reglab/statecodes huggingface dataset:
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.22 - Residential Treatment Facilities › Rule 37.106.2203 - RESIDENTIAL TREATMENT FACILITIES: SEPARATE LICENSES

Current through Register Vol. 13, July 5, 2024
(1) Separate residential treatment facility
				licenses are not required for separate buildings within the same community if
				they are utilized to provide residential psychiatric care under the same
				management.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103
					 and
					 50-5-201,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.23 - Minimum Standards for Hospice Facilities › Rule 37.106.2301 - MINIMUM STANDARDS FOR A HOSPICE PROGRAM: GENERAL

Current through Register Vol. 13, July 5, 2024
(1) The following definitions apply in this
				rule and ARM
				37.106.2305 and
				37.106.2311:
(a) "Bereavement" means that period of time
				during which survivors mourn a death and experience grief.
(b) "Bereavement services" means support
				services to be offered during the bereavement period.
(c) "Contract services" means persons or
				organizations who, under written agreement, provide goods and services to the
				hospice and its patients and their families.
(d) "Core services" means physician services,
				nursing services, pastoral counseling, services provided by trained volunteers,
				and counseling services routinely provided by hospice staff.
(e) "Family" means individuals who are
				closely linked with the hospice patient, including the immediate family, the
				primary care giver, and individuals with significant personal ties.
(f) "Hospice" or "hospice program" means a
				public agency or private organization (or a subdivision thereof) as defined in
				50-5-101(22),
				MCA, which is primarily engaged in providing hospice care.
(g) "Hospice care" means palliative and
				supportive care to meet the needs of a terminally ill patient and the patient's
				family arising out of physical, psychological, spiritual, social, and economic
				stresses experienced during the final stages of illness and dying, and that
				includes a formal bereavement component.
(h) "Hospice staff" means paid or unpaid
				persons, including volunteers, who are directly supervised by the hospice
				program.
(i) "Interdisciplinary
				team" means the number of appropriately qualified interdisciplinary health care
				professionals and volunteers that are needed to meet the hospice's patients'
				care needs.
(j) "Managed directly
				by" means that core services are provided by a hospice program.
(k) "Palliation" means controlling pain and
				other symptoms which are manifested during the dying process and are consistent
				with professional practice and regulations of the Montana Board of
				Pharmacy.
(l) "Respite care" means
				short-term in-patient care provided to the individual only when necessary to
				relieve the family members or other persons caring for the
				individual.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.23 - Minimum Standards for Hospice Facilities › Rule 37.106.2305 - MINIMUM STANDARDS FOR AN INPATIENT HOSPICE FACILITY

Current through Register Vol. 13, July 5, 2024
(1) In addition to complying with the
				standards contained in ARM
				37.106.2301, an inpatient hospice
				facility must comply with the requirements of the conditions of participation
				for hospices providing inpatient care directly, as set forth in 42 CFR Part
				418, subparts C through E. Those conditions of participation include, but are
				not limited to, requirements concerning the following:
(a) 24-hour nursing service;
(b) disaster preparedness;
(c) health and safety laws;
(d) fire protection;
(e) fire protection waivers;
(f) patient areas;
(g) patient rooms and toilet
				facilities;
(h) bathroom
				facilities;
(i) linen;
(j) isolation areas;
(k) meal service, menu planning, and
				supervision; and
(l) pharmaceutical
				hospice service.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.23 - Minimum Standards for Hospice Facilities › Rule 37.106.2311 - MINIMUM STANDARDS FOR A RESIDENTIAL HOSPICE FACILITY

Current through Register Vol. 13, July 5, 2024
(1) A residential hospice facility must meet
				all of the requirements contained in ARM
				37.106.2301
				in addition to those contained in this rule.
(2) A residential hospice facility must be
				managed directly by a licensed hospice program.
(3) A residential hospice facility must be
				staffed with qualified personnel in numbers sufficient to provide required core
				services and those indicated in each patient's hospice plan of care, including:
(a) nursing services;
(b) therapies;
(c) monitoring of the ongoing medical needs
				of patients;
(d) timely response to
				emergency situations;
(e) volunteer
				services; and
(f) recreational and
				social activities.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2401 - HOME INFUSION THERAPY AGENCY: DEFINITIONS

