reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-03.1 - Expedited inspections

Current through all regulations passed and filed through July 1, 2024
(A)
								For purposes of
			 this rule, "inspection" may be conducted either in-person or on-line using
			 remote conferencing technology.
(B)
								An applicant for
			 licensure as a nursing home may request an expedited initial licensure
			 inspection by providing the department of health with the following:
(1)
									A complete
			 initial nursing home application and fee required by paragraph (A) of rule
			 3701-17-03
			 of the Administrative Code;
(a)
										An application will be deemed complete when the
			 department verifies all information contained therein is complete and accurate
			 and meets the requirements of paragraph (C) of rule
			 3701-17-03
			 of the Administrative Code;
(b)
										An applicant may
			 elect an expedited initial licensure inspection on the initial nursing home
			 application and, if electing such an inspection, provide a fee in addition to
			 that required by paragraph (A) of rule
			 3701-17-03
			 of the Administrative Code, in the amount of two thousand two hundred fifty
			 dollars;
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-04 - Type and number of residents in home; beds

Current through all regulations passed and filed through July 1, 2024
(A) The director shall determine the type and
			 number of residents a nursing home can accommodate which shall be the
			 authorized maximum licensed capacity of a nursing home. Such determination
			 shall be made on the basis of the physical facilities, personnel of the nursing
			 home and the services and care needed by the residents to be admitted or
			 retained in the nursing home, and the permitted occupancy approved by the
			 department of commerce.
(B) In
			 determining the number of residents in a nursing home for the purpose of
			 licensing, the director shall consider all the individuals for whom the home
			 provides accommodations as one group unless one of the following is the case:
(1)
									 The home is both a nursing home and an adult
			 care facility. In that case, all individuals in the part or unit licensed as a
			 nursing home shall be considered as one group and all the individuals in the
			 part or unit licensed as an adult care facility shall be considered as another
			 group;
(2)
									 The home maintains,
			 in addition to a nursing home, a separate and discrete part or unit that
			 provides accommodations to individuals who do not require or receive skilled
			 nursing care and do not receive personal care services from the home, in which
			 case the individuals in the separate and discrete part or unit shall not be
			 considered in determining the number of residents in the home if the separate
			 and discrete part or unit is in compliance with the Ohio building code
			 established by the board of building standards under Chapters 3781. and 3791.
			 of the Revised Code and the home permits the director, on request, to inspect
			 the separate and discrete part or unit and speak with the individuals residing
			 there, if they consent, to determine whether the separate and discrete part or
			 unit meets the requirements of this division;
(3)
									 The home provides an adult day care program on
			 the same site as the home, in which case the participants shall not be
			 considered in determining the number of residents in the home if, except as
			 otherwise permitted in rules
			 3701-17-01 to
			 3701-17-26 of the
			 Administrative Code, the program is operated in a separate area which is not
			 part of the licensed home.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-05 - Prohibitions

Current through all regulations passed and filed through July 1, 2024
(A) No nursing
			 home, except a nursing home that is owned and operated by, and physically part
			 of, a hospital registered under section
			 3701.07 of the Revised Code, may
			 use the word "hospital" in its name or letterhead.
(B) No applicant for a license to operate a
			 nursing home shall accept more than two residents, who require skilled nursing
			 care or personal care services, before receiving a license.
(C) No operator, administrator, employee, or
			 other person shall:
(1) Interfere with the
			 inspection of a licensed nursing home by any state or local official who is
			 performing duties required by Chapter 3721. of the Revised Code. All licensed
			 nursing homes shall be open for inspection. As used in this paragraph,
			 "interfere" means to obstruct directly or indirectly any individual conducting
			 an authorized inspection from carrying out his or her prescribed duties.
			 Interference includes, but is not limited to, harassment, intimidation, delay
			 of access to premises or records, and refusal to permit the director or his
			 authorized representative upon presentation of official department
			 identification, for the purpose of inspecting or investigating the operation of
			 a nursing home, to enter and inspect at any time a building or premise where a
			 home is located, or to enter and inspect records which are kept concerning the
			 operation of the home for information pertinent to the legitimate interest of
			 the department including, but not limited to, the records and reports required
			 by rule
			 3701-17-19 of
			 the Administrative Code.
(2) Use
			 profane or abusive language directed at or in the presence of residents or the
			 director or his authorized representatives.
(3)
									
