reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.13 - Involuntary discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written notification
				by the administrator or the administrator's designee shall be provided to a resident
				and/or his or her family, guardian, designated responsible person, and county
				welfare agencies of a decision to involuntarily discharge the resident from the
				facility. Such involuntary discharge shall only be upon grounds contained in the
				facility's policies and procedures and shall occur only if the resident has been
				notified and informed of such policies in advance of admission. The notice of
				discharge shall be given at least 30 days in advance of the involuntary discharge
				and shall include the reason for discharge. A copy of the notice shall be entered in
				the resident's record. If a change in the facility's policies and procedures has
				occurred subsequent to admission, the facility shall have documented evidence that
				the resident(s) has been informed of such change.
(b) The resident shall have the right to appeal to
				the administrator any involuntary discharge from the facility. The appeal shall be
				in writing and a copy shall be included in the resident's record with the
				disposition or resolution of the appeal. The resident shall have the right to retain
				legal counsel to appeal.
(c) In an
				emergency situation, as stated in
				8:43-4.12(e), for the
				protection of the life and safety of the resident or others, the facility may
				discharge the resident without 30 days notice. The Department and county welfare
				agencies shall be notified in the event of such discharge.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.14 - Notification requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The resident's
				family, guardian, and/or responsible person or community agency, the county welfare
				agency and any other agency in which the client is a participating program member or
				under treatment, shall be notified, promptly after the occurrence, in the event of
				the following:
1. Any significant change in the
				resident's physical or mental status;
2.
				Any serious accident, criminal act or incident occurs which involves the resident
				and results in serious harm or injury or results in the resident's arrest or
				detention;
3. The transfer of the
				resident from the facility; or
4. The
				death of the resident
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.15 - Policies and procedures for dispute resolution; forum for discussion of advance directives

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish procedures for considering disputes among the resident, health care
				representative and the attending physician concerning the resident's decision-making
				capacity or the appropriate interpretation and application of the terms of an
				advance directive to the resident's course of treatment. The procedures may include
				consultation with an institutional ethics committee, a regional ethics committee or
				another type of affiliated ethics committee, or with any individual or individuals
				who are qualified by their background and/or experience to make clinical and ethical
				judgments.
(b) The facility's policies
				shall establish a process for residents, families, and staff to discuss and address
				questions and concerns relating to advance directives and decisions to accept or
				refuse medical treatment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 4 - GENERAL REQUIREMENTS › Section 8:43-4.17 - Interpretation services

Current through Register Vol. 56, No. 14, July 15, 2024
The facility shall demonstrate the ability to provide a means to
				  communicate with any resident admitted who is non-English-speaking and/or has a
				  communication disability, using available community services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 5 - ADMINISTRATION › Section 8:43-5.1 - Appointment of administrator

