New Jersey Administrative Code › Title 5 - COMMUNITY AFFAIRS › Chapter 27A - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES NOT LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 6 - RESIDENT CARE POLICIES › Section 5:27A-6.1 - Resident care policies and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written resident
				care policies and procedures shall be established, implemented, and reviewed at
				intervals specified in the policies and procedures. Each review of the policies and
				procedures shall be documented. Policies and procedures shall include, but not be
				limited to, policies and procedures regarding the following:
1. Resident rights;
2. The determination of staffing levels to ensure
				a minimum of one hour of resident supervision for each resident of the facility
				during each 24-hour period. Supervision may be provided by on-duty employees who are
				engaged in the direct supervision and care of residents, and also by those providing
				basic services such as food service, housekeeping, laundry and general maintenance,
				who, by reason of their availability on the premises, provide care and supervision
				as needed;
3. The referral of residents
				to health care providers in order to provide a continuum of resident care;
4. Emergency medical and dental care of residents,
				including notification of the resident's family, guardian, or designated community
				agency, and care of residents during periods of acute illness;
5. Obtaining written informed consent for any
				medical procedures performed at the facility which require informed consent by law,
				and the circumstances under which written informed consent shall be
				obtained;
6. The control of smoking in
				the facility in accordance with
				26:3D-1 et seq. and 26:3D-7 et seq. as
				follows:
i. Residents shall not be permitted to
				smoke in their rooms and in other secluded areas;
ii. Restricted smoking areas shall be designated
				and rules governing such smoking specified 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, as
				described in (a)6iv below;
iii. A
				facility may continue to enforce a smoke-free policy in effect prior to September
				20, 1999 and shall set forth this policy in its admission agreement;
iv. 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 resident smokers by providing a designated area with adequate outside
				ventilation for controlled smoking. If inside, the designated smoking room shall be
				ventilated to prevent recirculation of smoke to other areas of the facility. If
				outside, the designated area shall provide reasonable protection from inclement
				weather;
7. Discharge,
				termination by the facility, transfer, and readmission of residents, including
				criteria for each;
8. The care and
				control of pets, if the facility permits pets in the facility or on its premises.
				(See recommendations set forth in chapter Appendix C.)
9. A system to monitor residents leaving the
				facility or its premises, which shall include a policy to determine those
				circumstances where the resident's absence shall be investigated; and
10. Care of deceased residents, including, but not
				limited to, policies and procedures regarding the following:
i. The resident's family, guardian, or designated
				community agency shall be notified at the time of death. The deceased shall not be
				removed from the facility until pronounced dead and the death is documented in the
				resident's medical record; and
ii.
				Transportation of the deceased in the facility, and removal from the facility, in a
				dignified manner.