reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-13 - Incident reports [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-13.1 - Consultation reports

Current through Vol. 41, No. 20, July 1, 2024
The facility shall maintain a report of all services rendered
				  by health professionals and allied health personnel each consultation
				  visit.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-14 - In-service training classes [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-14.1 - Facility maintenance

Current through Vol. 41, No. 20, July 1, 2024
(a) Each
				facility shall have a maintenance program, which ensures continuing maintenance
				of the facility and equipment, promotes good housekeeping and sanitary
				practices throughout the facility.
(b) The maintenance records shall include:
(1) A written orientation program for
				maintenance personnel.
(2) A plan
				for reporting problems and responding to maintenance, housekeeping, or
				sanitation needs.
(3) Response to
				major maintenance problems, if any, and plans for addressing any problem that
				cannot be corrected within three calendar days.
(4) A copy of the service record from a
				sprinkler or fire alarm company that provides service for the automatic
				sprinkler and fire alarm system.
(5) Verification that facility maintenance
				personnel are certified or licensed as required by state law.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-15 - Consultation reports [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-15.1 - Housekeeping laundry, and general storage

Current through Vol. 41, No. 20, July 1, 2024
(a)
Housekeeping.
Each facility
				shall have housekeeping services that are planned, operated, and maintained to
				provide a pleasant, safe and sanitary environment.
(1) The facility shall employ housekeeping
				personnel suitable by training, experience, and in sufficient number.
(2) Housekeeping personnel, using accepted
				practices and procedures, shall keep the facility free from offensive odors,
				accumulations of dirt, rubbish, dust and safety hazards.
(3) Deodorizers shall not be used to cover up
				odors caused by unsanitary conditions or poor housekeeping practices.
(4) Suitable equipment and supplies shall be
				provided for all cleaning activities and shall be maintained in a safe,
				sanitary condition.
(5) Cleaning
				shall be performed in a manner that minimizes the spread of pathogenic
				organisms.
(A) Floors shall be cleaned
				regularly.
(B) Any polish used on
				floors shall provide a non-slip finish.
(C) Used mop water shall not be stored in mop
				buckets and the mop shall be stored properly.
(6) Housekeeping personnel shall receive
				effective supervision, orientation and training. Housekeeping personnel shall
				be skilled in the six basic functions of sweeping, mopping, dusting, cleaning,
				waxing, and polishing.
(7) Resident
				rooms, furniture, bedding and equipment shall be thoroughly cleaned and
				sanitized before use by another resident.
(8) All garbage and rubbish not disposable as
				sewage shall be collected in impervious containers in such a manner as not to
				become a nuisance or a health hazard and shall be removed to an approved
				storage area at least once a day.
(A) The
				refuse and garbage storage area shall be kept clean and orderly.
(B) There shall be a sufficient number of
				impervious containers with tight fitting lids that are clean and in good
				repair.
(9) The
				containers used to transport refuse within the building shall be constructed of
				impervious materials, be lid or door enclosed, used solely for refuse, and
				maintained in a clean manner. All kitchen waste, contaminated refuse, and
				patient room trash shall be securely bagged before placed in these
				containers.
(10) Bathtubs, showers
				or lavatories shall not be used for laundering, cleaning of bedside utensils,
				mops, nursing utensils or equipment, nor for the dumping of waste water, nor
				for storage.
(11) Draperies and
				furniture shall be kept clean and in good repair.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-16 - Facility maintenance records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-16.1 - Quality assessment and assurance

Current through Vol. 41, No. 20, July 1, 2024
(a)
				The facility shall maintain a quality assessment and assurance committee to
				address facility and resident's needs.
(b) The committee shall include the director
				of nursing, a physician designated by the facility, and at least one other
				appropriate staff.
(c) The quality
				assessment and assurance committee shall meet at least quarterly to identify
				quality assessment and assurance activities.
(d) The committee shall develop and implement
				appropriate plans of action to correct identified quality
				deficiencies.
(e) The Department
				shall not require disclosure of the records of the committee unless such
				disclosure is related to the committee's compliance with the requirements of
				this section.
(f) Good faith
				attempts by the committee to identify and correct quality deficiencies shall
				not be used as a basis for sanctions.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 1639, eff 6-1-93; Amended at 20 Ok
				  Reg 2399, eff 7-11-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-17 - Housekeeping, general sanitation and infection control [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-17.1 - Infection Control