Current through Register Vol. 56, No. 14, July 15, 2024
An administrator shall be appointed and an alternate shall be
				  designated in writing to act in the absence of the administrator. The administrator
				  or a designated alternate shall be available on the premises of the facility at all
				  times and shall have access to all survey related records and policies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 5 - ADMINISTRATION › Section 8:43-5.2 - Administrator's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall be responsible for, but not limited to, the following:
1. Ensuring the development, implementation, and
				enforcement of all policies and procedures, including resident rights;
2. Planning for, and administration of, the
				managerial, operational, fiscal, and reporting components of the facility;
3. Ensuring that all personnel are assigned duties
				based upon their ability and competency to perform the job and in accordance with
				job descriptions;
4. Ensuring the
				provision of staff orientation and staff education; and
5. Establishing and maintaining liaison
				relationships and communication with facility staff and services and with residents
				and their families.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 6 - RESIDENT CARE POLICIES › Section 8:43-6.2 - Financial arrangements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall:
1. Inform residents of any and all fees for
				services provided and charges for supplies routinely utilized. The resident shall
				also be informed of costs of supplies which are specially ordered;
2. Maintain a written record of all financial
				arrangements with the resident and/or his or her family, guardian, or designated
				community agency, with copies furnished to the resident and, upon request, to the
				person or agency with whom the arrangements were made;
3. Assess no additional charges, expenses, or
				other financial liabilities in excess of the daily, weekly, or monthly rate included
				in the admission agreement, except:
i. Upon
				written approval and authority of the resident and/or his or her family, guardian,
				or designated community agency, who shall be given a copy of the written
				approval;
ii. Upon written orders of the
				resident's physician, stipulating specific services not included in the admission
				agreement; or
iii. Upon 30 days' prior
				written notice to the resident and/or his or her family of charges, expenses, or
				other financial liabilities that are in addition to the agreed daily, weekly, or
				monthly rate. The resident's prior written approval for additional charges shall not
				be required in the event of a health emergency that requires the resident to receive
				immediate special services or supplies; and
4. Provide the resident with information regarding
				financial assistance available from third-party payors and/or other payors and
				referral systems for residents' financial assistance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 6 - RESIDENT CARE POLICIES › Section 8:43-6.3 - Personal needs allowance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or his or her representative
				shall reserve for each resident who receives Supplemental Security Income (SSI) or
				General Public Assistance a monthly personal needs allowance of at least the amount
				specified pursuant to NJ.S.A. 44:7-87.h and N.J.A.C. 10:123-3 and under the
				following conditions:
1. The resident shall not be
				required to provide the owner, administrator, employee or their representative(s)
				with any portion of the personal needs allowance;
2. No owner, administrator, employee or their
				representative(s) shall coerce, intimidate, or exploit residents into providing them
				with any portion of the personal needs allowance; and
3. Each resident shall receive his or her personal
				needs allowance within three working days of the receipt of the check by the
				administrator.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 8:43-7.1 - Provision of personal care services

Current through Register Vol. 56, No. 14, July 15, 2024
Each resident shall be provided with personal care services
				  (bathing, oral hygiene, hair care, manicuring and pedicuring, and shaving) as needed
				  to maintain acceptable personal hygiene.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 8:43-7.2 - Resident clothing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				the administrator's designee shall assist residents in obtaining clothing which is
				suitable for the climate and weather conditions, of proper size, and in sufficient
				amounts for necessary changes.
(b)
				Clothing shall be laundered as frequently as necessary to maintain cleanliness, in
				accordance with 8:43-15.8.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 7 - PERSONAL CARE SERVICES › Section 8:43-7.3 - Facilities and furnishings

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator
				shall ensure that each resident has, within his or her sleeping area, the following
				items, which shall at all times be clean and comfortable and in good repair:
1. Beds, as follows:
i. A standard bed not less than 36 inches in
				width;
ii. A bedspring which is in good
				condition;
iii. A mattress not less than
				four inches in thickness that fits the bed;
iv. Beds shall not be located under windows,
				against radiators or air conditioners, or in alcoves unless a resident has chosen to
				place his or her bed in such a location and the administrator has determined that
				such placement poses no safety risk to the resident;
v. Roll-away beds, day beds, cots and latex foam
				mattresses shall be prohibited. (Day beds may be permitted, if the resident so
				requests.);
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 8:43-8.1 - Provision of meals

