reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-2 - General considerations

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Facilities shall be available and accessible to the physically handicapped
				(public, staff, and patients).
(b)
				Each facility shall have parking space to satisfy the minimum needs of
				residents, employees, staff, and visitors. Space shall be provided for
				emergency and delivery vehicles.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-3 - Nursing unit

Current through Vol. 41, No. 20, July 1, 2024
Each nursing unit shall provide the following:
(1) Resident room with a maximum capacity of
				four residents.
(2) Resident room
				with a minimum room area exclusive of toilet rooms, closets, lockers,
				wardrobes, alcoves or vestibules, shall be 100 sq. ft. in single bed rooms and
				80 sq. ft. per bed in multi-bed rooms. Except that in specialized facilities
				serving only infants and/or children the minimum space per unit shall be 60 sq.
				ft. per crib. The maximum capacity of pediatric nurseries or rooms for infants
				or children utilizing cribs shall be twenty.
(3) One lavatory shall be provided in each
				resident room. The lavatory may be omitted from a single-bed or a 2-bed room
				when a lavatory is located in an adjoining toilet room which serves that room
				only.
(4) Each resident shall have
				access to a toilet room without entering the general corridor area. One toilet
				room shall serve no more than four (4) beds and no more than two (2) resident
				rooms. The toilet room shall contain a water closet and a lavatory. The
				lavatory may be omitted from a toilet room which serves single-bed and 2-bed
				rooms if each such resident's room contains a lavatory.
(5) Each resident shall have a wardrobe,
				locker, or closet with minimum clear dimensions of 1'10' (55.9cm.) by 1'8'
				(50.8 cm.). A clothes rod and adjustable shelf shall be provided.
(6) Visual privacy shall be provided each
				resident in multi-bed rooms. Design for privacy shall not restrict resident
				access to entry, lavatory, or toilet.
(7) No resident room shall be located more
				than 120 ft. (36.6 m.) from the soiled workroom or the soiled holding
				room.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-4 - Service areas

Current through Vol. 41, No. 20, July 1, 2024
The following shall be located in or readily available to
				  each nursing unit:
(1) Nurses' station
				with space for nurse's charting, doctor's charting, storage for administrative
				supplies, and handwashing facilities. (This handwashing facility could serve
				the drug distribution station, if conveniently located.)
(2) Toilet room(s) for nursing
				staff.
(3) Room for examination and
				treatment of residents may be omitted if all resident rooms are single-bed
				rooms. This room shall have a minimum floor area of 120 sq. ft. (11.15 sq. m.),
				excluding space for vestibule, toilet, closets and work counters (whether fixed
				or moveable). The minimum room dimension shall be 10'0' (3.05 m.) and shall
				contain a lavatory or sink equipped for handwashing, a work counter, storage
				facilities, and a desk, counter, or shelf space for writing.
(4) Clean workroom/clean holding room.
(A) The clean workroom shall contain a work
				counter, handwashing, and storage facilities.
(B) The clean holding room shall be part of a
				system for storage and distribution of clean and sterile supply materials and
				shall be similar to the clean workroom except that the work counter and
				handwashing facilities may be omitted.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-5 - Resident's dining and recreation areas

Current through Vol. 41, No. 20, July 1, 2024
The total areas set aside for these purposes shall not be
				  less than 30 sq. ft. (2.79 sq. m.) per bed for the first 100 beds with a
				  minimum size of not less than 225 sq. ft. (20.9 sq. m.) and 27 sq. ft. (2.51
				  sq. m.) per bed for all beds in excess of 100. Additional space shall be
				  provided for outpatients if they participate in a day care program or are
				  regularly fed in the facility. Storage space shall be provided for recreation
				  equipment and supplies.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-6 - Physical therapy facilities

Current through Vol. 41, No. 20, July 1, 2024
The following elements shall be provided in skilled nursing
				  facilities:
(1) Treatment areas shall
				have space and equipment for all modalities to be utilized. Provision shall be
				made for cubicle curtains around each individual treatment area, handwashing
				facility(ies) (One lavatory or sink may serve more than one cubicle), and
				facilities for the collection of soiled linen and other material.
(2) Exercise area.
(3) Storage for clean linen, supplies, and
				equipment.
(4) Resident's dressing
				areas, showers, lockers, and toilet rooms.
(5) Service sink.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-7 - Occupational therapy facilities