Current through Register Vol. 13, July 5, 2024
In addition to the definitions in
				  50-5-101,
				  MCA, the following definitions apply to this subchapter:
(1) "Antineoplastic" means a pharmaceutical
				that has the capability of killing malignant cells.
(2) "Biological safety cabinet" means a
				containment unit suitable for the preparation of low to moderate risk
				agents.
(3) "Critical area" means
				an area where sterilized products or containers are exposed to the environment
				during aseptic preparation.
(4)
				"Enteral" means a preparation compounded in an ISO Class 5 environment,
				dispensed by a pharmacist, and administered by way of the intestine.
(5) "Home infusion therapy (HIT) services"
				means the preparation, administration, or furnishing of parenteral medications,
				or parenteral or enteral nutritional services to an individual in that
				individual's residence. The services include an educational component for the
				patient, the patient's caregiver, or the patient's family member.
(6) "ISO Class 5" means a classification of
				air cleanliness as defined in United States Pharmacopoeia (USP) USP 31 General
				Chapter 797 Pharmaceutical Compounding - Sterile Preparations.
(7) "Licensed health care professional" means
				a physician (M.D. or D.O.), a physician assistant-certified, a nurse
				practitioner, or a registered nurse practicing within the scope of their
				license.
(8) "Parenteral" means a
				sterile preparation of drugs for injection through one or more layers of the
				skin with infusion administration time determined by the recommendation of the
				pharmaceutical manufacturer.
(9)
				"Pharmacist" means a person licensed by the state to engage in the practice of
				pharmacy and who may affix to the person's name the term "R.Ph."
(10) "Pharmacist-in-charge or their designee"
				means a licensed pharmacist who accepts responsibility for the operation of a
				pharmacy in conformance with all laws and rules pertinent to the practice of
				pharmacy and the distribution of drugs, and who is personally in full and
				actual charge of such pharmacy.
(11) "Pharmacy" means an established
				location, either physical or electronic, registered by the Board of Pharmacy
				where drugs or devices are dispensed with pharmaceutical care or where
				pharmaceutical care is provided.
(12) "Prescribing practitioner" means a
				licensed health care professional authorized by state statute or federal law to
				prescribe pharmaceuticals and/or treatments.
(13) "Sterile pharmaceutical or product"
				means an aseptic dosage form free from living micro-organisms.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2404 - HOME INFUSION THERAPY AGENCY: RESPONSIBILITY FOR SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Where a home infusion therapy agency
				directly provides either the home infusion therapy services or skilled nursing
				services and arranges for the provision of the other services, the parties must
				enter into a written contract defining the nature and scope of the services to
				be provided by each party. The contract must:
(a) describe the services to be provided by
				each party; and
(b) specify the
				responsibilities of each party in the provision, coordination, supervision, and
				evaluation of the care or services provided. This must include each party's
				role in:
(i) the patient admission
				process;
(ii) the patient
				assessment process;
(iii) the
				patient education process;
(iv) the
				development, review, and revision of the patient plan of care;
(v) the development, review, and revision of
				the patient medical record;
(vi)
				the provision of clinical services;
(vii) the timely reporting of adverse
				reactions to treatment, medical symptoms, or abnormal lab values;
(viii) the timely reporting of the patient
				failing to comply with the home infusion regiment;
(ix) the patient care conferences;
				and
(x) discharge
				planning.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2405 - HOME INFUSION THERAPY AGENCY: ADMINISTRATOR AND PERSONNEL

Current through Register Vol. 13, July 5, 2024
(1) Each home infusion therapy agency must
				employ an administrator who shall:
(a)
				organize and direct the home infusion therapy agency's ongoing
				functions;
(b) be responsible for
				ongoing oversight of the home infusion therapy agency's quality assessment
				system, including the establishment of policies and procedures which address
				the safe control, accountability, distribution, and administration of infusion
				products;
(c) employ qualified
				personnel and ensure adequate staff
education and evaluation; and
(d) be familiar with and assure compliance
				with the rules
of this subchapter.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2406 - HOME INFUSION THERAPY: CLINICAL SERVICES (REPEALED)

Current through Register Vol. 13, July 5, 2024
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2407 - HOME INFUSION THERAPY AGENCY: QUALITY ASSESSMENT

Current through Register Vol. 13, July 5, 2024
(1) Each home infusion therapy agency shall
				prepare and maintain on file an annual report of improvements made as a result
				of a quality assessment program.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2411 - HOME INFUSION THERAPY AGENCY: EDUCATION SERVICES