Current through Register Vol. 56, No. 14, July 15, 2024
The residential health care facility shall provide dietary
				  services to meet the daily nutritional needs of residents.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 8:43-8.2 - Requirements for dietary services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement written policies and procedures for the provision of dietary
				services.
(b) If the facility fails to
				substantially comply with the requirements of this subchapter, or if residents of
				the facility have significant nutritional deficiencies, the Department may require a
				consultant dietitian to be retained by the facility to assist in correcting the
				deficiencies in dietary services cited by the Department, in addition to other
				enforcement actions. The facility shall retain the consultant dietitian until all
				deficiencies have been corrected.
(c)
				The facility shall provide:
1. Policies and
				procedures for planning, preparing, and serving meals, purchasing food, supervising
				residents at mealtime, and providing therapeutic diets in accordance with admission
				policy of the facility and as prescribed by the resident's physician. "Therapeutic
				diet" means a diet prescribed by a physician, and may include modifications in
				nutrient content, caloric value, consistency, methods of food preparation, content
				of specific foods, or a combination of these modifications;
2. Nutrients and calories for each resident, in
				accordance with current recommended dietary allowance of the Food and Nutrition
				Board of the National Academy of Sciences, National Research Council, adjusted for
				age, sex, weight, and physical activity, therapeutic needs of the resident if
				therapeutic diets are provided, and chapter Appendix B, A Daily Food Guide,
				incorporated herewith by reference;
3. A
				current diet manual;
4. Diets served to
				residents that are consistent with the diet manual;
5. Written menu plans for all meals and
				snacks;
6. For each resident at each
				meal, a place setting consisting of at least a dish(es), a glass and/or cup, fork,
				spoon, and napkin, and a knife or additional utensils as required or requested by
				the resident. The facility shall routinely provide nondisposable dishes and utensils
				at all meals except for special meal activities or individual resident needs;
				and
7. For each resident's use, in the
				dining room at each meal, salt, pepper, sugar or sugar substitute, dairy or
				non-dairy additives for beverages, and condiments, unless contraindicated by the
				resident's physician.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 8:43-8.3 - Administrator's responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The administrator or
				the administrator's designee shall ensure that the dietary service:
1. Selects foods and beverages, which include
				fresh and seasonal foods, and prepares menus with regard for the nutritional and
				therapeutic needs, cultural backgrounds, food habits, and personal food preferences
				of residents;
2. Has written and dated
				menus for all meals and snacks, planned at least seven days in advance for all
				diets. The same menu shall not be used more than once in any continuous seven-day
				period. The facility shall offer substitute food and drink of equivalent nutritional
				value, if requested by a resident at least 24 hours in advance;
3. Posts current menus, with portion sizes, in the
				food preparation area and in a conspicuous place in resident's area, or provides a
				copy of the menu to each resident. Any changes or substitutes in menus shall be
				posted or provided in writing to each resident. Menus, with changes or substitutes,
				shall be kept on file in the facility for at least 30 days;
4. Prepares and serves daily to residents at least
				three meals;
5. Complies with written
				policies regarding meal hours. No more than 15 hours shall elapse between an evening
				meal and breakfast the next morning, and the first meal shall not be served before
				7:00 A.M.;
6. Provides evening snacks
				and beverages;
7. Prepares food by
				cutting, chopping, grinding, or blending to meet the needs of each
				resident;
8. Provides self-help feeding
				devices as required by residents;
9.
				Maintains a file of recipes for menu items that require a recipe, adjusted to yield,
				which shall be used in preparing foods listed on the posted menus;
10. Maintains thermometers in refrigerators and
				freezers;
11. Complies with written
				policies and procedures for the selection, storage, use, and disposition of
				nondisposable and disposable items. Disposable items shall not be reused;
12. Prepares work schedules for the dietary
				service so as to allow residents to eat at their own pace;
13. Maintains at least a three-day supply of
				non-perishable food on the premises; and
14. Develops a written schedule of cleaning
				operations for the kitchen, including daily, weekly, monthly, or annual tasks.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 8 - DIETARY SERVICES › Section 8:43-8.4 - Commercial food management services

