reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 7 - RESIDENT ASSESSMENTS AND CARE PLANS › Section 8:36-7.1 - Initial assessments and resident service plans

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon admission, each
				resident shall receive an initial assessment by a registered professional nurse to
				determine the resident's needs.
(b) If
				this initial assessment indicates the resident has general service needs, a general
				service plan shall be developed within 14 days of the resident's
				admission.
(c) The general service plan
				shall include, but not be limited to, the following:
1. The resident's need, if any, for assistance
				with activities of daily living (ADL);
2. The resident's need, if any, for assistance
				with recreational and other activities; and
3. The resident's need, if any, for assistance
				with transportation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 7 - RESIDENT ASSESSMENTS AND CARE PLANS › Section 8:36-7.2 - Health care assessment and health service plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Within 30 days prior
				to admission to the assisted living residence, comprehensive personal care home, or
				assisted living program, a physician, advanced practice nurse or physician assistant
				shall specify in writing that the resident is appropriate for this level of
				care.
(b) At the time of admission,
				arrangements shall be made between the administrator and the resident, guardian, or
				responsible person regarding the physician and dentist to be called in case of
				illness, or the individual to be called for a resident who, because of religious
				affiliation, is opposed to medical treatment.
(c) If the initial assessment in
				8:36-7.1(a)  indicates
				that the resident requires health care services, a health care assessment shall be
				completed within 14 days of admission by a registered professional nurse using an
				assessment instrument available from the Department, or an assessment instrument
				that has been adopted by the facility or program, equivalent to the instrument
				available from the Department, and which meets the requirements of (d)
				below.
(d) Each health care assessment
				by the registered professional nurse shall include, at a minimum, evaluation of the
				following:
1. Need for assistance with "activities
				of daily living";
2. Cognitive
				patterns;
3. Communication/hearing
				patterns;
4. Vision patterns;
5. Physical functioning and structural
				problems;
6. Continence;
7. Psychosocial well-being;
8. Mood and behavior problems;
9. Activity pursuit patterns;
10. Disease diagnoses;
11. Health conditions and preventive health
				measures, including, but not limited to, pain, falls, and lifestyle;
12. Oral/nutritional status;
13. Oral/dental status;
14. Skin conditions;
15. Medication use;
16. Special treatment and procedures;
17. Restraint use; and
18. Outside service utilization.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 7 - RESIDENT ASSESSMENTS AND CARE PLANS › Section 8:36-7.3 - General and health service plans