									Exceed the nursing
			 home's authorized maximum licensed capacity.
(4) Knowingly falsify records, or
			 misrepresent information to the director.
(5)
									Allow transient
			 guests to remain in a licensed part of a home for more than thirty- six hours
			 in any seventy-two hour period. Accommodations for transient guests may be
			 provided in an area or areas outside the licensed part of a
			 home.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-06 - Responsibility of operator and nursing home administrator; quality assurance and performance improvement

Current through all regulations passed and filed through July 1, 2024
(A)
								The operator is
			 responsible for:
(1)
									Operation of the nursing home;
(2)
									Payment of the
			 annual license renewal fee to the director;
(3)
									Submission of
			 such reports as may be required, using an electronic system prescribed by the
			 director, including the immediate reporting of real, alleged, or suspected
			 abuse, neglect, or misappropriation; and
(4)
									Compliance with
			 Chapter 3721. of the Revised Code, Chapters 3701-13 and 3701-61, and rules
			 3701-17-01 to
			 3701-17-26 of the
			 Administrative Code, and all federal, state, and local laws applicable to the
			 operation of a nursing home.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-07 - Qualifications and health of personnel

Current through all regulations passed and filed through July 1, 2024
(A) Every nursing home administrator shall be
			 licensed pursuant to Chapter 4751. of the Revised Code, unless specifically
			 exempted from licensing under that chapter.
(B) No person with a disease which may be
			 transmitted in the performance of the person's job responsibilities shall work
			 in a nursing home during the stage of communicability unless the person is
			 given duties that minimize the likelihood of transmission and follows infection
			 control precautions and procedures.
(C) No person shall work in a nursing home
			 under either of the following circumstances:
(1) Under the influence of alcohol,
			 intoxicants or illegal drugs; or
(2) When the person is using medications to
			 the extent that the use adversely affects the performance of his or her duties
			 or the health or safety of any resident of the home.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-07.2 - Dining assistants

Current through all regulations passed and filed through July 1, 2024
(A) For purposes of this rule:
(1) "Long term care facility" has the same
			 meaning as in rule 3701-17-07.1 of the Administrative Code.
(2) "Dining assistant" means an individual
			 who meets the requirements specified in this rule and who is paid to feed long
			 term care facility residents by a long term care facility or who is used under
			 an arrangement with another agency or organization.
(3) "Supervision" means that the nurse is in
			 the unit where the feeding assistance is furnished and is immediately available
			 to provide help in an emergency.
(4) "Suspension of approval" means that a
			 dining assistant training course is prohibited from providing training to
			 individuals under this rule until the suspension is lifted pursuant to
			 paragraph (K) of this rule.
(5)
			 "Training and competency evaluation program" has the same meaning as in rule
			 3701-17-07.1 of the Administrative Code.
(6) "Withdrawal of approval" means that a
			 dining assistant training course is no longer eligible to provide training
			 under this rule, but does not prohibit the submission of a new application for
			 approval.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-07.3 - Nurse aide registry

Current through all regulations passed and filed through July 1, 2024
(A) The director shall maintain a nurse aide
			 registry listing all 
								individuals who have met the competency
			 requirements of division (A) of section
			 3721.32 of the Revised Code. The
			 registry also shall include both of the following:
(1) The statement required by section
			 3721.23 of the Revised Code
			 detailing findings by the director under that section regarding alleged abuse
			 or neglect of a resident or misappropriation of resident property;
(2) Any statement provided by an individual
			 under section 3721.23 of the Revised Code
			 disputing the director's findings.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-08 - Personnel requirements

Current through all regulations passed and filed through July 1, 2024
(A) Each nursing home shall arrange for the
			 services of an administrator who shall be present in the home to the extent
			 necessary for effectively managing the home and assuring that needs of the
			 residents are being met, but not less than sixteen hours during each calendar
			 week.
(B) Each nursing home shall:
(1) Employ a registered nurse who shall serve
			 as director of nursing:
(a) This requirement
			 may be met by two registered nurses who share the position as co-directors of
			 nursing.
(b) The director of
			 nursing or co-directors of nursing shall be on duty five days per week, eight
			 hours per day predominantly between the hours of six a.m. and six p.m. to
			 direct the provision of nursing services.
(c) The name of the director of nursing shall
			 be posted in a place easily accessible to residents, resident's families or
			 sponsors, and staff.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-09 - Resident life enrichment