Current through Vol. 41, No. 20, July 1, 2024
The following elements shall be provided in skilled nursing
				  facilities:
(1) Activities area shall
				include sink or lavatory and facilities for collection of waste products prior
				to disposal.
(2) Storage for
				supplies and equipment. (May be planned and arranged for shared use by physical
				therapy patients and staff.)
(3)
				Resident's dressing areas, showers, lockers, and toilet rooms. (May be planned
				and arranged for shared use by physical therapy patients and staff.)
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-9 - Dietary facilities

Current through Vol. 41, No. 20, July 1, 2024
Shall be provided in such size as required to implement the
				  type of food service system selected:
(1) Control station for receiving food
				supplies.
(2) Storage space for
				four (4) days' supply including cold storage.
(3) Food preparation facilities as required
				by program. Conventional food preparation systems require space and equipment
				for preparing, cooking, and baking. Convenience food service systems such as
				frozen prepared meals, bulk packaged entrees, individual packaged portions, or
				systems using contractual commissary services will require space and equipment
				for thawing, portioning, cooking, and/or baking.
(4) Handwashing facility(ies) in the food
				preparation Area.
(5) Resident meal
				service space including facilities for tray assembly and
				distribution.
(6) Dining Area for
				ambulatory residents, staff, and visitors.
(7) Warewashing in a room or an alcove
				separate from food preparation and serving areas. This shall be provided for
				receiving, scraping, sorting, and stacking soiled tableware and for
				transferring clean tableware to the using areas. A lavatory shall be
				conveniently available.
(8)
				Potwashing facilities.
(9)
				Sanitizing facilities and storage areas for cans, carts, and mobile tray
				conveyors.
(10) Waste storage
				facilities in a separate room which is easily accessible to the outside for
				direct pickup or disposal.
(11)
				Office or suitable work space for the dietitian or the dietary service
				manager.
(12) Toilets for dietary
				staff with handwashing facility immediately available.
(13) Janitor's closet located within the
				dietary department. It shall contain a floor receptor or service sink and
				storage space for housekeeping equipment and supplies.
(14) Self-dispensing icemaking facilities.
				May be in area separate from food preparation area but must be easily cleanable
				and convenient to dietary facilities. Bulk ice dispensing units must be
				accessible only to authorized staff members.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-10 - Pharmacy unit

Current through Vol. 41, No. 20, July 1, 2024
Provision shall be made for the procurement, storage,
				  administration and accounting of drugs and other pharmacy products. This may be
				  by arrangement with convenient off-site facility but must include provision for
				  24 hour emergency service.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-11 - Administration and public areas

Current through Vol. 41, No. 20, July 1, 2024
The following elements shall be provided:
(1) Entrance at grade level sheltered from
				the weather and able to accommodate wheelchairs.
(2) Lobby. It shall include:
(A) Reception and information counter or
				desk.
(B) Waiting
				space(s).
(C) Public toilet
				facilities.
(D) Public
				telephone(s).
(E) Drinking
				fountain(s).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-12 - Linen services

Current through Vol. 41, No. 20, July 1, 2024
(a) If linen is to
				be processed on the site, the following shall be provided:
(1) Laundry processing room with commercial
				type equipment which can process seven (7) days' needs within a regularly
				scheduled work week. Handwashing facilities shall be provided.
(2) Soiled linen receiving, holding, and
				sorting room with handwashing facilities.
(3) Storage for laundry supplies.
(4) Clean linen inspection and mending room
				or area.
(5) Clean linen storage,
				issuing, and holding room or area.
(6) Janitor's closet containing a floor
				receptor or service sink and storage space for housekeeping equipment and
				supplies.
(7) Sanitizing facilities
				and storage area for carts. The sanitizing facilities may be combined with
				those required for dietary facilities.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-13 - General stores