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The resident general
				service plan shall be reviewed and, if necessary, revised semi-annually, and more
				frequently as needed based upon the resident's response to the care provided and any
				changes in the resident's physical or cognitive status.
(b) The resident health service plan shall be
				reviewed, and if necessary, revised quarterly, and as needed, based upon the
				resident's response to the care provided and any changes in the resident's physical
				or cognitive status.
(c) Documentation
				in the resident's record shall indicate review and any necessary revision of the
				resident service plan and/or health service plan.
(d) The resident shall participate in and, if the
				resident agrees, family members shall be invited to participate in, the development
				of the resident service plan and health service plans, if plans are needed.
				Participation shall be documented in the resident's record.
(e) If the resident does not have any general
				service needs or health services needs, a general or health service plan is not
				necessary.
(f) The facility shall be
				responsible for reassessing residents who have neither a general service or health
				service plan in response to changes in the resident's functional and/or cognitive
				status at least annually and more frequently if such reassessment is predicated on a
				change in the resident's functional and/or cognitive status.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 7 - RESIDENT ASSESSMENTS AND CARE PLANS › Section 8:36-7.4 - Health care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The assisted living
				residence, comprehensive personal care home, or assisted living program shall ensure
				that the resident receives "health care services" under the direction of a
				registered professional nurse, in accordance with the health service plan.
(b) A registered professional nurse shall be
				responsible for developing nursing practice policies and procedures and the
				coordination of all health care services required in the resident's health service
				plan.
(c) Written policies and
				procedures shall be developed and implemented to ensure, but not be limited to, the
				following:
1. Assessment of all residents with a
				general service plan at least semi-annually, and those residents who have a health
				service plan shall be reassessed at least quarterly and more often on an as-needed
				basis, including and upon the resident's return to the facility from the
				hospital;
2. Monitoring of the condition
				of all residents on an as needed basis;
3. Notification of the registered professional
				nurse if there are significant changes in a resident's condition;
4. Assessment of the resident's need for referral
				to a physician, advanced practice nurse or physician assistant, or community
				agencies as appropriate; and
5.
				Maintenance of records as required.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 7 - RESIDENT ASSESSMENTS AND CARE PLANS › Section 8:36-7.5 - Provision of health care services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility or
				program shall arrange for health care services to be provided to residents as
				needed, in accordance with assessments and with the health service plan. The
				administrator shall develop a system to identify the residents receiving health care
				services.
(b) If a resident who has not
				been receiving a health care service requires a health care service on a temporary
				basis (meaning a period of time reasonably expected to be 14 days or less and not
				involving a significant change in condition or a life-threatening illness), neither
				a health care assessment nor a health service plan shall be required. The
				administrator shall develop a system to identify the residents receiving a health
				care service on a temporary basis.
(c)
				The registered professional nurse shall be called at the onset of illness, injury or
				change in condition of any resident to arrange for assessment of the resident's
				nursing care needs or medical needs and for needed nursing care intervention or
				medical care.
(d) The resident's
				physician or the physician's designee, that is, another physician or an advanced
				practice nurse or physician assistant, shall be notified by the licensed
				professional nurse of any significant changes in the resident's physical or
				cognitive/mental condition and any intervention by the physician shall be
				recorded.
(e) Each resident shall have
				an annual physical examination by a physician, advanced practice nurse or physician
				assistant, which shall be documented in the resident's record. The physician,
				advanced practice nurse or physician assistant shall certify annually that the
				resident does not have needs which exceed the care that the facility or program is
				capable of providing.
(f) If it is
				determined that there is a medical need for a transfer of a resident to another
				health care facility because the assisted living residence, comprehensive personal
				care home or assisted living program cannot meet the resident's needs, such
				transfers shall be initiated promptly, in accordance with
				8:36-5.1(d). The
				registered professional nurse shall be notified to ensure that the resident is
				receiving appropriate care during the transfer period.
(g) If the resident is not transferred within
				seven days, the Department shall be notified and assistance shall be requested from
				the Department to arrange for transfer of the resident.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 8 - NURSING SERVICES › Section 8:36-8.1 - Qualifications of professional nurses

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each registered
				professional nurse shall be licensed by the New Jersey State Board of Nursing in
				accordance with N.J.A.C. 13:37.
(b) Each
				licensed practical nurse shall be licensed by the New Jersey State Board of Nursing,
				in accordance with N.J.A.C. 13:37.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 8 - NURSING SERVICES › Section 8:36-8.2 - Nurse staffing requirements

Current through Register Vol. 56, No. 14, July 15, 2024
A facility shall have at least one registered professional nurse
				  available at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 9 - PERSONAL CARE ASSISTANTS, CERTIFIED MEDICATION AIDES, AND OTHER DIRECT CAREGIVERS › Section 8:36-9.1 - Qualifications of personal care assistants

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For the purposes of
				this subchapter, each personal care assistant shall be an individual who is employed
				by the facility and who has completed:
1. A nurse
				aide training course approved by the Department in accordance with N.J.A.C. 8:39-43,
				and shall have passed the New Jersey Nurse Aide Certification Examination;
2. A homemaker-home health aide training program
				approved by the New Jersey Board of Nursing and shall be certified by the Board in
				accordance with N.J.A.C. 13:37-14; or
3.
				A personal care assistant training course approved by the Department and the
				competency evaluation program approved by the Department resulting in personal care
				assistant certification.
i. No individual shall be
				certified as a personal care assistant pursuant to (a)3 above unless that individual
				has completed the criminal history background check required by N.J.A.C.
				8:43I.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 9 - PERSONAL CARE ASSISTANTS, CERTIFIED MEDICATION AIDES, AND OTHER DIRECT CAREGIVERS › Section 8:36-9.2 - Certified medication aides