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall have an infection control policy and procedures to provide a safe
				environment. The policy shall address the prevention and transmission of
				disease and infection. The facility, and its personnel, shall practice the
				universal precautions identified by the Centers for Disease Control. All
				personnel shall demonstrate their knowledge of universal precautions through
				performance of duties.
(b) The
				facility shall maintain a sanitary environment and prevent the development and
				transmission of infection in the following areas.
(1) Food handling practices;
(2) Laundry practices including linen
				handling.
(3) Disposal of
				environmental and resident wastes.
(4) Pest control measures.
(5) Traffic control for high-risk areas.
(6) Visiting rules for high-risk
				residents.
(7) Sources of air-borne
				infections.
(8) Health status of
				all employees and residents.
(9)
				Isolation area for residents with communicable diseases.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-18 - Animals allowed to visit or reside [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-18.1 - Personnel records

Current through Vol. 41, No. 20, July 1, 2024
Each facility shall maintain a personnel record for each
				  current employee containing:
(1)
Application for employment.
An application for employment which
				contains employee's full name, social security number, professional license or
				registration number, if any, employment classification, and information about
				past employment, including: place of employment, position held, length of
				employment, and reason for leaving.
(2)
Employee time records.
Copies of current employee time records, signed by the employee, shall be
				maintained by the facility for at least thirty-six (36) months.
(3)
Training, arrest check, and
				certification.
Documentation of orientation and training (may be kept in
				separate file), continuing education, a copy of the criminal arrest check, and
				appropriate certification and licensure.
(4)
Health examination on hire.
Record of health examination conducted within thirty days of employment which
				shall include, but not be limited to, a complete medical history, physical
				examination by body system and, a test for tuberculosis. All tests and
				examinations shall be in conformance with the "Tuberculosis Screening, Testing,
				and Treatment of U.S. Health Care Personnel: Recommendations from the National
				Tuberculosis Controllers Association and CDC, 2019" guidelines for preventing
				the transmission of mycobacterium tuberculosis in healthcare settings as
				published by the Centers for Disease Control and Prevention.
(A) Tests for tuberculosis shall be
				administered by a licensed nurse or physician.
(B) Where a skin test is contra-indicated, a
				chest radiograph, interpreted by a medical consultant in collaboration with the
				city, county or state health department, is acceptable.
(C) Employees claiming a prior positive
				tuberculin skin test shall have documentation in their file, obtained from a
				licensed health care professional, of their test results and interpretation,
				otherwise, a two-step tuberculin skin test shall be done.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-20 - Financial solvency and reports

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				facility shall maintain financial solvency sufficient to ensure its operation
				as evidenced by the timely payment of obligations including but not limited to:
(1) Employee payrolls;
(2) Amounts owed to consultants, medical
				directors, vendors, suppliers, and utility service providers;
(3) Taxes and provider fees; and
(4) Leases, rents and mortgages.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-21 - Sex or violent offender status

Current through Vol. 41, No. 20, July 1, 2024
(a)
Determination of status.
A facility subject to the provisions of
				this Chapter shall determine whether the following individuals have registered
				pursuant to the Sex Offenders Registration Act or the Mary Rippy Violent Crime
				Offenders Registration Act:
(1) An applicant
				for admission or participation,
(2)
				A resident, client or participant of a facility subject to the provisions of
				this Chapter, and
(3) All employees
				of facilities subject to the provisions of this Chapter, in addition to the
				required criminal arrest check in 63 O.S. §
										1-1950.1
				and 63 O.S. §1-1950.8 (relating to criminal arrest checks).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-1 - Activities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-1.1 - Nursing and personal care services