Current through all regulations passed and filed through July 1, 2024
(A)
								All nursing homes
			 shall provide a comprehensive activity program designed to meet the physical,
			 mental, emotional, psycho-social well-being and personal interests of each
			 resident. Activities shall be provided based on the needs and preferences of
			 each resident as identified on their comprehensive assessment and care plan
			 required by rules
			 3701-17-10
			 and
			 3701-17-14
			 of the Administrative Code, respectively, and needs and preferences identified
			 during resident's time in the home. Activities shall be implemented and
			 adjusted based on resident input and residents' changes in abilities, physical
			 and mental status. Activities shall be scheduled for day time, week end,
			 evening, and include the community to the extent possible.
(B)
								All nursing homes
			 shall provide social services to:
(1)
									Meet the medically-related social service needs of each
			 resident;
(2)
									Meet the physical, mental, and psycho-social well-being
			 of each resident; and
(3)
									Assist each resident in attaining or maintaining the
			 highest practicable level of functioning.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-10 - Resident assessments; advanced care planning

Current through all regulations passed and filed through July 1, 2024
(A) Each nursing home, in accordance with
			 this rule, shall require written initial and periodic assessments of all
			 residents. The different components of the assessment may be performed by
			 different licensed health care professionals, consistent with the type of
			 information required and the professional's scope of practice, as defined by
			 applicable law, and shall be based on personal observation and judgment. This
			 paragraph does not prohibit the licensed health professional from including in
			 the assessment resident information obtained by or from unlicensed staff
			 provided the evaluation of such information is performed by that licensed
			 health professional in accordance with the applicable scope of
			 practice.
(B) Prior to admission,
			 the nursing home shall obtain from the prospective resident's physician, other
			 appropriate licensed health professionals acting within their applicable scope
			 of practice, or the transferring entity, the current medical history and
			 physical of the prospective resident, including the discharge diagnosis,
			 admission orders for immediate care, the physical and mental functional status
			 of the prospective resident, and sufficient additional information to assure
			 care needs of and preparation for the prospective resident can be met. This
			 information shall have been updated no more than five days prior to
			 admission.
(C) Upon admission, the
			 nursing home shall assess each resident in the following areas:
(1) Cardiovascular, pulmonary, neurological
			 status including auscultation of heart and lung sounds, pulses and vital signs;
			 and
(2) Hydration and nutritional
			 status, including allergies and intolerances;
			 and
(3) Presenting physical,
			 psycho-social and mental status.
The nursing home shall also review each resident's admission
				orders to determine if the orders are consistent with the resident's status
				upon admission as assessed by the nursing home and shall reconfirm, as
				applicable, the orders with the attending physician or other licensed health
				care professional acting within the applicable scope of practice. The nursing
				home shall obtain any special equipment, furniture or staffing that is needed
				to address the presenting needs of the resident. The nursing home shall provide
				services to meet the specific needs of each resident identified through this
				admission assessment until such time as the care plan required by rule
				3701-17-14
				of the Administrative Code is developed and implemented.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-11 - Infection control; tuberculosis control plan

Current through all regulations passed and filed through July 1, 2024
(A) Each nursing home shall establish and
			 implement appropriate written policies and procedures to assure a safe,
			 sanitary and comfortable environment for residents and to control the
			 development and transmission of infections and diseases. Each nursing home
			 shall establish an infection control program to monitor compliance with home's
			 infection control policies and procedures, to investigate, control and prevent
			 infections in the home, and to institute appropriate interventions. The home
			 shall designate an appropriate licensed health professional with competency in
			 infection control to serve as the infection control coordinator.
(B)
								 Each nursing
			 home shall develop and follow a tuberculosis control plan that is based on the
			 home's assessment of the facility. The control and assessment shall be
			 consistent with the United States centers for disease control and prevention
			 "Guidelines for Preventing the Transmission of My cobacterium tuberculosis in
			 Health Care Settings, 2005," MMWR 2005, Volume 54, No. RR-17. The home shall
			 retain documentation evidencing compliance with this paragraph and shall
			 furnish such documentation to the director upon request.
(C)
			 If any resident, or individual used by the nursing home, exhibits signs and
			 symptoms of a disease listed in rule
			 3701-3-02
			 of the Administrative Code, the nursing home shall ensure that appropriate
			 interventions and follow-up are implemented and shall make reports to the
			 appropriate local public health authority as required by law.
(D)
			 Each nursing home shall use appropriate infection control precautions in caring
			 for all residents. At minimum, individuals working in a nursing home shall:
(1) Wash their hands vigorously with soap and
			 water for at least ten to fifteen seconds or, if hand-washing facilities are
			 not readily available, with an alcohol-based product used according to
			 manufacturer's directions or other alternative methods accepted by the United
			 States centers for disease control and prevention, as being an effective
			 alternative, but not as a substitute for regular hand-washing:
(a) After using the toilet;
(b) Before direct contact with a resident,
			 dispensing medication, or handling food;
(c) Immediately after touching body
			 substances;
(d) After handling
			 potentially contaminated objects;
(e) Between direct contact with different
			 residents; and
(f) After removing
			 gloves.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-12 - Notification and reporting of changes in health status, illness, injury and death of a resident

