures
				shall be taken to ensure that residents do not harbor parasitic insects.
(d) Effective and safe measures shall be taken to
				ensure that residents are not malodorous.
(e) Any dehydrated and/or malnourished resident
				shall be accurately evaluated and effectively treated.
(f) Oral hygiene care shall be offered to the
				resident by staff on a daily basis.
(g)
				The resident's hair and nails shall be groomed.
(h) Each resident shall be kept clean and
				dry.
(i) Each resident shall receive at
				least one bath (tub or shower) per week unless contraindicated.
(j) Each resident's bed shall be made daily. Clean
				linen shall be provided for each resident at least once a week or whenever linens
				are soiled or wet.
(k) Each resident
				shall have access to fresh drinking water or juice at all times, unless
				contraindicated.
(
l
)
				Non-bedfast residents shall be provided with the means for leaving and returning to
				their beds and rooms each morning and afternoon.
(m) Measures to prevent contractures shall be
				used, and contractures shall be identified, documented, and managed by
				rehabilitative nursing and physical therapy.
(n) Indwelling catheters shall not be used for the
				convenience of staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 27 - MANDATORY QUALITY OF CARE › Section 8:39-27.3 - Mandatory general resident services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Residents shall be
				afforded the opportunity to eat in a group setting unless contraindicated with the
				reasons noted in the resident's medical record. The need for feeding assistance
				shall not constitute an acceptable contraindication.
(b) Residents shall be afforded an opportunity to
				go outdoors on a regular basis.
(c)
				Clothing, including undergarments and footwear, shall be clean, comfortable, and
				personally assigned to each resident, and shall reflect personal preference and
				safety. The facility shall promote residents' sense of personal control in acquiring
				clothing, for example, through the establishment of a clothing concession in the
				facility or clothing vendors' periodic visits to the facility, the arrangement of
				shopping excursions, and/or the use of catalogue shopping by residents.
(d) Residents shall be encouraged and helped to
				select the clothing they will wear each day.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 27 - MANDATORY QUALITY OF CARE › Section 8:39-27.4 - Mandatory post-mortem policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Deceased residents
				shall be removed in a timely fashion from rooms where other residents are staying
				and transported within the facility in a dignified manner.
(b) A family member, guardian, or other designated
				person shall be promptly notified at the time of the pronouncement of the resident's
				death.
1. The facility shall maintain in the
				resident's medical record confirmation and written documentation of that
				notice.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 27 - MANDATORY QUALITY OF CARE › Section 8:39-27.5 - Mandatory supplies and equipment for resident care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prostheses,
				including eyeglasses, dentures, and hearing aids, shall be functional and
				individualized, and shall be kept available to the resident, unless the resident
				specifically rejects their use.
(b)
				Adaptive devices and equipment shall be functional and individualized, and shall be
				kept available to the resident unless the resident specifically rejects their
				use.
(c) All drinking water containers
				shall be washed daily and sanitized weekly. Containers that cannot be sanitized
				shall be discarded.
(d) The facility
				shall maintain at least one bag-valve-mask resuscitator.
(e) Bath thermometers or other temperature
				controls shall be used to monitor the temperatures of each bath or shower.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 28 - ADVISORY QUALITY OF CARE › Section 8:39-28.1 - Advisory policies and procedures for resident care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility
				conducts scheduled interdisciplinary staff discussions, and discussions with
				residents and families, about the right of residents to die with dignity.
(b) The facility develops and provides
				individualized non-restrictive equipment meeting individual needs which fosters and
				supports a restraint-free environment for all residents.
(c) The facility maintains an on-going and on-site
				program of preventative treatment and referral to mental health services which
				includes prevention, treatment, and referral directed by a qualified mental health
				professional.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 28 - ADVISORY QUALITY OF CARE › Section 8:39-28.2 - Advisory resident care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There are education
				programs provided on at least a quarterly basis, open and accessible to residents,
				families, and significant others addressing the following issues:
1. The enhancement and maintenance of physical and
				mental well-being;
2. The prevention of
				deterioration;
3. The teaching of
				self-care; and
4. Death, dying and
				bereavement.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.1 - Mandatory pharmacy organization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A facility shall
				have a consultant pharmacist and either a provider pharmacist or, if the facility
				has an in-house pharmacy, a director of pharmaceutical services.
(b) A New Jersey licensed pharmacist shall serve
				as director of pharmaceutical services or as consultant pharmacist. The pharmacist
				shall comply with Federal and State statutes, rules, regulations and currently
				accepted standards of practice.
(c) The
				facility shall have an interdisciplinary pharmacy and therapeutics committee,
				appointed by and reporting to the administrator and consisting of at least the
				administrator, a representative of the nursing staff, and the consultant pharmacist,
				with oversight as needed by the medical director. The committee may include a
				licensed pharmacist representing the provider pharmacy. The committee shall hold
				meetings as needed but at least quarterly and records, including the dates of
				meetings, attendance, activities, findings, and recommendations, shall be
				maintained.
(d) The facility shall
				appoint a consultant pharmacist who is not also the director of pharmaceutical
				services or pharmacist provider and does not have an affiliation with either the
				director of pharmaceutical services or the pharmacist provider.
(e) If the facility keeps emergency injectable or
				oral controlled substances, a current Drug Enforcement Administration registration
				and Controlled Dangerous Substance registration for that location shall be
				available. (See N.J.S.A. 24:21-10forregistration requirements; registration
				application procedures are specified at
				N.J.A.C.
				13:45H-1.4.)
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.2 - Mandatory drug administration policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The pharmacy and
				therapeutics committee shall establish and enforce procedures for documenting drug
				administrations in accordance with law.
(b) The facility shall have a system to accurately
				identify recipients before any drug is administered.
(c) Self-administration of drugs shall be
				permitted by qualified residents only as specified by the policy of the pharmacy and
				therapeutics committee and the assessment of the interdisciplinary team.
				Self-administration procedures shall include, at a minimum, the following:
1. The written order of the prescriber;
2. Storage of medications in the resident's room,
				based on resident assessments;
3.
				Specifications for labeling, including directions for use;
4. Methods for documentation in the medical
				record, based on resident assessment;
5.
				Training of residents in self-administration by the nursing staff or the consultant
				pharmacist; and
6. Policies for
				individual assessment of residents' ability to self-administer
				medications.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.4 - Mandatory pharmacy control policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The label of each
				resident's individual medication container or package shall be labeled in accordance
				with the New Jersey State Board of Pharmacy regulations at
				13:39-5.9, permanently affixed, and
				contain the following information:
1. The
				resident's full name;
2. The
				prescriber's name;
3. The prescription
				number;
4. The name and strength of
				drug;
5. The quantity
				dispensed;
6. The lot number;
7. The date of issue;
8. The expiration date;
9. The manufacturer's name if generic;
10. Cautionary and/or accessory labels.
i. If a generic substitute is used, the drug shall
				be labeled according to the Drug Utilization Review Council Formulary,
				24:6E-1 et seq. and N.J.A.C.
				8:71.
ii. Required information appearing
				on individually packaged drugs or within an alternate medication delivery system
				need not be repeated on the label; and
11. The name, address, and telephone number of the
				pharmacy.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.5 - Mandatory pharmacy staff qualifications