Current through Register Vol. 13, July 5, 2024
(1) Each home infusion therapy agency, and
				any contracted party providing services to the patient, together, shall:
(a) provide the patient or the patient's
				caregiver with education and counseling on proper storage, scheduling, and
				risks associated with specific drugs and infusion therapy in general, the
				proper disposal of unused or outdated medications, and document the counseling
				sessions in the patient's medical record;
(b) provide to the patient and/or patient
				caregiver written educational material which must include at a minimum:
(i) drug information sheets for prescribed
				therapy;
(ii) compounding, admix
				technique, adding medications to solutions, and withdrawing medications from
				vials;
(iii) function, operation,
				and troubleshooting durable medical equipment when prescribed; and
(iv) supplies and training for safe and
				proper handling and disposal of antineoplastic, infectious, and hazardous
				waste.
(c) reassess on
				an ongoing basis, the patient's competency or the patient's caregiver's
				competency, in managing home infusion therapy in the home environment and
				document the reassessment process in the patient's medical.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2412 - HOME INFUSION THERAPY AGENCY: MEDICAL RECORD

Current through Register Vol. 13, July 5, 2024
(1) Each home infusion therapy agency shall
				establish and maintain for each patient accepted for care, a medical record
				which must be accessible to home infusion therapy personnel and which must
				include the following information:
(a)
				admission data, including the:
(i)
				name;
(ii) current
				address;
(iii) date of
				birth;
(iv) sex;
(v) date of admission;
(vi) name and contact information of the
				patient's caregiver or family member; and
(vii) name and contact information of the
				pharmacist-in-charge and the prescribing practitioner.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2415 - HOME INFUSION THERAPY AGENCY: ADMINISTRATION OF MEDICATION AND TREATMENT

Current through Register Vol. 13, July 5, 2024
(1) All medications and treatments
				administered by the home infusion therapy agency's personnel or contracted
				parties must be administered by a Montana licensed health care
				professionals.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2416 - HOME INFUSION THERAPY AGENCY: PARENTERAL OR ENTERAL SOLUTIONS

Current through Register Vol. 13, July 5, 2024
(1) In addition to the minimum requirements
				for a pharmacist and a pharmacy established by Title 37, chapter 7, MCA, and
				ARM Title 24, chapter 174, any parenteral or enteral solution provided by the
				home infusion therapy agency or obtained through contract with a third party
				pharmacy and provided to patients of the home infusion therapy agency must be
				dispensed by a licensed pharmacist in a Montana licensed pharmacy, whom and
				which are in compliance with the requirements of ARM
				37.106.2404,
				37.106.2407,
				37.106.2422,
				37.106.2423, and
				37.106.2430 through
				37.106.2433.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2420 - HOME INFUSION THERAPY AGENCY: POLICY AND PROCEDURE MANUAL

Current through Register Vol. 13, July 5, 2024
(1) The home infusion therapy agency shall
				develop a policy and procedure manual for the organization and operation of the
				home infusion therapy agency. A copy of the manual must be kept current at all
				times, and be readily available at all times, and to all who request
				it.
(2) The manual must include an
				organizational chart delineating the lines of authority, responsibility, and
				accountability for the administration and patient care services of the
				agency.
(3) The manual must
				specifically detail the storage, stability, handling, compounding, labeling,
				dispensing, and delivery of all sterile pharmaceuticals and address
				requirements relating to:
(a) security
				measures, which ensure that the premises where sterile pharmaceuticals are
				present are secured, and which prevent access to patient records by
				unauthorized personnel;
(b)
				sanitation, including the methodology of cleaning biological safety cabinets
				and laminar flow hoods, and of inspecting filters for deterioration and
				microbial contamination;
(c) the
				annual certification of safety cabinets and laminar floor hoods;
(d) the orientation of personnel;
(e) the duties and qualifications of
				staff;
(f) record keeping
				requirements;
(g) medication
				profiles;
(h) the administration of
				parenteral therapy to include infusion devices, drug delivery systems, and
				monitoring;
(i) the pharmacy
				patient evaluation and documentation;
(j) prescription processing;
(k) clinical services;
(l) drug and product selection;
(m) 24-hour emergency access to a
				pharmacist;
(n) the handling of
				antineoplastic agents, a description of which must include protective apparel
				to be worn by compounding personnel;
(o) drug destruction, returns, and proper
				waste management;
(p) equipment
				management, including tracking, cleaning, and testing of infusion
				pumps;
(q) end product
				testing;
(r) a quality assessment
				program;
(s) a risk management
				program including incident reports,
adverse drug reactions, product contamination, and drug
				  recalls;
(t) education and
				training of the patient or the patient's caregiver;
(u) emergency drug and supply
				procurement;
(v) guidelines for
				handling investigational drug administration;
(w) reference materials; and
(x) an emergency preparedness plan.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2421 - HOME INFUSION THERAPY AGENCY: INCORPORATION BY REFERENCE