Current through Register Vol. 56, No. 14, July 15, 2024
If a commercial food management firm provides dietary services,
				  the firm shall be required to conform to the standards of this subchapter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 9 - HEALTH SERVICES › Section 8:43-9.1 - Health maintenance and monitoring services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The residential
				health care facility shall provide health maintenance and monitoring services under
				the direction of a registered professional nurse.
(b) The facility shall have at least one
				registered professional nurse available at all times. Available, in this instance,
				shall mean on call and capable of being reached by telephone.
(c) A registered professional nurse shall be
				designated in writing as the director of health maintenance and monitoring services
				and shall be responsible for the direction, provision and quality of health
				maintenance and monitoring services. The director shall be responsible, in
				coordination with the administrator, for developing and implementing written
				objectives, standards of practice, policies and procedures and an organization plan
				for the health maintenance and monitoring service. The director may be employed
				directly by the facility or on a contractual basis.
(d) Written policies and procedures shall include,
				but not be limited to, the following:
1. Assessing
				the health service needs of all residents in the facility;
2. Monitoring the conditions of the residents on a
				continuing basis;
3. Notification of the
				administrator if there are significant changes in a resident's condition;
4. Assessing the resident's needs for referral to
				a physician, advanced practice nurse, or physician assistant, or to community
				agencies as appropriate;
5. Maintaining
				records as required by the facility;
6.
				Serving as a resource person and health educator to the residents and to the
				administrator of the facility; and
7.
				Monitoring resident's medication.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 9 - HEALTH SERVICES › Section 8:43-9.2 - Provision of health services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				arrange for health services to be provided to residents as needed.
(b) At the time of admission, arrangements shall
				be made between the administrator and the resident, guardian, or designated
				community agency regarding the physician, advanced practice nurse, or physician
				assistant, and dentist to be called in case of illness, or the person to be called
				for a resident who because of religious affiliation is opposed to medical
				treatment.
(c) The registered
				professional nurse shall notify the resident's physician, advanced practice nurse,
				or physician assistant of any significant change in the resident's physical or
				psychological condition.
(d) Each
				resident shall receive an initial nursing assessment from the registered
				professional nurse. Thereafter, each resident shall be reassessed annually or
				whenever there is a significant change in the resident's condition. The nursing
				assessment shall include, at a minimum, evaluation of the following:
1. Cognitive patterns;
2. Communication/hearing patterns;
3. Vision patterns;
4. Physical functioning and structural
				problems;
5. Continence;
6. Psychosocial well-being;
7. Mood and behavior patterns;
8. Activity pursuit patterns;
9. Disease diagnoses;
10. Health conditions;
11. Oral/nutritional status;
12. Oral/dental status;
13. Skin condition;
14. Medication use; and
15. Special treatment and procedures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 8:43-10.1 - Self-administration of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A designated
				employee shall provide resident supervision and/or assistance during
				self-administration of medications in accordance with the prescriber's orders. Any
				employee who has been designated to provide resident supervision or assistance
				during self-administration of medications shall have received training from the
				health maintenance and monitoring director, the provider pharmacist, or the
				consultant pharmacist.
1. The facility shall
				document the provision of training to each employee who has been designated to
				provide resident supervision and/or assistance with self-administration of
				medications.
2. The facility shall
				document any observed instance where medications are not taken in accordance with
				the prescriber's orders.
3. If the
				facility fails to substantially comply with the requirements of this subchapter, or
				if the facility has significant deficiencies relating to self-administration of
				medications, the Department may require additional documentation, including, but not
				limited to, documentation of every observed instance when medications are
				taken.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 8:43-10.2 - Designation of a consultant pharmacist

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				designate a consultant pharmacist who shall be responsible for the direction,
				provision, and quality of pharmaceutical services. The consultant pharmacist may be
				the director of pharmaceutical services or pharmacist provider. The consultant
				pharmacist shall be responsible for, but not limited to, the following:
1. Training of employees;
2. Educating staff and residents regarding
				medications;
3. Establishing policies
				and procedures which ensure safe and appropriate self-administration of
				medications;
4. Medication regimen
				review signed by the consultant pharmacist at least quarterly; and
5. Inspecting all areas in the facility where
				medications are stored and maintaining records of such inspections.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 10 - MEDICATIONS › Section 8:43-10.3 - Storage of medications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall provide a medication
				storage area of sufficient size for the storage of all medications of residents, and
				shall assure that:
1. The storage area shall be
				conveniently located and adequately lighted;
2. The storage area shall be kept locked when not
				in use;
3. The storage area shall be
				used only for storage of medications and medical supplies;
4. The key to the storage area shall be kept on
				the person on duty responsible for resident supervision; and
5. Each resident's medications shall be kept
				separated in the storage area, with the exception of large volume medications which
				may be labeled and stored together in the storage area.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 11 - RECREATIONAL SERVICES › Section 8:43-11.1 - Provision of recreational services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A planned,
				diversified program of recreational activities shall be offered at least six days a
				week, including individual and/or group activities, on-site or off-site, to meet the
				needs of residents. The administrator or the administrator's designee shall be
				responsible for the direction, provision and quality of the recreational services,
				shall post a current recreational activities schedule where it can be read by
				residents and staff, and shall ensure that activities are carried out in accordance
				with the schedule.
(b) Indoor and
				outdoor recreational activities shall be provided.
(c) 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 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43-12.1 - Emergency medical services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				have a procedure to access all available emergency medical services.
(b) The facility shall have a written plan for
				arranging for emergency transportation of residents to another health care facility
				for care and returning them to the residential health care facility.
(c) The facility shall maintain first aid supplies
				to meet the emergency needs of the residents. The supplies shall be approved by the
				physician, advanced practice nurse, or physician assistant who is available for
				resident emergencies and reviewed by the provider pharmacist.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43-12.2 - 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,
				or 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 both municipal and county emergency management officials
				for their review.
(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.
(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.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 12 - EMERGENCY SERVICES AND PROCEDURES › Section 8:43-12.3 - Drills and tests