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility shall ensure that resident
				rights are respected in the provision of care.
(b) Basic nursing and personal care shall be
				provided for residents as needed.
(1) Nursing
				care shall include, but not be limited to:
(A)
				Encouraging residents to be active and out of bed for reasonable time
				periods.
(B) Measuring resident
				temperature, blood pressure, pulse and respirations at least once every thirty
				days and more frequently if warranted by the resident's condition, with the
				results recorded in the clinical record.
(i)
				Measuring resident weight at least once every thirty days and more frequently
				if warranted by the resident's condition, with the results recorded in the
				clinical record.
(ii) Measuring
				resident pain whenever vital signs are taken and more frequently if warranted
				by the resident's condition, with the results recorded in the clinical
				record.
(C) Offering
				fluids, and making fluids available, to maintain proper hydration.
(D) Following proper nutritional practices
				for diets, enteral and parenteral feedings and assistance in eating.
(E) Providing proper skin care to prevent
				skin breakdown.
(F) Providing
				proper body alignment.
(G)
				Providing supportive devices to promote proper alignment and
				positioning.
(H) Turning bed
				residents every two hours or as needed, to prevent pressure areas,
				contractures, and decubitus.
(I)
				Performing range of motion exercises in accordance with individual assessment
				and care plans.
(J) Ensuring that
				residents positions are changed every two hours or as needed when in a chair
				and are toileted as needed.
(K)
				Establishing and implementing bowel and bladder programs to promote
				independence, or developing toileting schedules to promote
				continence.
(L) Performing catheter
				care with proper positioning of bag and tubing at all times.
(M) Recording accurate intake and output
				records for residents with tube feedings or catheters.
(N) Assessing the general mental and physical
				condition of the resident on admission.
(O) Updating the assessment and individual
				care plan when there is a significant change in the resident's physical,
				mental, or psychosocial functioning.
(P) Recognizing and recording signs and
				symptoms of illness or injury with action taken to treat the illness or injury,
				and the response to treatments and medications.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-2 - Social services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-2.1 - Dental and oral hygeine services

Current through Vol. 41, No. 20, July 1, 2024
(a)
				A dental history shall be obtained as part of the medical history on admission.
				The dental history shall include past dental problems, description of any
				prosthetic appliance used, current assessment and the resident's current
				dentist.
(b) The facility shall
				have all dental prosthetic appliances such as dentures and partial dentures,
				marked and identified as belonging to that resident at the time of admission. A
				resident shall be promptly referred to a dentist when prosthetics are lost or
				damaged.
(c) The facility shall
				arrange for one or more dentists to be available in an emergency and to act in
				an advisory capacity to the facility. The dentist notified for any emergency
				shall be recorded in the clinical record. If unable to contact the resident's
				dentist, the emergency physician or dentist shall be notified.
(d) The facility shall maintain a list of
				referral dentists.
(e) The facility
				shall assist the resident with, or make arrangements for the resident's
				transportation to and from the dentist's office.
(f) All residents shall have oral hygiene
				procedures provided at least daily, and as needed. Oral hygiene procedures
				shall include, but not be limited to, the resident's teeth being brushed and
				dentures and partial dentures being cleaned. Any exception shall be ordered by
				the resident's dentist or physician.
(g) Oral hygiene supplies and equipment shall
				be available in sufficient quantities to meet the residents needs including but
				not limited to, toothbrushes, toothpaste, dental floss, lemon glycerin swabs or
				equivalent products, denture cleaners, denture adhesives, and containers for
				dental prosthetic appliances, such as dentures and partial dentures.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-3 - Religion [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-3.1 - Rehabilitative or restorative nursing services

Current through Vol. 41, No. 20, July 1, 2024
(a) Rehabilitative services promote
				restoration of the resident's maximum potential. Rehabilitative services shall
				be provided or obtained by the facility or an outside source according to the
				resident assessment. An evaluation shall address the residents rehabilitative
				needs, on admission, annually, and as the resident's condition indicates.
				Rehabilitative services shall be ordered by the physician, and provided under
				the direction of licensed or qualified staff. These services shall include, but
				not be limited to, the following:
(1)
				Physical therapy.
(2) Speech
				therapy.
(3) Audiology.
(4) Occupational therapy.
(5) Psychological or psychiatric
				counseling/therapy.
(6) Nutritional
				counseling.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-4 - Recreation areas [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-4.1 - Supplies and equipment

Current through Vol. 41, No. 20, July 1, 2024
(a) There shall
				be a sufficient quantity of supplies and, equipment in working condition, to
				meet the residents' medical, nursing, nutritional, social and activity
				needs.
(b) The minimum level of
				supplies including but not limited to food and other perishables is a three (3)
				day supply.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 1639, eff 6-1-93; Amended at 20 Ok
				  Reg 2399, eff 7-11-03
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-5 - Community involvement [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-5.1 - Assessment and care plans