Current through all regulations passed and filed through July 1, 2024
The nursing home administrator or the administrator's designee
				shall:
(A) Immediately inform the
			 resident, consult with resident's physician or other licensed health
			 professional acting within the applicable scope of practice, or the medical
			 director, if the 
								resident's physician or other licensed health
			 professional acting within the applicable scope of practice is not available,
			 and notify the resident's sponsor or authorized representative, with the
			 resident's permission, and other proper authority, in accordance with state and
			 local laws and regulations when there is:
(1)
			 An accident involving the resident which results in injury and has the
			 potential for requiring physician intervention;
(2) A significant change in the resident's
			 physical, mental, or psycho-social status such as a deterioration in health,
			 mental, or psycho-social status in either life-threatening conditions or
			 clinical complications;
(3) A need
			 to alter treatment significantly such as a need to discontinue an existing form
			 of treatment due to adverse consequences, or to commence a new form of
			 treatment.
The notification shall include a description of the
				circumstances and cause, if known, of the illness, injury or death. A notation
				of the change in health status and any intervention taken shall be documented
				in the medical record. If the resident is a patient of a hospice care program,
				the notifications required by this paragraph shall be the responsibility of the
				hospice care program unless otherwise indicated in the coordinated plan of care
				required under paragraph (H) of rule
				3701-17-14
				of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-13 - Medical supervision

Current through all regulations passed and filed through July 1, 2024
(A) Each nursing home operator shall arrange
			 for the services of a physician to serve as the home's medical director, the
			 medical director shall:
(1) In collaboration
			 with the administrator, the nursing director, and other health professionals,
			 develop formal resident care policies for the nursing home that:
(a) Provide for the total medical and
			 psycho-social needs of the resident, including admissions, transfer, discharge
			 planning, range of services available to the resident, emergency procedures and
			 frequency of physician visits in accordance with resident needs and the
			 applicable requirements of Chapter 3721. of the Revised Code and of rules
			 3701-17-01 to
			 3701-17-26 of the
			 Administrative Code.
(b) Promote
			 resident rights as enumerated in section
			 3721.13 of the Revised Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-14 - Plan of care; treatment and care: discharge planning, bathing

Current through all regulations passed and filed through July 1, 2024
(A) The nursing
			 home shall assure that development of a plan of care is initiated upon
			 admission and completed and implemented for each resident within seven days of
			 completion of the initial comprehensive assessment, required by rule
			 3701-17-10
			 of the Administrative Code. The plan shall be resident-focused and goal driven, and prepared by an
			 interdisciplinary team that includes the attending physician or other licensed
			 health professional acting within the applicable scope of practice, or both, a
			 registered nurse with responsibility for the resident and other appropriate
			 staff in disciplines as determined by the needs of the resident including, but
			 not limited to dietary, recreation, and social work staff. The home shall offer opportunities
			 for the resident, the resident's sponsor, and those of the resident's choice to
			 participate in the care planning process and will provide necessary
			 information, support, and options for engaging in the process to ensure that
			 the resident/sponsor directs the process to the maximum extent possible and is
			 enabled to make informed choices and decisions.
(1) The plan of care shall be consistent with
			 the comprehensive assessment with recognition of the capabilities,
									 preferences
			 and goals of the resident, and shall contain a
			 written description of what services, supplies and equipment, are needed, when,
			 how often, and by whom services, supplies and equipment will be provided and
			 the measurable goals or outcomes.
(2) The plan of care shall be reviewed
			 whenever there is a change in the resident's condition,
			 needs, or preferences
									
									that warrant a
			 change in the services, supplies or equipment to be provided, and at least
			 quarterly, by the nursing home and the resident, or sponsor, or both, and shall
			 be updated, as appropriate.
(3)
			 Each resident shall have access to his or her assessment and plan of care at
			 any time upon request.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-15 - Restraints