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				conduct at least one fire drill every month, of which at least one annually shall
				take place during every working shift. 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. All on-duty staff and all residents shall
				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 maintain documentation that the fire detection/alarm system has been
				tested at least once per year.
(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' requirements and N.J.A.C. 5:70. Each fire
				extinguisher shall be labeled to show the date of such inspection and maintenance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 13 - RESIDENT RECORDS › Section 8:43-13.1 - Maintenance of resident records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A current, complete
				record shall be maintained for each resident.
(b) 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 policies. The
				written consent of the resident shall be obtained for release of his or her records
				to any individual not associated with the facility, 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.
(c) All resident's medical records shall be
				maintained for a period of 10 years after the discharge of a resident from the home,
				in accordance with
				26:8-5.
(d) The following records shall be maintained and
				shall be kept available on the premises for review at any time by representatives of
				the Department :
1. A register which contains a
				current census of all residents, along with other pertinent information, shall be
				maintained by each residential health care facility. The following standards for
				maintaining the register shall apply:
i. The
				administrator or the administrator's designee shall make all entries in the register
				and shall be responsible for its maintenance and safe-keeping;
ii. 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;
iii. The
				register, which is a permanent record, shall be kept in a safe place, in a
				fire-resistant container; and
iv. All
				entries into the register shall be clear, legible, and written in ink or
				typed.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 14 - RESIDENT RIGHTS › Section 8:43-14.1 - Policies and procedures regarding resident rights

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				establish and implement written policies regarding the rights and responsibilities
				of residents, and shall be responsible for developing and adhering to procedures
				implementing such policies. These policies and procedures and a copy of
				P.L.
				1979, c. 500, as codified at NJ.S.A. 55:13B-17 et seq.,
				shall be given to residents and their next of kin and/or sponsors and/or guardians,
				and to each member of the facility's staff. These policies and procedures and
				P.L.
				1979, c. 500, as codified at
				N.J.S.A.
				55:13B-17et seq., shall also be conspicuously
				posted in the facility.
(b) Each
				employee of the facility, upon employment, shall receive inservice education
				concerning the implementation of policies and procedures regarding resident
				rights.
(c) The facility shall comply
				with all applicable State and Federal statutes, rules, and regulations concerning
				resident rights, including NJ.S.A. 52:27G-7.1 et seq., and
				P.L.
				1979, c. 500, as codified at
				N.J.S.A.
				55:13B-17et seq.
(d) Any suspected case of resident abuse or
				exploitation shall be reported to the county welfare agency, in accordance with
				N.J.S.A. 55:13B-1et seq.,
				the Rooming and Boarding House Act of 1979. If the resident is 60 years of age or
				older, the Office of the State Long-Term Care Ombudsman shall also be notified at
				(877) 582-6995, pursuant to
				N.J.S.A.
				52:27G-7.1et seq. If the resident is less than 60
				years of age, the Long-Term Care Complaints Program of the Department shall also be
				notified at (609) 633-8991 or (800) 792-9770 during business hours or (800) 792-9770
				after business hours.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.1 - Provision of housekeeping, sanitation, safety and maintenance services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				provide and maintain a sanitary, safe and homelike environment for
				residents.
(b) The facility shall
				provide housekeeping, laundry, pest control, and maintenance services.
(c) Written objectives, policies, a procedure
				manual, and an organizational plan for housekeeping, sanitation, safety, laundry and
				maintenance services shall be developed and implemented.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.2 - Housekeeping