Current through Vol. 41, No. 20, July 1, 2024
(a) A
				resident assessment and an individual care plan shall be completed and
				implemented for each resident. The care plan shall indicate the resident's
				current status and accurately identify the resident's needs.
(b) The written resident assessment and care
				plan shall be reviewed and updated, at least quarterly, and as needed when the
				resident's condition indicates.
(c)
				Efforts shall be made to include the resident and resident's representative in
				development and implementation of the care planning process.
(1)
Resident assessment
(A) The facility shall conduct, initially and
				periodically, a comprehensive, accurate, standardized, reproducible assessment
				for each resident's functional capacity.
(B) Each resident shall have an assessment
				coordinated or conducted by a registered nurse.
(C) Each individual completing a portion of
				the assessment shall sign, date, and certify the accuracy of that
				portion.
(D) An assessment shall be
				completed within fourteen days after admission of the resident.
(E) The resident assessment shall include a
				minimum data set (MDS) in the form required under
				42 CFR
				483.20. Each facility, with the exception of
				Intermediate Care Facilities for the Mentally Retarded (ICF/MR), accurately
				shall complete the MDS for each resident in the facility, regardless of age,
				diagnosis, length of stay or payment category.
(F) The MDS form shall require the following,
				as applicable:
(i) Admission
				assessment;
(ii) Annual
				assessment;
(iii) Significant
				change in status assessment;
(iv)
				Significant correction of prior full assessment;
(v) Significant correction of prior quarterly
				assessment;
(vi) Quarterly review;
				and
(vii) A subset of items upon a
				resident's transfer, reentry, discharge, and death.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-6 - Physical plant [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-6.1 - Restraints

Current through Vol. 41, No. 20, July 1, 2024
(a) The resident has the right to be free
				from any physical or chemical restraints imposed for discipline or convenience.
				Restraints may be used in emergency situations, or for the purpose of treating
				a resident's medical condition. All physical restraints shall allow for quick
				release. Locked restraints shall not be used.
(b) In an emergency situation, physical
				restraints may be used only to ensure the physical safety of the resident,
				staff, or other residents. When restraints are used in an emergency, the
				facility shall comply with the following process:
(1) A licensed nurse may use physical
				restraints, without a physician's order, if necessary to prevent injury to the
				resident, or to other residents, when alternative measures are not effective.
				The licensed nurse shall document in the clinical record the application of the
				physical restraint and the alternative measures that were not effective. A
				licensed nurse shall contact the physician for physical restraint orders within
				six hours after application.
(2)
				The facility staff shall continually monitor the resident during the restraint
				period. An interdisciplinary team shall evaluate alternative placement if the
				resident requires physical restraints for longer than forty-eight consecutive
				hours.
(3) Circumstances requiring
				the physical restraints shall be re-evaluated every thirty minutes and
				documented in the clinical record.
(4) A resident who is physically restrained
				shall have the restraints released for at least ten minutes every two hours.
				Such residents shall also be repositioned, exercised and toileted as needed.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-7 - Diets [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-7.1 - Physician services

Current through Vol. 41, No. 20, July 1, 2024
Each resident shall be under the care of a licensed
				  physician, who shall be responsible for the resident's overall medical care.
				  The physician's duties shall include but not be limited to:
(1) Completing an admission history and
				physical that includes chief complaints, course of present illness, past
				medical history, and examination findings by body systems and diagnosis within
				two weeks of admission unless a physical was conducted within the previous
				sixty days.
(2) Prescribing diet,
				treatments and medications.
(3)
				Noting the resident's specific advance directives, if known.
(4) Continuing supervision, as required by
				the resident's care including, but not limited to:
(A) Writing progress notes at each
				visit.
(B) Visiting as
				needed.
(C) Participating in
				developing, and reviewing, the resident's care plan.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-8 - Food storage and sanitation [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-8.1 - Clinical laboratory