Current through Register Vol. 56, No. 14, July 15, 2024
If the facility maintains a pharmacy in-house, the pharmacy shall
				  be licensed by the New Jersey State Board of Pharmacy, and shall possess a current
				  Drug Enforcement Administration registration and a Controlled Dangerous Substance
				  registration from the New Jersey State Department of Law and Public Safety.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.6 - Mandatory resident pharmacy services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide pharmaceutical services, either directly or by contract with a provider
				pharmacy, 24 hours a day, seven days a week.
(b) If a resident obtains medications from a
				pharmacy that is not the facility provider pharmacy, the following conditions shall
				be met:
1. The pharmacy provider shall comply with
				all labeling requirements specified at
				8:39-29.4(a);
				and
2. The facility shall establish a
				plan for obtaining the resident's drugs on an emergency basis.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.7 - Mandatory pharmacy supplies and equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Medication
				containers and carts shall be handled properly to prevent damage, injury and
				harm.
(b) Needles and syringes shall be
				stored, used, and disposed of in accordance with New Jersey State law, and a record
				shall be maintained of the purchase, storage, and disposal of needles and
				syringes.
(c) Controlled substances
				shall be stored, and records shall be maintained, in accordance with the Controlled
				Dangerous Substances Acts and all other Federal and State laws and regulations
				concerning procurement, storage, dispensation, administration, and
				disposition.
(d) Pharmaceutical
				reference materials and other information sources about drugs, including
				investigational drugs, if used, shall be approved by the pharmacy and therapeutics
				committee and shall be current.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 29 - MANDATORY PHARMACY › Section 8:39-29.8 - Mandatory pharmacy quality assurance