Current through Vol. 41, No. 20, July 1, 2024
(a)
Facility
				storage.
General storage room(s) shall have a total area of not less
				than ten (10) sq. ft. (.93 sq. m.) per bed and shall generally be concentrated
				in one area.
(b)
Resident
				storage.
Separate storage space with provisions for locking and security
				control shall be provided for resident's personal effects which are not kept in
				resident's room.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-14 - Employee's facilities

Current through Vol. 41, No. 20, July 1, 2024
Employees facilities such as lounges and toilets, to
				  accommodate the needs of all personnel and volunteers shall be
				  provided.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-15 - Janitor's closets

Current through Vol. 41, No. 20, July 1, 2024
Janitor's closets shall be provided throughout the facility
				  to maintain a clean and sanitary environment. These shall contain a floor
				  receptor or service sink and storage space for housekeeping equipment and
				  supplies.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-16 - Engineering service and equipment area

Current through Vol. 41, No. 20, July 1, 2024
The following shall be provided:
(1) Equipment room(s) or separate building(s)
				for boilers, mechanical equipment, and electrical equipment.
(2) Maintenance shop(s) of size and equipment
				to support functions described in narrative program.
(3) Storage room(s) for building maintenance
				supplies (may be part of maintenance shop in nursing homes of less than 100
				beds).
(4) Yard equipment storage.
				A separate room or building for yard maintenance equipment and supplies, if
				applicable. Any fuel or oil for mowers or other yard implements must be stored
				under cover at least 30 ft. away from any building utilized by
				residents.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-17 - [1] Waste processing services

Current through Vol. 41, No. 20, July 1, 2024
Space and facilities shall be provided for the sanitary
				  storage and disposal of waste by incineration, mechanical destruction,
				  compaction, containerization, removal, or by a combination of these
				  techniques.
1In the initial codification
				  of this agency's rules on 12-31-91, this Section was misnumbered as
				  310:675-3-17. Upon discovery of this error on 9-12-94, the number was changed
				  to 310:675-5-17.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-19 - Elevators

Current through Vol. 41, No. 20, July 1, 2024
All buildings having resident's facilities (such as bedrooms,
				  dining rooms, or recreation areas) or resident services (such as diagnostic or
				  therapy) located on other than the main entrance floor shall have electric or
				  electrohydraulic elevators.
(1)
Number of elevators.
(A) At least
				one (1) hospital-type elevator shall be installed where one (1) to fifty-nine
				(59) resident beds are located on any floor other than the main entrance
				floor.
(B) At least two (2), one of
				which shall be hospital-type, shall be installed where 60 to 200 resident beds
				are located on floors other than the main entrance floor, or where the major
				resident services are located on a floor other than those containing resident
				beds. (Elevator service may be reduced for those floors which provide only
				partial resident services).
(C) At
				least three (3), one of which shall be hospital-type, shall be installed where
				201 to 350 resident beds are located on floors other than the main entrance
				floor, or where the major resident services are located on a floor other than
				those containing resident beds. (Elevator service may be reduced for those
				floors which provide only partial resident services.)
(D) For facilities with more than 350
				resident beds, the number of elevators shall be determined from a study of the
				facility plan and the estimated vertical transportation requirements.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-20 - Mechanical requirements

Current through Vol. 41, No. 20, July 1, 2024
(a)
Steam
				and hot water systems.
(1) Boilers
				shall have the capacity, based upon the net ratings published by Hydronics
				Institute, to supply the normal requirements of all systems and equipment. The
				number and arrangement of boilers shall be such that when one boiler breaks
				down or routine maintenance requires that one boiler be temporarily taken out
				of service, the capacity of the remaining boiler(s) shall be at least 70% of
				the total required capacity, except that in areas with a design temperature of
				20oF. (-7oC.) or more,
				based on the Median of Extremes in the ASHRAI Handbook of Fundamentals, the
				remaining boiler(s) do not have to include boiler capacity for space
				heaters.
(2) Boiler feed pumps,
				heating circulating pumps, condensate return pumps, and fuel oil pumps shall be
				connected and installed to provide normal and standby service.
(3) Supply and return mains and risers of
				cooling, heating and process systems shall be valved to isolate the various
				sections of each system. Each piece of equipment shall be valved at the supply
				and return ends, except that vacuum condensate return need not be valved at
				each piece of equipment.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-21 - Electrical requirements