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Certified medication
				aides shall meet the following requirements:
1.
				Certification as a nurse aide, homemaker-home health aide, or personal care
				assistant;
2. Successful completion of
				the medication administration training course approved by the Department ;
				and
3. Successful completion of a
				Department approved standardized examination regarding medication administration for
				personal care assistants.
i. An oral examination
				shall not substitute for the written component of this
				examination.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 9 - PERSONAL CARE ASSISTANTS, CERTIFIED MEDICATION AIDES, AND OTHER DIRECT CAREGIVERS › Section 8:36-9.3 - Minimum personal care assistant staffing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide on the premises at all times the following minimum numbers of employees:
1. At least one awake personal care assistant in
				accordance with 8:36-9.1(a);
				and
2. At least one additional
				employee.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 10 - DINING SERVICES › Section 8:36-10.1 - Qualifications of dietitians

Current through Register Vol. 56, No. 14, July 15, 2024
The dietitian shall possess a bachelor's degree from an
				  accredited college or university with a major area of concentration in a
				  nutrition-related field of study, and one year of full-time professional experience
				  or graduate-level training in nutrition.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 10 - DINING SERVICES › Section 8:36-10.2 - Provision of meals

Current through Register Vol. 56, No. 14, July 15, 2024
The assisted living residence or comprehensive personal care home
				  shall provide dining services to meet the daily nutritional needs of residents,
				  directly in the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 10 - DINING SERVICES › Section 8:36-10.3 - Designation of a food service coordinator

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall designate a food service coordinator who, if
				  not a dietitian, functions with scheduled consultation from a dietitian. When meals
				  are prepared in the facility, the food service coordinator or designee shall be
				  present in the facility. The food service coordinator shall ensure that dining
				  services are provided as specified in the dining portion of the health care plan.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 10 - DINING SERVICES › Section 8:36-10.4 - Responsibilities of dietitians

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If indicated,
				according to residents' needs, a dietitian shall be responsible for providing
				resident care, including, but not limited to, the following:
1. Assessing the nutritional needs of the
				resident. If indicated, preparing the dietary portion of the health care plan on the
				basis of the assessment, providing dietary services to the resident as specified in
				the dietary portion of the health plan, reassessing the resident, and revising the
				dietary portion of the health care plan. Each of these activities shall be
				documented in the resident's record; and
2. Providing nutritional counseling and education
				to residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 10 - DINING SERVICES › Section 8:36-10.6 - Commercial food management services

Current through Register Vol. 56, No. 14, July 15, 2024
If a commercial food management firm provides dining services,
				  the firm shall be required to conform to the standards of this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.1 - Qualifications of pharmacists

Current through Register Vol. 56, No. 14, July 15, 2024
Each pharmacist shall be registered by the New Jersey State Board
				  of Pharmacy, in accordance with N.J.A.C. 13:39.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.2 - Provision of pharmaceutical services