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A written work plan
				for housekeeping operations shall be established and implemented, with
				categorization of cleaning assignments as daily, weekly, monthly, or annually within
				each area of the facility.
(b)
				Procedures shall be developed for selection and use of housekeeping and cleaning
				products and equipment.
(c) Housekeeping
				personnel shall be trained in cleaning procedures within the scope of their
				responsibility, including the use, cleaning, and care of equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.3 - Resident environment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The following housekeeping and sanitation
				conditions shall be met:
1. The facility and its
				contents, including all environmental surfaces, shall be clean to sight and touch
				and free of dirt and debris;
2. All
				rooms shall be ventilated to help prevent condensation, mold growth, and noxious
				odors;
3. All resident areas shall be
				free of noxious odors;
4. All facility
				furnishings shall be clean and in good repair, and facility mechanical equipment
				shall be in working order. Broken or worn items shall be repaired, replaced, or
				removed promptly;
5. All equipment and
				materials necessary for cleaning, disinfecting, sanitizing, and sterilizing (if
				applicable) shall be provided;
6.
				Thermometers which are accurate to within three degrees Fahrenheit shall be
				maintained in refrigerators, freezers, and storerooms used for perishable and other
				items subject to deterioration, in accordance with N.J.A.C. 8:24, Sanitation in
				Retail Food Establishments and Food and Beverage Vending Machines, copies of which
				are available by contacting the Division of Health Facility Survey and Field
				Operations at (609) 633-8991;
7.
				Sufficient and adequately lighted storage space shall be provided in the facility
				for the proper storage of residents' clothing, linens, drugs, food, cleaning and
				other supplies;
8. Articles in storage
				shall be elevated from the floor and away from walls (if moisture is present),
				ceilings, and air vents;
9. Unobstructed
				aisles shall be provided in storage areas;
10. Effective and safe controls shall be used to
				minimize and eliminate the presence of rodents, flies, roaches and other vermin in
				the facility. The premises shall be kept in such condition as to prevent the
				breeding, harborage, or feeding of vermin. All openings to the outer air shall be
				effectively protected against the entrance of insects;
11. Items that come in contact with open skin or
				mucous membranes shall be sterilized or, at a minimum, receive high level
				disinfection;
12. Items that come in
				contact with intact skin, such as bedpans, toilets and sinks, shall be disinfected,
				using a process for disinfection established by the facility as specified above, at
				8:43-15.2; and
13. Toilet tissue, soap, paper towels or air
				dryers, and waste receptacles shall be provided in each bathroom at all times.
				Resident's personal cloth towels may be used instead of paper towels in private or
				semi-private bathrooms. A self-draining dish or device shall be provided for storage
				of bar soap, if bar soap is used.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.4 - Waste removal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All solid or liquid waste which is not
				regulated medical waste, garbage, and trash shall be collected, stored, and disposed
				of in accordance with the rules of the New Jersey Department of Environmental
				Protection, and of the Department at N.J.A.C. 8:24 . Solid waste shall be stored in
				insectproof, rodentproof, fireproof, nonabsorbent, watertight containers with
				tightfitting covers and collected from storage areas regularly, so as to prevent
				nuisances such as odors. Procedures and schedules shall be established and
				implemented for the cleaning of storage areas and containers for solid or liquid
				waste, garbage, and trash, in accordance with N.J.A.C. 8:24.
(b) Garbage compactors shall be located on an
				impervious pad that is graded to a drain. The drain shall be unobstructed and
				connected to the sanitary sewage disposal system.
(c) Plastic bags shall be used for solid waste
				removal. Plastic bags used for solid waste removal shall be of sufficient strength
				to safely contain waste from point of origin to point of disposal and shall be
				effectively closed prior to disposal.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.5 - Heating and air conditioning