Current through Vol. 41, No. 20, July 1, 2024
All material including equipment, conductors, control, and
				  signaling devices shall be installed to provide a complete electrical system
				  with the necessary characteristics and capacity to supply the electrical
				  facilities shown in the specifications or indicated on the plans. All materials
				  shall be listed as complying with available standards of Underwriter's
				  Laboratories, Inc., or other similarly established standards. All electrical
				  installations and systems shall be tested to show that the equipment is
				  installed and operates as planned or specified.
(1)
Panelboards.
Panelboards
				serving lighting and appliance circuits shall be located on the same floor as
				the circuits they serve. This requirement does not apply to emergency system
				circuits.
(2)
Lighting.
All spaces occupied by people, machinery, equipment
				within buildings, approaches to buildings, and parking lots shall have
				lighting.
(A) Residents' rooms shall have
				general lighting and night lighting. A reading light shall be provided for each
				resident. Flexible light arms shall be mechanically controlled to prevent the
				bulb from coming in contact with bed linen. At least one light fixture for
				night lighting shall be switched at the entrance to each resident room. All
				switches for control of lighting in resident areas shall be of quiet operating
				type.
(B) Nursing unit corridors
				shall have general illumination with provisions for reduction of light level at
				night.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-22 - Exceptions and temporary waivers

Current through Vol. 41, No. 20, July 1, 2024
(a)
				These standards are not intended to restrict innovations and improvements in
				design or construction techniques. Accordingly, the Department may approve
				plans and specifications which contain deviations if it is determined that the
				respective intent or objective of this Chapter has been met.
(b) A nursing facility may submit a request
				for exception or temporary waiver if the rules in this Chapter create an
				unreasonable hardship, or if the design and construction for the nursing
				facility property offers improved or compensating features with equivalent
				outcomes to this Chapter.
(c) The
				Department may permit exceptions and temporary waivers of this Chapter if the
				Department determines that such exceptions or temporary waivers comply with the
				requirements of 63 O.S. Section
				1-1901 et
				seq., and the following:
(1) Any nursing
				facility requesting an exception or temporary waiver shall apply in writing on
				a form provided by the Department. The form shall include:
(A) The section(s) of this Chapter for which
				the exception or temporary waiver is requested;
(B) Reason(s) for requesting an exception or
				temporary waiver;
(C) The specific
				relief requested;
(D) Any
				supporting requirements in the Facility Guidelines Institute (FGI): Guidelines
				for Design and Construction of Residential Health, Care, and Support
				Facilities, 2014 Edition; and
(E)
				Any documentation which supports the application for exception.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-23 - Submission of plans and specifications and related requests for services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Submission of plans.
Before
				construction is begun, plans and specifications, covering the construction of
				new buildings or major alterations to existing buildings shall be submitted to
				the Department for review as provided in OAC 310:675-5-24 or OAC 310:675-5-25.
(1) Plans and specifications are required for
				the following alterations:
(A) Changes that
				affect path of egress;
(B) Change
				of use or occupancy;
(C)
				Repurposing of spaces;
(D)
				Structural modifications;
(E)
				Heating, ventilation and air conditioning (HVAC) modifications;
(F) Electrical modifications that affect the
				essential electrical system;
(G)
				Changes that require modification or relocation of fire alarm initiation or
				notification devices;
(H) Changes
				that require modification or relocation of any portion of the automatic fire
				sprinkler system;
(I) Replacement
				of fixed medical equipment if the alteration requires any work noted in (A)
				through (H) of this paragraph;
(J)
				Replacement of or modifications to any required magnetic or radiation
				shielding;
(K) Changes to or
				addition of any egress control devices or systems.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-24 - Preparation of plans and specifications

