Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 610 - DEMONSTRATION OF NEED FOR LONG-TERM CARE SERVICES › Section 333-610-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in this division:
(1) "Alternative Services" means any
			 long-term care services other than nursing homes.
(2) "Adult Foster Care" means supervised
			 living, like licensed residential care facility (home for the aged) but for
			 five or fewer persons.
(3) "Closed
			 System Provider" means a facility or campus arrangement offering a continuing
			 care contract for both unsupervised housing and licensed nursing facility
			 care.
(4) "Community
			 Services/Nonresidential Services" means alternative services which do not
			 involve 24-hour living outside of one's own home and may include in-home
			 services or services provided outside of the home, such as meals, social
			 activities, clinics, classes, organized day programs, etc.
(5) "Continuing Care Contract" means a
			 legally binding agreement between an individual and a closed system provider,
			 which remains in effect for longer than two years, sometimes for the resident's
			 lifetime. The contract states what shelter and services the home will provide
			 to the resident over the time specified, and it states what obligations,
			 including financial obligations, the resident will have to the home for the
			 same time period. The contract will specify the nursing home services that the
			 community will provide to residents, but will not be solely for the purpose of
			 providing nursing home services. The primary purpose of the contract will be to
			 provide a living situation to elderly persons who will usually be ambulatory
			 and in good health upon entry into the community. Continuing care contracts are
			 known by a variety of names, including life care contracts, entrance fee
			 agreements, sustaining gift contracts, occupancy agreements, accommodation fee
			 agreements, member trust fund contracts, founders' fees contracts, and
			 community residence agreements.
(6)
			 "Home for the Aged/Rest Home". See licensed residential care
			 facility.
(7) "Home Nursing Care"
			 or "Home Health Service" means nursing care provided in the home by a private
			 duty nurse, visiting nurse, proprietary home care agency, or county home health
			 agency.
(8) "In-Home Services"
			 means alternative services delivered to the home; may include telephone
			 reassurance, home delivered meals, housekeeper, heavy chores, homemaker,
			 personal care, home nursing care, special care or therapy.
(9) "Institutional Care" means nursing home
			 care.
(10) "Intermediate Care
			 Facility (ICF)" means a licensed long-term care facility (nursing home)
			 providing care for persons with significant but stable health problems
			 requiring availability of a registered nurse for one eight-hour shift daily,
			 five days a week, together with additional light or heavy aide care. ICFs for
			 the mentally retarded are not included in this definition.
(11) "Licensed Residential Care Facility"
			 (formerly called home for the aged). Under ORS 443.400(5), this type of
			 substitute home/supervised living means "a facility that provides, for six or
			 more physically handicapped or socially dependent individuals, residential care
			 . . .". Under Seniors and People with Disabilities Division rules, residents
			 may not require continuous nursing care but may require routine medication;
			 special diets; assistance with activities of daily living; palliative skin
			 care; simple dressings; maintenance of casts, braces, and prostheses. Periodic
			 licensed nursing care (catheter irrigation, dressing change, or periodic
			 injections) may be provided on contract just as in a person's own
			 home.
(12) "Long-Term Care Facility
			 (LTCF)" refers to Oregon's current licensing category for all nursing home
			 beds, as defined in Seniors and People with Disabilities Division licensure
			 rules, whether freestanding or part of a hospital, and whether the patients are
			 at skilled level of care or intermediate level.
(13) "Long-Term Care Services/Continuum of
			 Care" means the entire set of possible services for persons in need of
			 long-term health and/or social services.
(14) "Nursing Home" means long-term care
			 facility, as defined in Seniors and People with Disabilities Division licensure
			 rules, providing skilled and/or intermediate level nursing care.
(15) "Personal Care" means physician
			 prescribed, registered nurse supervised, services delivered by trained
			 individuals, including: Basic personal hygiene; bowel and bladder care;
			 assistance with self-administered medications and oxygen; assistance with
			 mobility, transfers and comfort; assistance with meal preparation and feeding;
			 care of confused and/or mentally ill client; first aid and handling of
			 emergencies; housekeeping necessary for health and safety; assistance to and
			 from appointments; monitoring of client status.
(16) "Retirement Home" means a place where
			 relatively independent older persons live together with little supervision with
			 some common services such as housekeeping and some meals provided.
(17) "Satellite Apartment" means a
			 periodically supervised living arrangement associated with a home for the aged,
			 nursing home, or other 24-hour residential facility.
(18) "Semi-Independent Living" means
			 cooperative small group living in freestanding housing, with limited
			 supervision and assistance on the basis of daily or less frequent
			 visits.
(19) "Skilled Nursing
			 Facility (SNF)" means a licensed long-term care facility providing care for
			 persons with severe and/or unstable health problems which cannot be managed at
			 the intermediate care level, requiring the availability of a registered nurse
			 24 hours daily, seven days a week, but not requiring the levels of nursing,
			 physician and specialized services available in a hospital.
(20) "Substitute Home/Supervised Living"
			 means nonmedical alternative services involving 24-hour care and supervision.
			 In Oregon, includes licensed residential care facility (home for the aged),
			 adult foster care, satellite apartments, or semi-independent living.
Stat. Auth.: ORS 431.120(6) & 442.315
Stats. Implemented: ORS 431.120(6) &
				  442.315