Current through Register Vol. 13, July 5, 2024
(1) The department adopts and incorporates by
				reference United States Pharmacopoeia (USP) 31 General Chapter 797
				Pharmaceutical Compounding - Sterile Preparations, June 1, 2008, which sets
				practice standards to help ensure that compounded sterile preparations are of
				high quality. A copy of USP 31 General Chapter 797 Pharmaceutical Compounding -
				Sterile Preparations may be obtained from USP Headquarters, 12601 Twinbrook
				Parkway, Rockville, MD 20852-1790, telephone (800) 227-8772 or
http://www.usp.org/products/797Guidebook
.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2422 - HOME INFUSION THERAPY AGENCY: PHYSICAL REQUIREMENTS FOR PHARMACIES

Current through Register Vol. 13, July 5, 2024
(1) The pharmacy must have a designated area
				with entry restricted to designated personnel for preparing sterile products.
				This area must be:
(a) a separate room with a
				closed door, isolated from other areas with restricted entry or access, and
				designed to avoid unnecessary traffic and airflow disturbances from activity as
				required by United States Pharmacopoeia (USP) USP 31 General Chapter 797
				Pharmaceutical Compounding - Sterile Preparations;
(b) used only for the preparation of sterile
				pharmaceuticals;
(c) of sufficient
				size to accommodate a laminar airflow hood and to provide for the proper
				storage of drugs and supplies under appropriate conditions of temperature,
				light, moisture, sanitation, ventilation, and security; and
(d) one with cleanable work surfaces, walls,
				and floors.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2423 - HOME INFUSION THERAPY: DISPENSING OF STERILE PHARMACEUTICALS

Current through Register Vol. 13, July 5, 2024
(1) The pharmacy shall maintain a record of
				each sterile pharmaceutical dispensed for at least two years after the last
				dispensing activity. This record must include, but not be limited to:
(a) the products and quantity
				dispensed;
(b) the date
				dispensed;
(c) the prescription
				identifying number;
(d) the
				directions for use;
(e) the
				identification of the dispensing pharmacist and preparing pharmacy technician,
				if appropriate;
(f) the
				manufacturer lot number and expiration date, stability date (or recall policy
				if the lot number is not recorded);
(g) the compounding or special instructions,
				if applicable; and
(h) the next
				scheduled delivery date.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2426 - HOME INFUSION THERAPY: PHARMACY PERSONNEL (REPEALED)

Current through Register Vol. 13, July 5, 2024
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2430 - HOME INFUSION THERAPY AGENCY: LABELING

Current through Register Vol. 13, July 5, 2024
(1)
				Parenteral pharmaceuticals dispensed to patients must have a permanent label
				with the following information:
(a) the name
				and contact information of the pharmacy including a phone number which provides
				access to a pharmacist 24 hours per day, seven days per week;
(b) the date the product was
				prepared;
(c) the prescription
				identifying number;
(d) the
				patient's full name;
(e) the name
				of the prescribing practitioner;
(f) the directions for use including infusion
				rate and infusion device, if applicable;
(g) the name of each component, its strength,
				and amount;
(h) the expiration date
				of the product based on published data;
(i) the appropriate ancillary instructions
				such as storage instructions or cautionary statements including antineoplastic
				warning when applicable; and
(j)
				the identity of the pharmacist compounding and dispensing the
				product.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2431 - HOME INFUSION THERAPY AGENCY: ANTINEOPLASTIC DRUGS

Current through Register Vol. 13, July 5, 2024
(1) The following requirements must be met by
				those pharmacies that prepare antineoplastic drugs to ensure the protection of
				the personnel involved:
(a) All
				antineoplastic drugs must be compounded in a vertical flow, Class II,
				biological safety cabinet.
(b)
				Protective apparel must be worn by personnel compounding antineoplastic drugs
				according to the home infusion agency's policies and procedures. This must
				include gloves, gowns with tight cuffs, and appropriate equipment as
				necessary.
(c) Appropriate safety
				and containment techniques for compounding antineoplastic drugs must be used in
				conjunction with the aseptic techniques required for preparing sterile
				pharmaceuticals.
(d) Written
				procedures for handling both major and minor spills of antineoplastic agents
				must be included in the policy and procedure manual.
(e) Prepared doses of antineoplastic drugs
				must be dispensed, labeled with proper precautions inside and outside, and
				shipped in a manner to minimize the risk of accidental rupture of the primary
				container.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2432 - HOME INFUSION THERAPY AGENCY: DISPOSAL OF ANTINEOPLASTIC, INFECTIOUS, AND HAZARDOUS WASTES