Current through Vol. 41, No. 20, July 1, 2024
(a)
Stage one.
Preliminary plans
				and outline specifications shall be submitted and include sufficient
				information for approval by the Department of the following: scope of project;
				project location; required fire-safety and exiting criteria;
				building-construction type, compartmentation showing fire and smoke barriers,
				bed count and services; the assignment of all spaces, areas, and rooms for each
				floor level, including the basement. A nursing facility has the option, at its
				own risk, to bypass the stage one submittal and proceed directly to submittal
				of stage two documents. After the first review and before Department approval
				of stage one plans, the nursing facility at its own risk may choose to make a
				stage two submittal; a nursing facility electing this option would not be
				eligible for the fast track process.
(b)
Stage two.
A proposed
				construction document shall be submitted that includes final drawings and
				specifications adequate for approval by the Department. All final plans and
				specifications shall be appropriately sealed and signed by an architect
				registered by the State of Oklahoma. All construction modifications of approved
				documents are subject to review and approval, and shall be submitted timely.
(1)
Fast-track projects.
The
				fast track process applies only to stage two submittals. A stage one submittal
				and functional program must be approved before entering the fast track process.
(A) Equipment and built-in furnishings are to
				be identified in the stage one submittal.
(B) The nursing facility has the option to
				submit two packages: civil, landscaping and structural in stage one, and the
				balance of the components in stage two.
(C) Fast-track projects shall have prior
				approval and be submitted in no more than four (4) separate packages.
(i) Site work, foundation, structural,
				underslab mechanical, electrical, plumbing work, and related
				specifications.
(ii) Complete
				architectural plans and specifications.
(iii) All mechanical, electrical, and
				plumbing plans and specifications.
(iv) Equipment and furnishings.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 5 - Physical Plant › Section 310:675-5-25 - Self-certification of plans

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department
				shall make available consultation and technical assistance services covering
				the requirements of this section to a nursing facility considering
				self-certification of plans. The consultation and technical assistance is
				subject to the fees specified in OAC 310:675-5-23. The consultation is optional
				and not a prerequisite for filing a request through the self-certification
				review process.
(b) The nursing
				facility and the project architect or engineer may elect to request approval of
				design and construction plans through a self-certification review process. The
				nursing facility and the project architect or engineer shall submit a
				self-certification request on a form provided by the Department, along with the
				review fee specified in OAC 310:675-5-23. The form shall be signed by the
				nursing facility and the project architect or engineer attesting that the plans
				and specifications are based upon and comply with the requirements of this
				Chapter. The form shall require information necessary to demonstrate compliance
				with OAC 310:675-5-25(c).
(c) To be
				eligible for self-certification, projects must comply with the following
				requirements:
(1) The project involves any
				portion of the nursing facility where residents are intended to be examined or
				treated and the total cost of design and construction is two million and five
				hundred thousand dollars ($2,500,000) or less; or
(2) The project involves only portions of the
				nursing facility where residents are not intended to be examined or treated;
				and
(3) The project architect or
				engineer attesting the application has held a license to practice architecture
				or engineering for at least five (5) years prior to the submittal of the
				application, is licensed to practice in Oklahoma; and
(4) The nursing facility owner/operator
				acknowledges that the Department retains the authority to:
(A) Perform audits of the self-certification
				review program and select projects at random for review;
(B) Review final construction
				documents;
(C) Conduct on-site
				inspections of the project;
(D)
				Withdraw approval based on the failure of the nursing facility or project
				architect or engineer to comply with the requirements of this Chapter;
				and
(5) The nursing
				facility agrees to make changes required by the Department to bring the
				construction project into compliance with this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-1 - Governing authority [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 310:675-7-1.1 - Administrator

Current through Vol. 41, No. 20, July 1, 2024
(a) The administrator shall be a person who
				has the authority and responsibility for the total operation of the facility,
				subject only to the policies adopted by the governing authority and who is
				licensed by the Oklahoma State Board of Examiners for Nursing Home
				Administrators.
(b) The
				administrator, or the owner, shall designate a person in the facility to act on
				behalf of the administrator during the administrator's absence from the
				facility. Authority shall be granted to the designated person to allow normal
				management responsibilities to be exercised.
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 310:675-7-2 - Administrator [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 310:675-7-2.1 - Medical director