Current through Register Vol. 56, No. 14, July 15, 2024
The assisted living residence, comprehensive personal care home,
				  or assisted living program shall be capable of ensuring that pharmaceutical services
				  are provided to residents in accordance with the prescriber's orders, each
				  resident's health care plan, and in accordance with the rules of this chapter and
				  all applicable State and Federal laws and regulations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.3 - Supervision of medication administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If indicated in the
				resident's health service plan or resident's general service plan, a designated
				employee shall provide resident supervision of self-administration of medications in
				accordance with physicians' orders. Any employee who has been designated to provide
				resident supervision of self-administration of medications shall have received
				training from the licensed professional nurse or the licensed pharmacist, and such
				training shall be documented.
1. The facility or
				program shall document the provision of training to each employee who has been
				designated to provide resident supervision of self-administration of
				medications;
2. The facility or program
				shall document any instance where medications are not taken in accordance with the
				prescriber's orders; and
3. The facility
				shall keep a record of all prescribed medications for which the resident is
				receiving supervision of medication administration.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.4 - Administration of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Notwithstanding the
				definition of "health care service," the administration of medication in accordance
				with 8:36-11.3 and this section, in and of
				itself, shall not be considered a health care service.
(b) All medications shall be administered by
				qualified personnel in accordance with prescriber orders, facility or program
				policy, manufacturer's requirements, cautionary or accessory warnings, and all
				Federal and State laws and regulations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.5 - Certified Medication Aide Program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administration
				of medications is within the scope of practice and remains the responsibility of the
				registered professional nurse.
(b) The
				registered professional nurse may choose to delegate the task of administering
				medications in accordance with
				13:37-6.2 to certified medication
				aides, as defined in this chapter.
1. A
				unit-of-use/unit dose drug distribution system shall be developed and implemented
				whenever the administration of medication is delegated by the registered
				professional nurse to a certified medication aide;
i. Over-the-counter (OTC) solid and liquid dosage
				forms may be dispensed in a non unit-of-use or non unit-dose medication distribution
				system.
ii. Prescription liquid
				medications (that is, conventional bottles, concentrates) may be dispensed in a non
				unit-of-use, non unit dose, or conventional medication distribution
				system.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.6 - Designation of a pharmacist

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility or
				program shall designate a pharmacist who shall direct pharmaceutical services and
				provide consultation to the physician, facility, or program staff, and residents, as
				needed. The pharmacist shall assist the facility or program with, at a minimum, the
				following:
1. The training of employees;
2. Educating residents regarding
				medications;
3. Establishing policies
				and procedures which ensure safe and appropriate self-administration of
				medications;
4. Reviewing medication
				administration records on a quarterly basis; and
5. At least quarterly, inspecting all common areas
				of the facility or program where medications are stored or administered, documenting
				any problems and proposing solutions to these problems, and maintaining records of
				such inspections.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 11 - PHARMACEUTICAL SERVICES › Section 8:36-11.7 - Storage and control of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall provide an appropriate and safe medication storage area, either in a common
				area or in the resident's unit, for the storage of medications that are not
				self-administered by the residents. The storage area requirement may be satisfied
				through the use of a locked medication cart.
1.
				The storage area shall be kept locked when not in use.
2. The storage area shall be used only for storage
				of medications and medical supplies.
3.
				The key to the storage area shall be kept on the person of the employee on duty who
				is responsible for resident supervision.
4. Each resident's medications shall be kept
				separated within the storage area, with the exception of large volume medications
				which may be labeled and stored together in the storage area.
5. Medications shall be stored in accordance with
				manufacturer's instructions, and/or pharmacy labels and/or directions, and/or United
				States Pharmacopeia Drug Information (USP DI) Volume I, Drug Information for the
				Health Care Professional, 2005, incorporated herein by reference, as amended and
				supplemented and USP DI Volume II: Advice for the Patient, incorporated herein by
				reference, as amended and supplemented. USP DI Volume I: Drug Information for the
				Health Care Professional and USP DI Volume II: Advice for the Patient can be
				obtained by contacting Thomson-Micromedex, 6200 S. Syracuse Way, Suite 300,
				Englewood, CO 80111, (303) 486-6400.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 12 - RESIDENT ACTIVITIES › Section 8:36-12.1 - Provision of resident activities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A planned,
				diversified program of resident activities shall be offered daily for residents,
				including individual and or group activities, on-site or off-site, to meet the
				individual needs of residents.
(b)
				Residents shall have the opportunity to organize and participate in a resident
				council that presents the resident's concerns to the administrator of the facility.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13 - SOCIAL WORK SERVICES › Section 8:36-13.1 - Qualifications of social workers

Current through Register Vol. 56, No. 14, July 15, 2024
Each social worker shall be licensed or certified by the New
				  Jersey State Board of Social Work Examiners in accordance with N.J.A.C. 13:44G.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13 - SOCIAL WORK SERVICES › Section 8:36-13.2 - Provision of social work services