Current through all regulations passed and filed through July 1, 2024
(A) For purposes of
			 this rule:
(1)
									"Attending physician" means the
			 physician with the most significant role in the determination and delivery of
			 medical care to the individual at the time of a restraint order, which may
			 include, the resident's physician, the medical director of the home, or another
			 physician on the staff of the home.
(2)
									"Prone restraint"
			 means all items or measures used to limit or control the movement or normal
			 functioning of any portion, or all, of an individual's body while the
			 individual is in a face-down position for an extended period of time. Prone
			 restraint includes physical or mechanical restraint.
(3)
			 "Transitional hold" means a brief physical positioning of an individual
			 facedown for the purpose of quickly and effectively gaining physical control of
			 that individual in order to prevent harm to self and others, or prior to
			 transport to enable the individual to be transported safely.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-17 - Medicines and drugs

Current through all regulations passed and filed through July 1, 2024
(A) The nursing home shall provide or obtain
			 routine and emergency medicines, drugs and biologicals for its resident except
			 if prohibited by state or federal law. The nursing home shall permit residents
			 to use and continue to obtain medicines, drugs and biologicals dispensed to
			 them from a pharmacy of choice provided the medicines, drugs and biologicals
			 meet the standards of this rule.
(1) Each
			 nursing home shall provide pharmacy services by employing a pharmacist on
			 either a full-time, part-time, or consultant basis or by contracting with a
			 pharmacy service. The pharmacist or pharmacy service shall be responsible for
			 maintaining supervision and control of the stocking and dispensing of drugs and
			 biologicals in the home in accordance with state pharmacy rules.
(2) The nursing home, in conjunction with the
			 pharmacist or pharmacy service, shall:
(a)
			 Maintain an emergency and contingency drug supply for use in the absence of the
			 pharmacist; and
(b) Ensure that
			 the contingency drug supply is maintained in accordance with state pharmacy
			 rules.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-18 - Food and nutrition

Current through all regulations passed and filed through July 1, 2024
(A) Each nursing home shall have a kitchen
			 and other food service facilities which are adequate for preparing and serving
			  food for all residents. The
			 nursing home shall develop and implement a policy addressing its method for
			 accommodating religious, ethnic and cultural and personal
			 preferences.
(B)
								The nursing home shall store, prepare, distribute and
			 serve food under sanitary conditions and in a manner that protects it against
			 contamination and spoilage in accordance with food service requirements of
			 Chapter 3717-1 of the Administrative Code.
(C) Each nursing home
			 shall provide at least three nourishing, palatable, and appetizing meals daily
			 to all residents at regular hours comparable to normal
			 mealtimes in the community. The meals shall be
			 varied and meet the nutritional needs of the residents and be capable of
								
								providing the dietary referenced intake of the "Food
			 and Nutrition Board" of the "National Academy of Science."
			 Food shall be prepared and
			 served in a form that meets the resident's individual needs based on the
			 assessment conducted pursuant to rule
			 3701-17-10
			 of the Administrative Code, the plan of care required by rule
			 3701-17-14
			 of the Administrative Code, allow for resident choice, and accommodate
			 religious, ethnic, cultural and personal preferences. There shall be no
			 more than sixteen hours between the evening meal and breakfast. Each nursing
			 home shall offer a nourishing snack, consisting of a choice of beverages and a
			 food item from a basic food group, after the evening meal. Food substitutes of
			 similar nutritive value shall be offered to residents who refuse the food
			 served and serving size may be adjusted according to resident preference. The
			 nursing home shall accommodate a resident's preference or medical need to eat
			 at different intervals.
(D) A nursing home may
			 provide any alternate format of meal service that otherwise meets the
			 requirements of this rule, if the residents agree to participate in the meal
			 service and the home:
(1)
									
									Ensures safe food handling practices to prevent
			 contamination of food being served; and
(2) Assists residents when
			 necessary.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-19 - Records and reports