Current through Vol. 41, No. 20, July 1, 2024
The facility shall designate a licensed physician to serve as
				  medical director. The medical director is responsible for implementation of
				  resident medical care policies and the coordination of medical care in the
				  facility.
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 310:675-7-3 - Residents' rights and responsibilities

Current through Vol. 41, No. 20, July 1, 2024
Each resident or resident's representative shall receive a
				  copy of the resident statutory rights at the time of admission. A copy of the
				  resident rights shall be posted in an easily accessible, conspicuous place in
				  the facility. The facility shall ensure that its staff is familiar with, and
				  observes, the resident rights. [63 O.S. 1991 § 1-1918.)
Amended at 9 Ok Reg
				  3163, eff 7-1-92 (emergency); Amended 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 310:675-7-4 - Resident transfers or discharge

Current through Vol. 41, No. 20, July 1, 2024
(a)
Reasons for transfer or discharge.
Involuntary transfer or
				discharge of a resident may be initiated by a facility only for one or more of
				the following:
(1) Medical reasons, including
				needs that the facility is unable to meet, as documented by the attending
				physician, in consultation with the medical director if the medical director
				and attending physician are not the same person.
(2) The resident's safety, or for the safety
				of other residents, as documented by the clinical record. The facility shall
				show through medical records that:
(A) the
				resident has had a comprehensive assessment by an interdisciplinary team and
				alternative measures have been attempted unsuccessfully; or
(B) the resident is a danger to himself,
				herself or other resident as documented by the medical record and the facility
				is not capable of managing that resident.
(3) The non-payment of charges for the
				resident's care as documented by the facility's business records for services
				for more than 30 days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-4.1 - Resident admission and continued residency based on administration of antipsychotic drugs

Current through Vol. 41, No. 20, July 1, 2024
(a)
Reasons
				for denial of admission or continued residency.
No long-term care
				facility shall deny admission or continued residency to a person on the basis
				of the person's or his or her representative's refusal to the administration of
				antipsychotic drugs, unless:
(1) The
				prescribing clinician or care facility can demonstrate that the resident's
				refusal would place the health and safety of the resident, the facility staff,
				other residents or visitors at risk.
(2) The alleged risk shall be documented in
				detail and presented to the resident or the representative of the resident, to
				the State Department of Health and to the Long-Term Care Ombudsman; and shall
				inform the resident or the representative of the resident of the resident's
				right to appeal.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-5 - Complaint procedures [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 310:675-7-6 - Resident's advisory council [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 310:675-7-6.1 - Complaints

Current through Vol. 41, No. 20, July 1, 2024
(a)
Complaints to the facility.
The facility shall make available to each resident or the resident's
				representative a copy of the facility's complaint procedure. The facility shall
				ensure that all employees comply with the facility's complaint procedure. The
				facility's complaint procedure shall include at least the following
				requirements.
(1) The facility shall list in
				its procedures and shall require to be posted in a conspicuous place outside
				the administrator's office area the following information:
(A) The names, addresses and telephone
				numbers of facility staff persons designated to receive complaints for the
				facility;
(B) Notice that a good
				faith complaint made against the facility shall not result in reprisal against
				the person making the complaint; and
(C) Notice that any person with a complaint
				is encouraged to attempt to resolve the complaint with the facility's
				designated complaint staff, but that the person may submit a complaint to the
				Department without prior notice to the facility.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-7 - Administrative 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 310:675-7-7.1 - Resident's advisory council