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall arrange for the provision of social work
				  services to residents who require them, by social workers licensed in accordance
				  with N.J.S.A. 45:15BB and N.J.A.C. 13:44G.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.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 assisted living facilities and
				comprehensive personal care homes take steps to prevent the social isolation of
				residents at all times.
(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 assisted living facilities and comprehensive personal care homes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter, shall
				  have the following meanings, unless the context clearly indicates otherwise:
"Facility" means an assisted living facility or comprehensive
				  personal care home.
"Resident" means a person who resides in an assisted living
				  facility or comprehensive personal care home.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.3 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.4 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.5 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.6 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.7 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.8 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.9 - 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. The
				assessments and reassessments are to be documented in the resident's medical
				record.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.10 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 13A - SOCIAL ISOLATION PREVENTION › Section 8:36-13A.11 - 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 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 14 - EMERGENCY SERVICES AND PROCEDURES › Section 8:36-14.1 - Emergency medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Emergency medical
				services shall be available to or arranged for residents requiring these
				services.
(b) The facility shall develop
				a written plan for arranging for emergency transportation of residents for medical
				care and returning them to the assisted living residence.
(c) At least one employee trained in
				cardiopulmonary resuscitation and the Heimlich maneuver shall be available in the
				facility at all times.
(d) The facility
				shall have an automatic external defibrillator (AED) on site. At least one employee
				trained in the use of the AED shall be available in the facility at all times.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 14 - EMERGENCY SERVICES AND PROCEDURES › Section 8:36-14.2 - Emergency plans and procedures

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop written emergency plans, policies, and procedures which shall include plans
				and procedures to be followed in case of medical emergencies, power failures, fire,
				and natural disasters. The emergency plans shall be filed with the Department and
				the Department shall be notified when the plans are changed. Copies of emergency
				plans shall also be forwarded to other agencies in accordance with State and
				municipal laws.
(b) The emergency plans,
				including a written evacuation diagram specific to the unit that includes evacuation
				procedure, location of fire exits, alarm boxes, and fire extinguishers, and all
				emergency procedures shall be conspicuously posted throughout the facility. All
				employees shall be trained in procedures to be followed in the event of a fire and
				instructed in the use of fire-fighting equipment and resident evacuation as part of
				their initial orientation and at least annually thereafter. All residents shall be
				instructed in emergency evacuation procedures.
(c) Procedures for emergencies shall specify
				persons to be notified, process of notification and verification of notification,
				locations of emergency equipment and alarm signals, evacuation routes, procedures
				for evacuating residents, procedures for reentry and recovery, frequency of fire
				drills, tasks and responsibilities assigned to all personnel, and shall specify
				medications and records to be taken from the facility upon evacuation and to be
				returned following the emergency.
(d)
				Nothing in these rules shall supersede or imply non-compliance with the Uniform Fire
				Act or Uniform Fire Code, N.J.A.C. 5:70, or NFPA 101.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 14 - EMERGENCY SERVICES AND PROCEDURES › Section 8:36-14.3 - Drills and tests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				conduct at least one drill of the emergency plans every month. The 12 drills shall
				be conducted on a rotating basis, to ensure that four drills occur during each
				working shift on an annual basis. The facility shall maintain documentation of all
				drills, including the date, hour, description of the drill, participating staff, and
				signature of the person in charge. In addition to drills for emergencies due to
				fire, the facility shall conduct at least one drill per year for emergencies due to
				a disaster other than fire, such as storm, flood, other natural disaster, bomb
				threat, or nuclear accident (a total of 12 drills). All staff shall participate in
				at least one drill annually, and selected residents may participate in
				drills.
(b) The facility shall request
				of the local fire department that at least one joint fire drill be conducted
				annually. Upon scheduling a joint fire drill, the facility shall notify first aid
				and civil defense agencies of this drill and shall participate in community-wide
				disaster drills.
(c) The facility shall
				test at least one manual pull alarm each month of the year and maintain
				documentation of test dates, location of each manual pull alarm tested, persons
				testing the alarm, and its condition.
(d) Fire extinguishers shall be conspicuously
				hung, kept easily accessible, shall be visually examined monthly and the examination
				shall be recorded on a tag which is attached to the fire extinguisher. Fire
				extinguishers shall also be inspected and maintained in accordance with
				manufacturers' and applicable NFPA requirements and N.J.A.C. 5:70. Each fire
				extinguisher shall be labeled to show the date of such inspection and
				maintenance.
(e) Nothing in these rules
				shall supersede or imply non-compliance with the New Jersey Uniform Fire Safety Act,
				52:27D-192 et seq. or Uniform Fire
				Code, N.J.A.C. 5:70.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.1 - Health record