Current through Register Vol. 56, No. 14, July 15, 2024
The pharmacy and therapeutics committee shall review reports of
				  medication errors and suspected adverse drug reactions and shall summarize these
				  reports yearly.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 30 - ADVISORY PHARMACY › Section 8:39-30.1 - Advisory pharmacy staffing amounts and availability

Current through Register Vol. 56, No. 14, July 15, 2024
The consultant pharmacist or a licensed pharmacist representing
				  the provider pharmacy provides or arranges for quarterly meetings open to residents,
				  families, and interested others to discuss medication issues.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 30 - ADVISORY PHARMACY › Section 8:39-30.2 - Advisory pharmacy resident services

Current through Register Vol. 56, No. 14, July 15, 2024
The consultant pharmacist reviews drug records within 48 hours of
				  admission via a facsimile service. All dated and signed comments and recommendations
				  made by the consultant pharmacist shall be added to the resident's medical record
				  and shall be distributed to the attending physician or advanced practice nurse and
				  director of nurses for review and action.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 30 - ADVISORY PHARMACY › Section 8:39-30.3 - Advisory provider formulary criteria

Current through Register Vol. 56, No. 14, July 15, 2024
The provider pharmacy through the Pharmacy and Therapeutics
				  Committee, may establish a formulary which is not in contradiction to the Drug
				  Utilization Review Council Formulary,
				  24:6E-1 et seq., and N.J.A.C. 8:71. The
				  formulary policies must be approved by the Pharmacy and Therapeutics Committee and
				  every prescriber with prescriptive authority in the facility. The Pharmacy and
				  Therapeutics Committee establishes policies for the prescribing of non-formulary
				  agents. The formulary is developed to avoid negative outcomes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 30 - ADVISORY PHARMACY › Section 8:39-30.4 - Advisory consultant pharmacist certification

Current through Register Vol. 56, No. 14, July 15, 2024
The consultant pharmacist holds current certification by the
				  Joint Board of Certification of Consultant Pharmacists.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.1 - Mandatory construction standards

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No construction,
				renovation or addition shall be undertaken without first obtaining approval from the
				Department, Division of Certificate of Need and Licensing and/or the Department of
				Community Affairs, Health Care Plan Review Unit.
(b) New construction, alterations and additions of
				long-term care facilities shall comply with the Uniform Construction Code (N.J.A.C.
				5:23) as adopted by the New Jersey Department of Community Affairs. The New Jersey
				Uniform Construction Code may be obtained from the Construction Code Element of the
				Department of Community Affairs, PO Box 805, Trenton, New Jersey
				08625-0805.
(c) Fire safety maintenance
				and retrofit of long-term care facilities shall comply with the Uniform Fire Safety
				Code (N.J.A.C. 5:18) as adopted by the New Jersey Department of Community Affairs.
				The New Jersey Uniform Fire Safety Code may be obtained from the Fire Safety Element
				of the Department of Community Affairs, PO Box 809, Trenton, New Jersey
				08625-0809.
(d) Required annual
				maintenance inspections by the Department of Health for a facility participating in
				the Medicare or Medicaid programs shall be conducted, in accordance with the edition
				of the National Fire Protection Associations Life Safety Code that has been adopted
				by the United States Centers for Medicare and Medicaid Services, incorporated herein
				by reference, as amended and supplemented; however, this code shall not be enforced
				to exceed the requirements of the Uniform Construction Code referenced, at (b)
				above. A facility that does not participate in either the Medicare or Medicaid
				programs shall be inspected under the version of the Life Safety Code in effect at
				the time of original licensure; however, this code shall not be enforced to exceed
				the requirements of the Uniform Construction Code referenced at (b) above. (Copies
				of the Life Safety Code may be obtained from the National Fire Protection
				Association, Battery March Park, Quincy, MA 02200.)
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.2 - Mandatory general maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Personnel engaged in
				general maintenance activities shall receive orientation upon employment and, at
				least once a year, education or training in principles of asepsis, cross-infection
				control, and safe practices.
(b) There
				shall be a system for reporting physical plant, safety, and maintenance problems to
				a designated staff member and documentation of the correction of such
				problems.
(c) A current, written
				preventive maintenance program shall be implemented. Records of inspections and
				repairs shall be maintained for at least one year.
(d) Written instructions for operating and
				maintaining equipment shall be systematically retained and followed.
(e) The facility shall be kept in good repair and
				maintained without harm or jeopardy to residents.
(f) There shall be a maintenance contract on
				elevators that includes routine maintenance inspections.
(g) The standby emergency power generator shall be
				checked weekly, tested under load monthly, and serviced in accordance with generally
				accepted engineering practices.
(h)
				Temperature shall be in accordance with requirements specified in the 1996-97
				edition of "Guidelines For Design and Construction of Hospital and Health Care
				Facilities" (American Institute of Architects Academy of Architecture for Health,
				with assistance from the U.S. Department of Health and Human Services. The American
				Institute of Architects Press: Washington, DC), incorporated herein by reference
				that apply, depending on the time the building was constructed.
(i) There shall be a comprehensive, current,
				written preventive maintenance program for the electrical system that is documented
				and followed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.3 - Mandatory quality assurance for housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
Facilities that contract with a housekeeping service shall use
				  quality assurance measures to ensure that the housekeeping requirements of this
				  chapter are met.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.4 - Mandatory housekeeping policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a safe, clean and orderly environment for residents.
(b) The facility shall have a written schedule
				that determines the frequency of cleaning and maintaining all equipment, structures,
				areas, and systems.
(c) Mattresses,
				mattress pads and coverings, pillows, bedsprings, and other furnishings shall be
				properly maintained and kept clean and replaced as needed. They shall be thoroughly
				cleaned and disinfected on a regular schedule and whenever a new resident is using
				them.
(d) Scatter rugs shall be not
				permitted and floors shall be coated with slip-resistant floor finish.
(e) Carpeting shall be kept clean and odor free
				and shall not be frayed, worn, torn, or buckled.
(f) All equipment and environmental surfaces shall
				be clean to sight and touch.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.5 - Pest control