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall provide, or obtain, clinical laboratory services to meet the resident's
				needs. The facility shall be responsible for the quality and timeliness of the
				services. If the facility provides clinical laboratory services, the services
				shall meet the applicable conditions of the services furnished by independent
				laboratories. If the facility provides blood bank and transfusion services, it
				shall meet the applicable conditions for independent laboratories and
				hospitals.
(b) If the laboratory
				refers specimens for testing to another laboratory, the receiving laboratory
				shall meet applicable conditions as an independent laboratory.
(c) If the facility does not provide
				laboratory services on site, it shall have an agreement to obtain such services
				only from a laboratory that meets applicable conditions as an independent
				laboratory, either as a hospital or an independent laboratory.
(d) The facility shall:
(1) Provide or obtain laboratory services
				only when ordered by the physician.
(2) Promptly notify the physician of the
				findings.
(3) Assist the resident
				in arranging transportation to and from the source of service, if the resident
				needs assistance.
(4) File signed
				and dated reports of clinical laboratory services in the resident's clinical
				record.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-9 - Refrigeration [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-9.1 - Medication services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Storage.
(1) Medications shall
				be stored in a medication room, a locked cabinet, or a locked medication cart,
				used exclusively for medication storage.
(2) The medication storage area temperature
				shall be maintained between 60° F. (15.5° C.) to 80° F.(26.6°
				C.)
(3) The medication room, the
				medication storage cabinet, and medication cart shall be locked when not in
				use.
(4) The key to the medication
				storage areas shall be in the possession of the person responsible for
				administering medications.
(5)
				Scheduled medications shall be in a locked box within the locked medication
				area or cart.
(6) Medications for
				external use shall be stored separately from medications for internal use.
(7) Medications requiring
				refrigeration shall be kept within a temperature range of 36° F. (2.2°
				C.) to 48° F. (8.8° C.) and separated from food and other items. There
				shall be a method for locking these medications.
(8) The medication areas shall be well
				lighted, clean and organized.
(9)
				Running water shall be in close proximity to the medication area.
(10) Powdered over-the-counter medication for
				topical use may be kept in the resident's room for administration by a nurse
				aide if:
(A) The facility develops and
				implements policies and procedures for safe storage and application of the
				powder; and
(B) Each aide who
				applies the over-the-counter topical medication is trained in accordance with
				the established policies and procedures of the facility.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-10 - Ice supply [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-10.1 - Activity services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Activities program.
The facility shall provide an ongoing
				activities service designed to meet the resident's interests and physical,
				mental, and psycho-social needs based on a comprehensive assessment and care
				plan.
(b)
Activities
				director.
There shall be a designated staff member, qualified by
				experience or training, responsible for the direction and supervision of the
				activities service. The activities director shall develop appropriate
				activities for each resident with identified needs. Activities staff hours
				shall be sufficient to meet the resident's needs.
(c)
Clinical record.
The
				activities rendered shall be recorded in the clinical record. Progress notes
				shall be written at least monthly or when a significant change in the
				resident's condition occurs.
(d)
Program requirements.
(1) All
				activities shall be resident related.
(2) The program shall be designed to
				encourage rehabilitation and restoration to self care and normal
				activity.
(3) There shall be at
				least two organized group activities, daily, Monday through Friday and at least
				one organized group activity on Saturday and Sunday provided or coordinated by
				staff.
(4) The activities program
				shall recognize the resident's right to choose to participate in social,
				community and religious activities, as long as that choice does not interfere
				with other facility residents.
(5)
				Varied and specific programs shall be developed for all residents, including
				those that are room bound, comatose or who demonstrate symptoms of dementia,
				mental illness or developmental disabilities.
(6) Socialization and self-help skills shall
				be addressed in the care plan based on resident's needs.
(7) Provisions shall be made to address each
				resident's spiritual needs.
(8) The
				program shall provide remotivation, reality orientation or sensory stimulation
				programs to orient and stimulate residents.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-11 - Milk supply [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-11.1 - Social services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Service.
The facility shall provide medically related social
				services to identify and meet the resident's social and emotional needs, and
				assist each resident and family in adjusting to the effects of the illness,
				treatment, and stay in the facility.
(b)
Director.
There shall be a
				designated staff member, qualified by training or experience, responsible for
				directing and supervising the social services. The social services director
				shall develop appropriate social services for each resident with identified
				needs.
(c)
Clinical
				record.
The social services rendered shall be recorded in the resident's
				record. Progress notes shall be written at least monthly, or when a significant
				change in a resident's condition occurs.
(d)
Program requirements.
(1) Assist the resident in identifying issues
				and conditions related to admission to the facility.
(2) Assist the resident in obtaining needed
				services within the facility or the community.
(3) Assist the resident in obtaining needed
				transportation.
(4) Assist the
				resident in maintaining and developing relationships with family and other
				significant persons.
(5) Assist the
				staff in understanding the resident's actions and behavior.
(6) Assist the staff in treating the
				residents with respect, and promote resident independence.
(7) Counsel with the resident and his family
				in securing and enhancing participation in the resident's care.
(8) Engage in related activities as
				determined by the resident's individual needs.
(9) Encourage the resident to express his/her
				rights as United States citizens.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-12 - Food supply [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-12.1 - Dietary services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Services.
The facility shall provide dietary services to meet the
				resident's nutritional needs. There shall be a designated staff person
				qualified by experience or training, responsible for directing or supervising
				the dietary services. The food service supervisor, in conjunction with a
				qualified nutritionist or registered/licensed dietitian, shall develop a
				dietary care plan for each resident. There shall be sufficient dietary staff to
				meet the needs of all residents.
(b)
Clinical record.
The dietary
				services provided to residents needing dietary intervention shall be recorded
				in the clinical record. Progress notes for these residents shall be written at
				least monthly, or when a significant change in the resident's condition
				occurs.
(c)
Nutritional
				assessment.
A nutritional assessment shall be completed for each
				resident that addresses all pertinent dietary problems such as chewing or
				swallowing, elimination, appetite or eating habits, pertinent lab results,
				weight and height, diet and medication interactions, food preferences and
				assistive devices. The dietary staff shall have input into the resident's
				individual care plan.
(d)
Diet.
The facility shall provide a nourishing, palatable,
				well-balanced diet that meets the resident's daily nutritional and special
				dietary needs.
(1)
Meals.
(A) The facility shall serve at least three
				regularly scheduled meals, or their equivalent daily. There shall be at least
				four hours between each meal.
(B)
				Diets shall be prescribed by the resident's physician and shall be planned, in
				writing, reviewed, approved and dated by a qualified nutritionist or
				registered/licensed dietitian. A therapeutic diet shall be served with skillful
				attention to the diet control system. Portioning of menu servings shall be
				accomplished with portioned control serving utensils.
(C) Substitutes of similar nutritive value
				shall be offered when a resident refuses served menu items.
(D) Residents at nutritional risk shall have
				timely and appropriate nutrition intervention.
(E) Nourishments shall be available and may
				be offered at any time in accordance with approved diet orders and resident
				preference. Bedtime nourishment shall be offered to all residents.
(F) There shall be an identification system
				established and updated, as needed, to ensure that each resident receives the
				prescribed diet.
(G) The
				percentages of consumed meals, supplements and meal replacements ingested shall
				be observed and recorded in the clinical record at the time of
				observation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-13 - Dishwashing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-13.1 - Food storage, supply and sanitation