Current through all regulations passed and filed through July 1, 2024
(A) Nursing homes shall keep the following
			 records and such other records as the director may require:
(1) An individual medical record shall be
			 maintained for each resident. Such record shall be started immediately upon
			 admission of a resident to the home and shall contain the following:
(a) Admission record. Name, residence, age,
			 sex, race/ethnicity, religion, date of admission, name and address of nearest
			 relative or guardian, admission diagnoses from referral record and name of
			 
										the
			 resident's physician and, if applicable, other licensed health
			 professional acting within the applicable scope of practice.
(b) Referral record. All records, reports,
			 and orders which accompany the resident as required by rule
			 3701-17-10
			 of the Administrative Code.
(c)
			 Nursing notes and care notes. A note of the condition of the resident on
			 admission and subsequent notes as indicated to describe changes in condition,
			 unusual events or accidents. Other individuals rendering services to the
			 resident may enter notes regarding the services they render.
(d) Medication administration record. A
			 doctor's order sheet upon which orders are recorded and signed by the physician
			 or other licensed health professional acting within the applicable scope of
			 practice, including telephone orders as required by rule
			 3701-17-13 of
			 the Administrative Code; a nurse's treatment sheet upon which all treatments or
			 medications are recorded as given, showing what was done or given, the date and
			 hour, and signed by the nurse giving the treatment or medication; or other
			 documentation authenticating who gave the medication or treatment.
(e) Resident progress notes. A sheet or
			 sheets upon which the doctor, dentist, advanced practice nurse and other
			 licensed health professionals may enter notes concerning changes in diagnosis
			 or condition of the resident. Resident refusal of treatment and services shall
			 also be documented in the progress notes.
(f) Resident assessment record. All
			 assessments and information required by rule
			 3701-17-10
			 of the Administrative Code.
(g)
			 Care plan. The plan of care required by rule
			 3701-17-14
			 of the Administrative Code.
(h)
			 Photograph. A photograph is only necessary for residents who have been
			 identified as being a elopement risk. The photograph of the resident shall be
			 updated annually.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-20 - Smoking or use of flame producing devices; waste containers and ash trays

Current through all regulations passed and filed through July 1, 2024
(A) No employee, resident of a nursing home,
			 visitors, or other persons in the nursing home shall be permitted to smoke,
			 carry a lighted cigarette, cigar or pipe or use any spark or flame producing
			 device in any room or area in a nursing home where oxygen is stored or in use.
			 Approved terminals of a piped oxygen supply does not constitute storage.
(B) "No smoking" signs shall be
			 posted in areas and on doors of rooms where oxygen is stored or in use.
(C) Except as provided for in
			 paragraph (D) of this rule, indoor resident
			 smoking shall only be permitted in 
								separately enclosed and
			 separately ventilated
			 designated areas as allowed for in division (D) of
			 section 3794.03 of the Revised
			 Code that accommodate the needs of the smokers. Nursing homes that allow outdoor resident smoking shall make
			 accommodations for residents during adverse weather conditions.
(1) The nursing home shall not designate as
			 resident smoking areas the dining and recreation
			 area or room, resident rooms, and areas or rooms where oxygen is stored, except
			 smoking may be permitted in the dining and recreation areas or rooms when such
			 areas or rooms meet the requirements of division (D) of
			 section 3794.03 of the Revised Code
			 and are not being used for their stated purpose.
(2) The nursing home shall post smoking signs
			 at 
									all
			 designated resident smoking areas. The nursing
			 home shall take reasonable precautions to ensure the safety of all residents
			 when  residents
			  smoke.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-23 - Space requirements; limitation of number in wards

Current through all regulations passed and filed through July 1, 2024
(A) In every
			 building where there is a nursing home, the premises of which were initially
			 licensed by the state as a nursing home prior to December 22, 1964 and have
			 been in continuous operation since being initially licensed, every room
			 occupied for sleeping purposes by one person shall have a habitable floor area
			 of not less than eighty square feet and every room occupied for sleeping
			 purposes by more than one person shall have a habitable floor area of not less
			 than eighty square feet per person. Any building licensed by the state as a
			 nursing home prior to December 22, 1964 that is discontinued for such use
			 shall, if such use is resumed, comply with paragraph (B) of this
			 rule.
(B) In every building or
			 addition to a building, erected or converted to use or initially licensed as a
			 home after December 22, 1964, every room occupied for sleeping purposes by one
			 person shall have a habitable floor area of not less than one hundred square
			 feet and every room occupied for sleeping purposes by more than one person
			 shall have a habitable floor area of not less than eighty square feet per
			 person. In every building occupied as a nursing home on December 22, 1964,
			 every room added for sleeping purposes shall comply with this
			 paragraph.
(C) Except as provided
			 for in paragraph (D) of this rule, no room, ward, section, or similar division
			 used for sleeping purposes by residents shall be occupied by more than four
			 residents. Any building licensed by the state as a nursing home on or after
			 December 22, 1964 that is discontinued for such use, shall, if such use is
			 resumed, comply with paragraph (D) of this rule.
(D) In every building or addition to a
			 building, erected or converted to use or initially licensed as a home on or
			 after July 17, 2002, every room occupied for sleeping purposes by residents
			 shall be occupied by no more than two residents and shall be designed to assure
			 full visual privacy, as defined in paragraph (B) of rule
			 3701-17-16
			 of the Administrative Code, for each resident.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-24 - Temperature regulation in homes