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Effective and safe
				controls shall be used to minimize and eliminate the presence of rodents, flies,
				roaches and other vermin in the facility.
1. The
				premises shall be kept in such condition as to prevent the breeding, harborage, or
				feeding of vermin.
2. All openings to
				the outer air shall be effectively protected against the entrance of insects.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES › Subchapter 31 - MANDATORY PHYSICAL ENVIRONMENT › Section 8:39-31.6 - Mandatory fire and emergency preparedness

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Employees shall be
				trained in procedures to be followed in an emergency operations plan and instructed
				in the use of fire fighting equipment and resident evacuation of the buildings as
				part of their initial orientation and at least annually thereafter.
(b) Fire drills shall be conducted a total of 12
				times per year, with at least one drill on each shift and one drill on a weekend.
				The facility shall attempt to have the local fire department participate in at least
				one fire drill per year. An actual alarm shall be considered a drill if it is
				documented.
(c) Fire regulations and
				procedures shall be posted in each unit and/or department. A written evacuation
				diagram that includes evacuation procedures and locations of fire exits, alarm
				boxes, and fire extinguishers shall be posted conspicuously on a wall in each
				resident care unit and/or department throughout the facility.
(d) There shall be a procedure for investigating
				and reporting fires. All fires shall be reported to the Department immediately by
				phone and followed up in writing within 72 hours. In addition, a written report of
				the investigation by the fire department containing all pertinent information shall
				be forwarded to the Department as soon as it becomes available.
(e) Smoking regulations shall be developed,
				implemented, and enforced in accordance with
				26:3D-1 et seq. and 26:3D-7 et seq.
1. Residents shall not be permitted to smoke in
				their rooms and in other secluded areas. The facility may enforce a no-smoking rule
				for staff and visitors.
2. Restricted
				smoking areas shall be designated and rules governing such smoking promulgated and
				rigidly enforced. Nonflammable ashtrays in sufficient numbers shall be provided in
				permitted smoking areas. In any area where smoking is permitted, there shall be
				adequate outside ventilation.
3. At the
				facility's option, it may institute a smoke-free policy. Any prospective smoke-free
				policy shall be set forth in the facility's admission agreement and shall only apply
				to residents entering the facility on or after the policy's effective date. The
				facility shall protect the rights of residents who smoke by providing a designated
				area with adequate outside ventilation for controlled smoking. If inside, the
				designated smoking room shall be adequately ventilated to prevent recirculation of
				smoke to other areas of the facility. If outside, the designated area shall provide
				reasonable protection from inclement weather.