Current through Register Vol. 13, July 5, 2024
(1) Disposal of
				antineoplastic, infectious, and hazardous waste is governed by the Infectious
				Waste Management Act, Title 75, chapter 10, part 10, MCA.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.24 - Home Infusion Therapy › Rule 37.106.2433 - HOME INFUSION THERAPY AGENCY: DELIVERY OF MEDICATIONS

Current through Register Vol. 13, July 5, 2024
(1) The home infusion therapy agency shall
				ensure that medications are delivered according to the prescribed start of
				therapy so that the prescription for sterile pharmaceuticals can be implemented
				as ordered. Once therapy has been initiated, the home infusion therapy agency
				shall continue to provide sterile pharmaceuticals in a timely fashion so as not
				to interrupt ongoing therapy.
(2)
				If the start of therapy is to be delayed for more than two hours from the
				prescribed start time, the home infusion agency shall notify both the patient
				and the prescribing practitioner.
(3) Patients must be notified in advance of
				delivery of the products. Patients must be provided with a receipt for all
				sterile products and supplies delivered to them.
(4) The pharmacy shall document a chain of
				possession for all controlled substances.
(5) The home infusion therapy agency shall
				ensure the environmental control of all products shipped. All compounded,
				sterile pharmaceuticals must be shipped or delivered to a patient in
				appropriate, temperature-controlled delivery containers as defined by the
				United States Pharmacopeia/National Formulary and stored appropriately in the
				patient's therapy setting.
50-5-103,
					 MCA; IMP,
					 50-5-103,
					 50-5-213,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2501 - RETIREMENT HOMES: DEFINITIONS

Current through Register Vol. 13, July 5, 2024
In addition to those definitions in
				  50-5-101,
				  MCA, the following definitions apply to this subchapter:
(1) "Bedding" means mattresses, box springs,
				mattress covers, mattress pads, sheets, pillow slips, pillows, pillow covers,
				blankets, comforters, quilts and bedspreads.
(2) "Building authority" means the building
				codes bureau, Montana department of labor and industry, or a local government
				building inspector enforcing a local building code enforcement program
				certified by the department of labor and industry.
(3) "Fire authority" means the state fire
				marshal or the state fire marshal's authorized agent.
(4) "Fixtures" means a shower, bathtub,
				toilet, toilet seat, urinal, lavatory, kitchen sink, janitor and custodial
				sink, utensil sink and all exposed plumbing integral to them.
(5) "Floors" means sub-flooring and floor
				coverings of all rooms including stairways, hallways, and lobbies.
(6) "Furnishings" includes, but is not
				limited to, cups, glasses, pitchers, utensils, draperies, curtains, blinds,
				light fixtures, lamps and lamp shades, chairs, tables, desks, shelves, books,
				magazines, bookcases, dressers, bedsteads, mattress springs other than box
				springs, towels, wash cloths, soap, toilet tissue, radios, television sets,
				coffee makers, water heaters, pictures, mirrors, cabinets, closets and
				refrigerators.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103
					 and
					 50-5-214,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2502 - RETIREMENT HOMES: APPLICATION OF OTHER RULES

Current through Register Vol. 13, July 5, 2024
(1) To the extent that other licensure rules
				in ARM Title 37, chapter 106, subchapters 3, 4, 6, 10, 11, 14, 15, 22 and 23,
				conflict with the terms of this subchapter, the terms of this subchapter will
				apply to retirement homes.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103
					 and
					 50-5-214,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2505 - RETIREMENT HOMES: FIRE AND BUILDING CODES APPROVAL

Current through Register Vol. 13, July 5, 2024
(1) The construction of or alteration,
				addition, or renovation to a retirement home must:
(a) meet all applicable local and state
				building and fire codes;
(b) be
				approved in writing by the building authority; and
(c) be approved in writing by the fire
				authority.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2506 - RETIREMENT HOMES: POOLS, SPAS, AND OTHER WATER FEATURES

Current through Register Vol. 13, July 5, 2024
(1) The construction and operation of any
				swimming pool, spa, or other water feature, which serves a retirement home must
				comply with the licensing procedures and requirements of Title 50, chapter 53,
				MCA, and ARM 37.115.102, 37.115.103, and 37.115.106.
AUTH:
					 50-5-103,
					 MCA; IMP:
					 50-5-103,
					 50-5-214,
					 MCA
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2510 - RETIREMENT HOMES: PHYSICAL REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1)
				A retirement home must comply with the local and state building code and fire
				code.
(2) A retirement home must
				comply with the following physical requirements:
(a) There must be adequate and convenient
				janitorial facilities including a sink and storage area for equipment and
				chemicals.
(b) Floors and walls in
				toilet and bathing rooms, laundries, janitorial closets, and other rooms
				subject to large amounts of moisture, must be smooth and
				non-absorbent.
(c) The floor
				mounted and wall mounted furnishings must be easily moveable to allow for
				cleaning or mounted in such a manner as to allow for cleaning around and under
				such furnishings.
(d) Bathing
				facilities must be equipped with:
(i)
				anti-slip surfaces; and
(ii)
				handicapped grab bars, capable of supporting a concentrated load of 250
				pounds.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2511 - RETIREMENT HOMES: ENVIRONMENTAL CONTROL