Current through all regulations passed and filed through July 1, 2024
(A) For the purposes of this rule:
(1) "Resident area" means any area within a
			 nursing home that is occupied at any time by a resident except for an area,
			 such as a greenhouse, that is specifically designed to be kept a higher
			 temperature.
(2) "Temperature
			 range" means between seventy-one degrees fahrenheit and eighty one degrees
			 fahrenheit.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-25 - Disaster preparedness, fire and carbon monoxide safety

Current through all regulations passed and filed through July 1, 2024
(A) Each operator
			 shall provide, maintain, and keep current a written disaster preparedness plan
			 to be followed in case of emergency or disaster. A copy of the plan shall be
			 readily available at all times within the nursing home. The nursing home shall
			 ensure that each staff member, consultant and volunteer is trained and
			 periodically updated about the home's disaster preparedness plan and
			 understands their role in the event of fire or other disaster or emergency. The
			 plan shall include the following:
(1)
			 Procedures for evacuating all individuals in the nursing home, including:
(a) Provisions for evacuating residents with
			 physical or cognitive impairments;
(b) Provisions for transporting all of the
			 residents of the nursing home to a predetermined appropriate facility or
			 facilities that will accommodate all the residents in the event a disaster
			 requires long-term evacuation of the nursing home; and
(c) A written transfer agreement, renewed
			 biannually, with the appropriate facility or facilities for accommodating all
			 of the residents of the nursing home in case of a disaster requiring evacuation
			 of the nursing home;
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-17 - Nursing Homes › Section 3701-17-26 - Variances

Current through all regulations passed and filed through July 1, 2024
(A) The director
			 may grant a variance from the requirements of rules
			 3701-17-01 to
			 3701-17-26 of the Administrative Code as will not be contrary to the public
			 interest, where the operator shows that because of practical difficulties or
			 other special conditions, their strict application will cause unusual and
			 unnecessary hardship. However, no variance shall be granted:
(1) That will defeat the spirit and general
			 intent of these rules, adversely affect the health or safety of the residents,
			 or otherwise not be in the public interest; or
(2) For a requirement that is mandated by
			 statute.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
As used in this chapter:
(A) "Applicant" means a long-term care
			 facility, employee organization, person, or government entity which submits an
			 application for approval or reapproval of a training and competency evaluation
			 program (TCEP) or a train-the-trainer (TTT) program in accordance with the
			 applicable requirements of this chapter.
(B) "Classroom instruction" means the
			 training and information provided by:
(1) A
			 TCEP, other than clinical experience. Classroom instruction may include
			 laboratory simulation.
(2) A TTT
			 program, other than training skills practice.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-02 - Designation of others to act for the director

Current through all regulations passed and filed through July 1, 2024
If the director enters into an agreement under division (C) of
				section
				3721.31
				or section
				3721.34
				of the Revised Code which provides 
								for a government entity
				
								to serve
				as the director's designee 
								in approving training and competency evaluation
				programs or train-the-trainer programs under this chapter, or that a testing
				service will serve as the director's designee to conduct the test under rule
				3701-18-22
				of the Administrative Code, all of the following  apply:
(A) All items required by this chapter to be
			 filed with or submitted to the director or the director's designee
			 
								are to
			 be filed with or submitted to the designee and not to the director.
(B) The designee 
								performs all acts that this chapter specifies may be
			 performed by a designee consistent with section
			 3721.31
			 or
			 3721.34
			 of the Revised Code. The director 
								continues to perform only those acts that this
			 chapter does not specify may be performed by a designee, or that the agreement
			 does not provide for the designee to perform.
(C) The designee conducting the state
			 administered test under rule
			 3701-18-22
			 of the Administrative Code 
								is to be a national standardized testing
			 service.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-03 - Inspections; suspension or revocation of approval of training and competency evaluation and train-the-trainer programs

Current through all regulations passed and filed through July 1, 2024
(A)
								