Current through Register Vol. 56, No. 14, July 15, 2024
A current, complete health record shall be maintained for each
				  resident who is receiving health care services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.2 - Record availability

Current through Register Vol. 56, No. 14, July 15, 2024
The records required by this subchapter shall be maintained for
				  all residents and shall be kept available on the premises for review at any time by
				  representatives of the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.3 - Confidentiality

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Records and
				information regarding the individual resident shall be considered confidential and
				the resident shall have the opportunity to examine such records, in accordance with
				facility or program policies.
(b) The
				written consent of the resident shall be obtained for release of his or her records
				to any individual outside the facility or program, except in the case of the
				resident's transfer to another health care facility, or as required by law,
				third-party payor, or authorized government agencies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.4 - Record retention

Current through Register Vol. 56, No. 14, July 15, 2024
All records shall be maintained for a period of 10 years after
				  the discharge of a resident from the assisted living residence, comprehensive
				  personal care home or assisted living program.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.5 - Register

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A register which
				contains a current census of all residents, along with other pertinent information,
				shall be maintained by each assisted living residence, comprehensive personal care
				home, or assisted living program. The following standards for maintaining the
				register shall apply:
1. The administrator or the
				administrator's designee shall make all entries in the register and shall be
				responsible for its maintenance and safe-keeping;
2. The register shall be kept up-to-date at all
				times. Admissions, discharges and discharge destination, and other changes shall be
				recorded within 48 hours;
3. The
				register, which is a permanent record, shall be kept in a safe place; and
4. All entries into the register shall be clear,
				legible, and written in ink or typed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.6 - Residents' individual records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each resident's
				record shall include at least the following:
1.
				The resident's completed admission application and all records forwarded to the
				facility;
2. The resident's name, last
				address, date of birth, name and address of sponsor or interested agency, date of
				admission, date of discharge (and discharge destination) or death, the name, address
				and telephone number of physician to be called, and the name and address of nearest
				relative, guardian, responsible person, or interested agency, together with any
				other information the resident wishes to have recorded;
3. A copy of the resident's advanced directive, if
				applicable; and
4. A copy of the
				resident's general service plan and/or health service plan, if applicable.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 15 - RESIDENT RECORDS › Section 8:36-15.7 - Record of death

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Whenever a resident
				dies in the assisted living residence, the administrator or the administrator's
				designee shall:
1. Promptly notify a family
				member, guardian or other designated person of the death of the resident.
				Notification shall be made at the time of the occurrence, and the time between the
				resident's death and notification shall not exceed one hour; and
2. Include in the resident's record written
				documentation from the physician of the date and time of death, the name of the
				person who pronounced the death, disposition of the body, and a record of
				notification of the family. The administrator or administrator's designee shall
				include in the record of notification of the family confirmation and written
				documentation of that notification.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.1 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The standards in
				this subchapter shall apply to new construction of assisted living residences or
				alterations or renovations to existing buildings to create assisted living
				residences.
(b) New buildings and
				alterations, renovations and additions to existing buildings for assisted living
				residences shall conform with the New Jersey Uniform Construction Code, N.J.A.C.
				5:23-3, Use Group I-2 of the subcode.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 36 - STANDARDS FOR LICENSURE OF ASSISTED LIVING RESIDENCES, COMPREHENSIVE PERSONAL CARE HOMES, AND ASSISTED LIVING PROGRAMS › Subchapter 16 - PHYSICAL PLANT › Section 8:36-16.2 - Restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
Mixed use occupancy shall not be permitted in buildings
				  classified as High Hazard (H), Factory (F) or Assembly (A-2) Use Groups.