Current through Register Vol. 13, July 5, 2024
(1)
				Hand cleansing soap or detergent and individual towels must be available at
				each sink in food preparation areas and commonly shared areas of the facility.
				Towels for common use are not permitted.
(2) A waste receptacle must be located near
				each sink.
(3) A minimum of 10
				foot-candles of light must be available in all rooms, with the following
				exceptions:
(a) All reading lamps must have a
				capacity to provide a
minimum of 30 foot-candles of light;
(b) All toilet and bathing areas must be
				provided with a minimum of 30 foot-candles of light;
(c) General lighting in food preparation
				areas must be a minimum of 30 foot-candles of light; and
(d) Hallways must be illuminated at all times
				by at least a minimum of five foot-candles of light at the floor.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2512 - RETIREMENT HOMES: WATER SUPPLY SYSTEM

Current through Register Vol. 13, July 5, 2024
(1)
				The department hereby adopts and incorporates by reference ARM
				17.38.207, stating maximum
				microbiological contaminant levels for public water supply systems, and the
				following circulars establishing construction, operation, and maintenance
				standards for spring, surface water, wells and cisterns:
(a) Circular WQB-1 entitled "Montana
				Department of Health and Environmental Sciences Standards for Water Works"
				(1992 Edition) ;
(b) Circular WQB-3
				entitled "Montana Department of Health and Environmental Sciences Standards for
				Small Water Systems" (1992 Edition) ;
(c) Circular #17 entitled "Cisterns for Water
				Supplies." Copies of ARM
				17.38.207 and circulars WQB-1,
				WQB-3 and #17 may be obtained from the Water Quality Bureau (WQB), Department
				of Environmental Quality (DEQ), Metcalf Building, 1520 East 6th Avenue, P.O.
				Box 200901, Helena, MT 59620-0901.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2513 - RETIREMENT HOMES: SEWAGE SYSTEM

Current through Register Vol. 13, July 5, 2024
(1) The
				department hereby adopts and incorporates by reference ARM Title 17, chapter
				36, subchapter 9, on site subsurface wastewater treatment systems. A copy of
				ARM Title 17, chapter 36, subchapter 9 may be obtained from the Department of
				Environmental Quality, Permitting and Compliance Division, 1520 East 6th
				Avenue, P.O. Box 200901, Helena, MT 59620-0901.
(2) In order to ensure sewage is safely and
				completely disposed of, a retirement home must:
(a) connect to a public water supply system
				approved by the department of environmental quality; or
(b) if the retirement home is not utilized by
				more than 25 persons daily at least 60 days out of the calendar year, including
				guests, staff, and residents, and an adequate public sewage system is not
				available, utilize a nonpublic system whose construction and use meet the
				construction and operation standards in ARM Title 17, chapter 36, subchapter
				9;
(c) replace or repair a failed
				system as defined by ARM
				17.36.903(6).
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2514 - RETIREMENT HOMES: SOLID WASTE

Current through Register Vol. 13, July 5, 2024
(1) In
				order to ensure that solid waste is safely stored and disposed of, a retirement
				home must:
(a) store all solid waste between
				collections in containers which have lids and are corrosion resistant,
				flytight, watertight, and rodent proof;
(b) utilize exterior collection stands for
				the storage containers, which prevent them from being tipped, protect them from
				deterioration, and allow easy cleaning below and around them;
(c) clean all solid waste containers
				frequently; and
(d) transport or
				utilize a private or municipal hauler to transport the solid waste at least
				weekly to an approved landfill site in a covered vehicle or in covered
				containers.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2520 - RETIREMENT HOMES: LAUNDRY FACILITIES