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The heating and, if
				applicable, air conditioning system shall be adequate to maintain the required
				temperature in all areas used by residents. When the heating system is used, the
				temperature in the facility shall be kept at a minimum of 72 degrees Fahrenheit (22
				degrees Celsius) during the day ("day" means the time between sunrise and sunset)
				and 68 degrees Fahrenheit (20 degrees Celsius) at night, when residents are in the
				facility.
1. Filters for heaters and air
				conditioners shall be provided and maintained in accordance with manufacturer's
				specifications.
2. Tanks for all new
				installations of oil furnaces or other equipment shall be located outside the
				building. Previously installed oil storage tanks shall have the vent pipe and fill
				pipe located outside the building.
3. An
				identifiable electrical emergency shut-off switch shall be provided, on the first
				floor, for any oil burner.
4. Portable
				heaters shall not be permitted.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.6 - Water supply

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The water supply used for drinking or culinary
				purposes shall be adequate in quantity, of a safe and sanitary quality, and from a
				water system which shall be constructed, protected, operated, and maintained in
				conformance with the New Jersey Safe Drinking Water Act,
				N.J.S.A. 58:12A-1et seq.,
				N.J.A.C. 7:10, and local laws, ordinances, and regulations. Copies of the Safe
				Drinking Water Act can be obtained from the New Jersey Department of Environmental
				Protection, Division of Water Supply and Geoscience, Bureau of Safe Drinking Water,
				Mail Code 401-04Q, PO Box 420, Trenton, NJ 08625-0420.
(b) There shall be no back-siphonage conditions
				present.
(c) There shall be no cross
				connections between city and well water supplies. When the facility uses well water
				for potable water every day, a double check valve shall be permitted if the facility
				has approval for such use from the water company and the New Jersey State Department
				of Environmental Protection.
(d) The
				temperature of the hot water used for bathing and handwashing shall be maintained
				between 95 degrees and 120 degrees Fahrenheit (35 to 49 degrees Celsius).
(e) Equipment requiring drainage, such as ice
				machines, shall be drained to a sanitary connection.
(f) The sewage disposal system shall be maintained
				in good repair and operated in compliance with State and local laws, ordinances, and
				regulations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.7 - Building and grounds maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The building and
				grounds shall be well maintained at all times. The interior and exterior of the
				building shall be kept in good condition to ensure an attractive appearance, provide
				a pleasant atmosphere, and safeguard against deterioration. The building and grounds
				shall be kept free from fire hazards and other hazards to resident's health and
				safety.
(b) A written work schedule for
				building and grounds maintenance operations shall be established and implemented,
				with categorization of maintenance assignments as daily, weekly, monthly, or
				annually within each area of the facility and the grounds.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 15 - HOUSEKEEPING, SANITATION, SAFETY AND MAINTENANCE › Section 8:43-15.8 - Laundry services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Written policies and
				procedures shall be established and implemented for the facility's laundry services,
				including, but not limited to, policies and procedures regarding the following:
1. The storage and transportation of
				laundry;
2. Collection and storage of
				soiled laundry in a ventilated area;
3.
				Protection of clean laundry from contamination during processing, transporting, and
				storage; and
4. Handling and laundering
				of resident's clothing and personal items separately from other laundry.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43 - STANDARDS FOR LICENSURE OF RESIDENTIAL HEALTH CARE FACILITIES LOCATED WITH, AND OPERATED BY, LICENSED HEALTH CARE FACILITIES › Subchapter 16 - INFECTION PREVENTION AND CONTROL SERVICES › Section 8:43-16.1 - Infection control program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The facility shall
				develop and implement an infection prevention and control program.
(b) The health maintenance and monitoring nurse,
				in coordination with the administrator, shall be responsible for the direction,
				provision, and quality of infection prevention and control services. The health
				maintenance and monitoring nurse, in coordination with the administrator, shall be
				responsible for, but not limited to, developing and maintaining written objectives,
				a policy and procedure manual, and an organizational plan for the infection
				prevention and control service.