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Each facility shall establish a residents advisory council.
(b) Members of the residents advisory council
				shall consist of all current nursing facility residents or their designated
				representative. The administrator shall designate a member of the facility
				staff to coordinate the council and render assistance to the council, and
				respond to the requests from the council's meetings.
(c) No employee or affiliate of the facility
				shall be a member of the council. The facility shall provide the council with
				private meeting space.
(d) Minutes
				of the residents advisory council meetings shall be prepared by the facility
				staff and maintained in the facility. A copy of the meeting minutes shall be
				provided to those residents or representatives requesting them. Information
				identifying a resident shall not be included in the minutes.
(e) The residents advisory council shall
				communicate to the administrator the residents' opinions and concerns known to
				the council.
(f) The residents
				advisory council shall be a forum for:
(1)
				Early identification of problems and recommendations for orderly problem
				resolution.
(2) Soliciting and
				adopting recommendations for facility programs and improvements.
(3) Obtaining information from, and
				disseminating information to, the residents.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-8 - Written administrative policies [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 310:675-7-8.1 - Administrative records

Current through Vol. 41, No. 20, July 1, 2024
(a) The
				administrator shall be responsible for the preparation, supervision, and filing
				of records.
(b) There shall be a
				separate, organized file in the business office for each resident. The file
				shall include current information about the resident and the resident's family.
				The file shall also include a written record of all financial arrangements and
				transactions involving the individual resident's funds. A written contract
				between the resident, or his representative, or, if the resident is a minor,
				his parent, or representative, and the facility or its agent or the waiver of
				same shall also be in this file.
(1) If the
				source of payment for the resident's care is, in full or in part, from public
				funds, there shall be a contract between the facility and the agency providing
				the funds. An individual contract between such resident and the nursing
				facility is not required.
(2) A
				resident may sign a waiver if the resident does not wish to have a contract
				with the facility.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-9 - Personnel 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 310:675-7-9.1 - Written administrative policies and procedures

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility shall maintain written
				policies to govern the administration of the facility. These policies shall be
				reviewed annually and revised as necessary.
(b) The facility shall not admit any person
				unless it has the personnel and resources to provide all services and care
				prescribed for that person.
(c) All
				persons seeking admission shall be evaluated as to their medical, nursing and
				social needs. The scope of care and service to be provided by the facility, or
				through contract, shall be included in the resident care plan following
				admission.
(d) All residents shall
				have accommodations that are as close to their normal living arrangements as
				possible. Special care and arrangements shall be provided to ensure, if
				possible, that the accommodations support the resident's physical, mental and
				psycho-social needs in terms of sanitary environment, aesthetics and
				associations.
(e) Residents shall
				be accepted and cared for without discrimination on the basis of race, sex,
				color, religion, ancestry, disability, or national origin.
(f) Emergency care shall be provided to
				residents in case of sudden illness or accident, including persons to be
				contacted in case of an emergency.
(g) Conflict resolution procedures shall be
				adopted for processing complaints received from residents and
				employees.
(h) Job descriptions
				shall be developed that detail the functions of each classification of
				employee.
(i) Procedures shall be
				adopted for handling residents' funds and providing access to the written
				records regarding a resident's funds by the resident or
				representative.
(j) The facility
				has the following responsibilities concerning physicians:
(1) The health care services for each
				resident shall be under a physician's supervision.
(2) All physician orders shall be written in
				ink or indelible pencil and signed by the physician.
(3) No medication or treatment shall be
				administered except on a physician's order.
(4) The facility shall have a written policy
				that provides for physician services to be available twenty-four hours per
				day.
(5) A list of physicians shall
				be posted at the nursing station for use if the resident's attending physician
				is not available.
(6) The facility
				shall arrange for one, or more, physicians to be available in an emergency and
				to advise the facility. The physician called at the time of any emergency shall
				be noted in the records. If unable to contact a physician, the resident shall
				be transferred to a hospital emergency room.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-10 - Resident's 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 310:675-7-10.1 - Resident's clinical record