Current through Register Vol. 13, July 5, 2024
(1)
				Laundry facilities utilized by a retirement home for laundering of its soiled
				laundry, including but not limited to bed linen, towels and washcloths, must be
				provided with:
(a) a mechanical washer and
				hot air tumble dryer. Manual washing and line drying of bed linen, towels and
				washcloths is prohibited. Dryers must be properly vented to prevent maintenance
				problems;
(b) a hot water supply
				system capable of supplying water at a temperature of 54 E C (130 E F) to the
				washer during all periods of use, or if a temperature of 54 E C (130 E F)
				cannot be attained or maintained, manufacturer documentation showing the
				cleansing products effectiveness at lower water temperatures by exponentially
				increasing the time laundry is exposed to the product;
(c) a separate area for sorting and storing
				soiled laundry and folding and storing clean laundry;
(d) separate carts for transporting soiled
				and cleaned laundry; and
(e) hand
				washing facilities including a sink, soap, and disposable towels. A soak sink
				may double as a handwashing sink.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2521 - RETIREMENT HOMES: HOUSEKEEPING AND MAINTENANCE

Current through Register Vol. 13, July 5, 2024
(1) A retirement home must provide
				maintenance services. With respect to the provision of maintenance services,
				and housekeeping services, where a retirement home elects to provide those
				services to individual residents within their rooms, the retirement home must
				ensure that:
(a) each janitor room is clean,
				ventilated and free from odors;
(b)
				mop heads, when used, are changed frequently using laundered
				replacements;
(c) toilets,
				bathtubs, lavatories, and showers are not used for washing and rinsing of mops,
				brooms, brushes, or any other cleaning devices;
(d) the transporting, handling and storage of
				clean bedding, where provided by the retirement home, is performed in such a
				manner as to preclude contamination by soiled bedding or from other
				sources;
(e) any cleaner used in
				cleaning bathtubs, showers, lavatories, urinals, toilet bowls, toilet seats,
				and floors contains fungicides or germicides;
(f) deodorizers and odor-masking agents are
				not used unless the room in which the agent is used is clean to sight and
				touch;
(g) cleaning devices used
				for lavatories, showers and bathtubs are not used for any other
				purpose;
(h) dry dust mops and dry
				dust cloths are not used for cleaning purposes. Dusting and cleaning must be
				accomplished using treated mops, wet mops, treated cloths, or moist cloths to
				prevent the spread of soil from one place to another;
(i) the retirement home is free of insects,
				rodents and other vermin;
(j) all
				bedding, towels, and wash cloths, where provided by the retirement home, are
				clean and in good repair. Bedding, towels, and wash cloths, where provided by
				the retirement home, must be made available to each resident on a daily or
				weekly basis;
(k) all furnishings,
				where provided by the retirement home, fixtures, floors, walls, and ceilings
				are clean and in good repair;
(l)
				cleaning compounds and pesticides are stored, used, and disposed of in
				accordance with the manufacturer's instructions;
(m) glasses, pitchers, ice buckets, and other
				utensils used for food or drink and provided in units for use by residents are
				not washed or sanitized in any lavatory or janitor sink. Approved facilities
				for washing, rinsing, and sanitizing glasses, pitchers, ice buckets, and other
				utensils must be provided by the retirement home. In the absence of approved
				washing facilities, single service utensils must be used; and
(n) all utensils used for food or drink and
				provided in units for use by residents are stored, handled, and dispensed in a
				manner which precludes contamination of the utensil prior to use by a
				resident.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2522 - RETIREMENT HOMES: FOOD SERVICE REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1) The department hereby adopts and
				incorporates by reference ARM Title 37, chapter 110, subchapter 2 which sets
				sanitation and food handling standards for food service establishments. A copy
				of ARM Title 37, chapter 110, subchapter 2 may be obtained from the Department
				of Public and Human Services, Health Policy Services Division, Communicable
				Disease Control and Prevention Bureau, 1400 Broadway, P.O. Box 202951, Helena,
				MT 59620-2951.
(2) Where a food
				service is operated as an integral part of a retirement home, compliance with
				ARM Title 37, chapter 110, subchapter 2, is required.
(3) If the food service is available only to
				residents and staff of the retirement home, licensure as a food service
				establishment is not required, but compliance with ARM Title 37, chapter 110,
				subchapter 2, is required.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103
					 and
					 50-5-214,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.25 - Retirement Homes › Rule 37.106.2530 - RETIREMENT HOMES: RESIDENT REGISTER

Current through Register Vol. 13, July 5, 2024
(1)
				A retirement home must maintain a register of all residents currently residing
				at the retirement home, noting for each resident, at a minimum, the resident's
				name and:
(a) room or apartment
				number;
(b) date of arrival;
				and
(c) date of
				departure.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2601 - APPLICATION OF OTHER RULES