								Each approved program is to be
			 inspected during the first year after initial approval and at least once during
			 each approval period thereafter.
(1)
			 The director or designee may conduct other announced or unannounced inspections
			 of approved programs or applicants, and sites at which they are or will be
			 conducted, as are deemed necessary, and may investigate complaints pertaining
			 to any approved program.
(2) The
			 director or designee, at any time it is considered to be necessary, also may
			 examine an approved program by requesting that the program submit documents to
			 the director or the designee.
(3)
			 If an inspection or examination of an approved program or applicant reveals
			 violations of section
			 3721.30
			 or
			 3721.31
			 of the Revised Code or of this chapter, the director or the director's designee
			 may require the program or applicant to submit an acceptable, written plan of
			 correction for each violation
									to be
			 submitted within ten business days after receiving notice of the
			 violation. The decision to require or not to require a plan of correction does
			 not preclude the director or the designee from pursuing any other remedy
			 provided by law.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-05 - Application requirements for reapproval of training and competency evaluation program

Current through all regulations passed and filed through July 1, 2024
(A)
								A long-term care
			 facility, employee organization, person, or government entity seeking
			 reapproval of a TCEP shall, on an electronic system approved by the director,
			 submit a completed application to the director or the director's designee for
			 reapproval of the program.
(B)
								A completed
			 application for reapproval of a TCEP:
(1)
									Includes:
(a)
										The name and
			 address of the program;
(b)
										The program's approval number;
(c)
										The enrollment
			 for the twenty-four months preceding submission of the renewal
			 application;
(d)
										The number of completed programs held during the
			 twenty-four months preceding submission of the renewal
			 application;
(e)
										A list of the current program coordinator and primary
			 instructors, and the date each primary instructor last taught;
(f)
										Copies of any new
			 or revised contracts with long-term care facilities for provision of clinical
			 experience, if the contracts have not been submitted already under paragraph
			 (B) of rule 3701-18-06.1 of the Administrative Code. A facility-based TCEP is
			 not required to submit a copy of a written agreement with the long-term care
			 facility that operates the program;
(g)
										A statement,
			 signed by the program coordinator, certifying that the program currently is in
			 compliance with sections
			 3721.29,
			 3721.30
			 and
			 3721.31
			 of the Revised Code and this chapter; and
(h)
										The overall plan
			 for scheduling and implementing both the classroom instruction and clinical
			 experience portions of the program;
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-06.1 - General post-approval requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
After receiving notice of approval or
				reapproval from the director or the director's designee, an approved program
				shall comply with all of the requirements of this rule. Each program
				shall:
(A)
								Maintain compliance with the standards and criteria for
			 approval and all other requirements of sections
			 3721.29,
			 3721.30
			 and
			 3721.31
			 of the Revised Code and this chapter.
(B)
								Using an
			 electronic reporting system approved by the director, notify the director or
			 the director's designee:
(1)
									At least ten business days prior to the planned
			 implementation date of any proposed change to:
(a)
										The program
			 coordinator;
(b)
										Primary instructors;
(c)
										Curriculum
			 content change of more than five hours;
(d)
										The site of the
			 classroom instruction or clinical experience; or
(e)
										Demographic
			 information.
All proposed changes shall be approved
				by the director or the director's designee prior to implementation, and shall
				be made in accordance with the requirements of rules
				3701-18-09
				and
				3701-18-10
				of the Administrative Code.
Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-18 - Training and Competency Evaluation Programs; Train the Trainer Programs › Section 3701-18-08 - Special requirements for training and competency evaluation programs

Current through all regulations passed and filed through July 1, 2024
Compliance with this rule by an
				approved program is established by:
(A)
								Maintaining a
			 written agreement with at least one long-term care facility that provides for
			 access by the program to the facility and its residents for the clinical
			 experience portion of the program. A facility-based program is not required to
			 have a contract with the long-term care facility that operates the program but
			 is to provide assurance of compliance with the other requirements of this
			 paragraph. The long-term care facility or facilities used by the program is
			 to:
(1)
									Be
			 located in Ohio;
(2)
									Have residents who have a variety of care needs and
			 conditions of the type for which nurse aides will be caring. The number of
			 residents and variety of care needs and conditions are to be sufficient to
			 accommodate the trainees in meeting the learning objectives established for the
			 clinical experience portion of the TCEP without causing undue burden to the
			 residents or the facility;
(3)
									Meet the
			 requirements of rule
			 3701-18-10
			 of the Administrative Code; and
(4)
									Not have had
			 occur any of the events set forth in paragraph (C) of rule
			 3701-18-06
			 of the Administrative Code occur.