Current through Vol. 41, No. 20, July 1, 2024
(a)
				There shall be an organized, accurate, clinical and personal record, either
				typewritten or legibly written with pen and ink, for each resident admitted or
				accepted for treatment. The resident's clinical record shall document all
				nursing services provided.
(b) The
				resident clinical record shall be retained for at least five years after the
				resident's discharge or death. A minor's record shall be retained for at least
				two years after the minor has reached the age of eighteen but, in no case, less
				than five years.
(c) All required
				records, either original or microfilm copies, shall be maintained in such form
				as to be legible and readily available upon request of the attending physician,
				the facility, and any person authorized by law to make such a
				request.
(d) Information contained
				in the resident record shall be confidential and disclosed only to the
				resident, persons authorized by the resident, and persons authorized by
				law.
(e) Resident's records shall
				be filed and stored to protect against loss, destruction, or unauthorized
				use.
(f) The Department shall be
				informed in writing immediately whenever any resident's records are defaced, or
				destroyed, before the end of the required retention period.
(g) If a facility ceases operation, the
				Department shall be notified immediately of the arrangements for preserving the
				resident's record. The record shall be preserved for the required time and the
				information in the records shall be available to the health professionals or
				facilities assuming care of the resident so that continuity of care is
				available.
(h) If the ownership of
				the facility changes, the new licensee shall have custody of the residents
				records and the records shall be available to the former licensee and other
				authorized persons.
(i) A person
				employed by the owner shall be in charge of resident records and properly
				identifiable to others concerned.
(j) The resident clinical record shall
				include:
(1) An admission record sheet which
				shall include:
(A) Identification of the
				resident (name, sex, age, date of birth, marital status).
(B) Identification numbers as applicable:
i. e., Medicare number, Medicaid
				number.
(C) Date and
				time of admission.
(D) Diagnosis
				and known allergies.
(E) Name,
				address, and telephone number of responsible party, next of kin, pharmacist,
				and funeral home.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-11 - Physician records and 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 310:675-7-11.1 - Medication records

Current through Vol. 41, No. 20, July 1, 2024
(a) The facility
				shall maintain written policies and procedures for safe and effective
				acquisition, storage, distribution, control, and use of medications and
				controlled drugs.
(b) The facility
				shall establish a policy for providing information about administering
				prescribed medications to residents who are on leave from the
				facility.
(c) The facility shall
				maintain records of consultation and services provided by the consultant
				registered pharmacist at the facility.
(d) The facility shall maintain a system to
				account for controlled medications prescribed for each resident, and an
				individual inventory record on all Schedule II medications.
(e) The facility shall maintain a medication
				regimen review record on each resident.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 163, eff
				  6-1-93
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 675 - Nursing and Specialized Facilities › Subchapter 7 - Administration › Section 310:675-7-12 - Pharmaceutical 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 310:675-7-12.1 - Internal facility incident reports

Current through Vol. 41, No. 20, July 1, 2024
(a)
Incident defined.
An incident is any accident or unusual
				occurrence where there is apparent injury or where injury may or may not have
				occurred. The incident report shall cover all unusual occurrences within the
				facility, or on the premises, affecting residents, and incidents within the
				facility or on the premises affecting visitors or employees.
(b)
Incident records.
Each
				facility shall maintain an incident report record and shall have incident
				report forms available.
(c)
Incident report format.
The incident report shall include, at a
				minimum: the date, location and type of incident; parties notified in response
				to the incident; description of the incident; the relevant resident history;
				summary of the investigation; and name of person completing the
				report.
(d)
Incident report
				preparation.
At the time of the incident, the administrator, or the
				person designated by the facility with authority to exercise normal management
				responsibilities in the administrator's absence, shall be notified of the
				incident and prepare the report. The report shall include the names of the
				persons witnessing the incident and their signatures where
				applicable.
(e)
Incident
				records on file.
A copy of each incident report shall be on file in the
				facility.
(f)
Incident in
				clinical record.
The resident's clinical record shall describe the
				incident and indicate the findings on evaluation of the resident for
				injury.
(g)
Incidents:
				reviewers.
All incident reports shall be reviewed by the director of
				nursing and the administrator and shall include corrective action taken where
				health and safety are affected.
Added at 9 Ok Reg 3163,
				  eff 7-1-92 (emergency); Added at 10 Ok Reg 1639, eff 6-1-93; Amended at 24 Ok
				  Reg 2030, eff 6-25-071; Amended at 25 Ok Reg 2482,
				  eff 7-11-08; Amended at 26 Ok Reg 2059, eff
				  6-25-09
1See Editor's Note at
				  beginning of this Chapter.