Current through Register Vol. 13, July 5, 2024
(1) To the
				extent that other licensure rules in ARM Title 37, chapter 106, subchapter 3
				conflict with the terms of ARM Title 37, chapter 106, subchapter 26, the terms
				of subchapter 26 will apply to adult day care centers.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2602 - GENERAL SERVICES, ADMINISTRATION AND STAFFING

Current through Register Vol. 13, July 5, 2024
(1) An adult day care center shall provide
				the staff assistance to clients that each requires for activities of daily
				living, including but not limited to eating, walking, and grooming.
(2) If an adult day care center is operated
				on the premises of another licensed health care facility:
(a) the other facility may provide to day
				care clients any of the services for which the other facility is licensed,
				subject to the limitation that overnight service to a client may be provided
				for no more than seven successive nights;
(b) adequate facilities and staff must be
				provided to appropriately serve the clients of each licensed facility;
				and
(c) the center must identify,
				in writing, those personnel responsible for operating its programs.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2603 - POLICIES AND PROCEDURES

Current through Register Vol. 13, July 5, 2024
(1) The center
				shall have a written policies and procedures manual that must:
(a) be available to and followed by all
				personnel;
(b) be available to
				clients upon request;
(c) include
				the following:
(i) a description of all
				services provided to clients;
(ii)
				policies and procedures ensuring the confidentiality of client records and
				safeguarding against loss, destruction, or unauthorized use of those
				records;
(iii) infection control
				policies and procedures meeting the requirements of ARM
				37.106.2609; and
(iv) a disaster and fire plan meeting the
				requirements of ARM
				37.106.2608.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2606 - CONSTRUCTION

Current through Register Vol. 13, July 5, 2024
(1) Any construction of or alteration,
				addition, or renovation to an adult day care center must meet all applicable
				local building and fire codes and be approved by the officer having
				jurisdiction to determine if the building codes are met by the facility and by
				the state fire marshal or his/her designee.
(2) An adult day care center must have an
				annual fire inspection conducted by the appropriate local authorities and
				maintain a record of such inspection for at least one year following the date
				of the inspection.
(3) An adult day
				care center must meet the water supply system requirements of ARM
				37.111.115 and the sewage system
				requirements of ARM
				37.111.116.
(4) The department hereby adopts and
				incorporates by reference ARM 37.111.115, which sets forth requirements for
				construction and maintenance of water supply systems, and ARM 37.111.116, which
				sets forth requirements for construction and maintenance of sewage systems.
				Copies of the materials cited above are available from the Department of Public
				Health and Human Services, Quality Assurance Division, 2401 Colonial Drive,
				P.O. Box 202953, Helena, MT 59620-2953.
Sec.
					 50-5-103,
					 MCA; IMP, Sec.
					 50-5-103,
					 MCA;
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2607 - ENVIRONMENTAL CONTROL

Current through Register Vol. 13, July 5, 2024
(1) An adult day
				care center must be constructed and maintained so as to prevent as much as is
				practically possible the entrance and harborage of rats, mice, insects, flies,
				or other vermin.
(2) Hand cleansing
				soap or detergent and individual towels must be available at each sink in the
				center. A waste receptacle must be located near each sink.
(3) A minimum of 10 foot-candles of light
				must be available in all rooms and hallways, with the following exceptions:
(a) All reading lamps must have a capacity to
				provide a minimum of 30 foot-candles of light;
(b) All toilet and bathing areas must be
				provided with a minimum of 30 foot-candles of light;
(c) General lighting in food preparation
				areas must be a minimum of 50 foot-candles of light;
(d) Hallways must be illuminated at all times
				by at least a minimum of five foot-candles of light at the floor.
Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.106 - HEALTH CARE FACILITIES › Subchapter 37.106.26 - Adult Day Care › Rule 37.106.2608 - DISASTER AND FIRE PLAN

Current through Register Vol. 13, July 5, 2024
(1) An adult day
				care center shall develop a disaster and fire plan in conjunction with other
				emergency services in the community that includes a procedure that will be
				followed in the event of a natural or human caused disaster. This plan must be
				included in the center's policies and procedures manual.
(2) An adult day care center shall conduct a
				drill of such procedure at least once a year. After a drill, the center shall
				prepare and retain on file a written report including, but not limited to, the
				following:
(a) date and time of the
				drill;
(b) the names of staff
				involved in the drill;
(c) the
				names of other health care facilities, if any, that were involved in the
				drill;
(d) the names of other
				persons involved in the drill;
(e)
				a description of all phases of the drill procedure and suggestions for
				improvement; and
(f) the signature
				of the person conducting the drill.