Current through Vol. 41, No. 20, July 1, 2024
(a) Food shall be stored, prepared and served
				in accordance with Chapter 257 of this Title (relating to food service
				establishments) with the following additional requirements.
(b) Ice machines available to the residents,
				or the public, shall be a dispenser type, or have a locking
				enclosure.
(c) A whole, intact,
				fruit or vegetable is an approved food source. The food supply shall be
				sufficient in quantity and variety to prepare menus for three (3) days.
				Leftovers that are potentially hazardous foods shall be used, or disposed of,
				within twenty-four (24) hours. Non-potentially hazardous leftovers that have
				been heated or cooked may be refrigerated for up to forty-eight (48)
				hours.
(d)
Milk, milk
				products and eggs.
(1) Only grade A
				pasteurized fluid milk, as defined by the Oklahoma Grade A Milk and Milk
				Products Act, Title 2 O.S. §
										7-401 through 2 O.S.
				§7-421, shall be used for beverage and shall be served directly into a
				glass from a milk dispenser or container.
(2) Powdered or evaporated milk products
				approved under the U.S. Department of Health and Human Services' Grade "A"
				Pasteurized Milk Ordinance (2003 Revision), may be used only as additives in
				cooked foods. This does not include the addition of powdered or evaporated milk
				products to milk or water as a milk for drinking purposes. Powdered or
				evaporated milk products may be used in instant desserts and whipped products,
				or for cooking. When foods, in which powdered or evaporated milk has been
				added, are not cooked, the foods shall be consumed within twenty-four (24)
				hours.
(3) Milk for drinking shall
				be stored at a temperature of 41o or belowand shall
				not be stored in a frozen state.
(4) Only clean, whole eggs with shell intact,
				pasteurized liquid, frozen, dry eggs, egg products and commercially prepared
				and packaged hard boiled eggs may be used. All eggs shall be thoroughly cooked
				except pasteurized egg products or pasteurized in-shell eggs may be used in
				place of pooled eggs or raw or undercooked eggs.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-14 - Physical responsibilities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-15 - Reports to state agencies [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-16 - Specialized services [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-17 - Medical findings and physician's orders [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-18 - Resident supervision by physician [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-19 - Availability of physicians for emergency resident care [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-20 - Fulfilling resident's needs [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-21 - Dental care [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-22 - Medications: storage, preparation and handling [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-23 - Nursing service [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-24 - Nursing and personal care of residents [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-25 - Nursing services: policy and procedure [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-26 - Rehabilitative and/or restorative nursing [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-27 - Health care plan [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-28 - Transfer forms [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-29 - Nursing service personnel minimum staffing requirements [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 9 - Resident Care Services › Section 310:675-9-30 - Nursing in-service [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Revoked at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Revoked at 10 Ok Reg 1639, eff
				  6-1-93