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 4 - GENERAL REQUIREMENTS › Section 5:27A-4.12 - Admission and retention of residents

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				the administrator's designee shall conduct an interview with the resident and, if
				available, the resident's family, guardian, or interested agency, prior to or at the
				time of the resident's admission. The interview shall include at least orientation
				to the facility's policies, business hours, fee schedule, services provided,
				resident rights, and criteria for admission and discharge. Documentation of the
				resident interview shall be included in the resident's record.
(b) At the initial interview prior to or at the
				time of admission of each resident, the administrator or the administrator's
				designee shall be provided with the name, address, and telephone number of a family
				member, guardian, responsible person or designated community agency who can be
				notified in the event of the resident's illness, incident, or other
				emergency.
(c) A physician, advanced
				practice nurse, or physician assistant shall certify for each resident that he or
				she has seen the resident within 30 days prior to admission and that the resident
				does not have needs which exceed the level of care provided by the facility, is free
				from communicable disease, is not in need of skilled nursing care, is mobile under
				his or her own power with or without assistive devices, and, if incontinence is
				suspected, has received a medical and nursing evaluation to determine whether the
				facility can provide an appropriate level of services to the resident.
(d) For emergency admissions, the certification by
				the physician, advanced practice nurse, or physician assistant shall be received
				within 72 hours of admission.
(e) If a
				facility has reason to believe, based on a resident's behavior, that the resident
				poses a danger to himself or herself or others, and that the facility is not capable
				of providing proper care to the resident, then the attending physician, advanced
				practice nurse, or physician assistant, or the physician, advanced practice nurse or
				physician assistant on call shall evaluate the resident to determine whether the
				resident is appropriately placed in that facility and to locate a new placement if
				necessary. The mental health screening process, as defined in
				30:4-27.1 et seq., and N.J.A.C. 10:31,
				may be initiated by the health maintenance and monitoring director, or by the
				administrator. An evaluation shall be performed in accordance with Guidelines for
				Inappropriate Behavior and Resident to Resident Abuse, chapter Appendix A,
				incorporated herein by reference.
(f) If
				the facility is not of non-combustible construction, residents who are blind or who
				can walk independently assisted by crutches or other assistive devices shall be
				housed on a floor with direct grade level access.
(g) The facility may admit residents who require
				wheelchairs if the following conditions are met:
1.
				The resident is able to propel the wheelchair independently;
2. The resident's living unit shall be located on
				a floor at grade level, or if not at grade level, on a floor with handicap access to
				grade level;
3. The corridor on which
				the resident's living unit is located shall be at least 44 inches wide;
4. Each door through which the resident must
				travel to exit shall be at least 32 inches wide; and
5. The facility shall be in full compliance with
				uniform fire safety codes.