Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 57 - ENDORSED MEMORY CARE COMMUNITIES › Section 411-057-0160 - Resident Services in a Memory Care Community

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Only individuals with a diagnosis of
			 dementia who are in need of support for the progressive symptoms of dementia
			 for physical safety, or physical or cognitive function may reside in a memory
			 care community. Services must be delivered in a manner that promotes the
			 autonomy and dignity of each resident, to maintain or enhance the resident's
			 remaining abilities for self-care.
(2) At time of move-in and quarterly, the
			 community must make reasonable attempts to identify the preferred customary
			 routines of each resident and the resident's preferences in how services may be
			 delivered. Minimum services to be provided include:
(a) Assistance with activities of daily
			 living that addresses the needs of each resident with dementia due to cognitive
			 or physical limitations. These services must meet or be in addition to the
			 requirements in the licensing rules for the facility. Services must be provided
			 in a manner that promotes resident choice, dignity, and sustains the resident's
			 abilities.
(b) Health care services
			 provided in accordance with the licensing rules of the facility.
(c) A daily meal program for nutrition and
			 hydration must be provided based upon the resident's preferences and needs
			 available throughout each resident's waking hours. The individualized
			 nutritional plan for each resident must be documented in the resident's service
			 or care plan. In addition, the memory care community must provide:
(A) Visual contrast between plates, eating
			 utensils, and the table to maximize the independence of each resident;
			 and
(B) Adaptive eating utensils
			 for those residents who have been evaluated as needing them to maintain their
			 eating skills.
(d)
			 Meaningful activities that promote or help sustain the physical and emotional
			 well-being of residents. The activities must be person centered and available
			 during residents' waking hours.
(A) Each
			 resident must be evaluated for activities according to the licensing rules of
			 the facility. In addition, the evaluation must address the following:
(i) Past and current interests;
(ii) Current abilities and skills;
(iii) Emotional and social needs and
			 patterns;
(iv) Physical abilities
			 and limitations;
(v) Adaptations
			 necessary for the resident to participate; and
(vi) Identification of activities for
			 behavioral interventions.
(B) An individualized activity plan must be
			 developed for each resident based on their activity evaluation. The plan must
			 reflect the resident's activity preferences and needs.
(C) A selection of daily structured and
			 non-structured activities must be provided and included on the resident's
			 activity service or care plan as appropriate. Daily activity options based on
			 resident evaluation may include but are not limited to:
(i) Occupation or chore related
			 tasks;
(ii) Scheduled and planned
			 events (e.g. entertainment, outings);
(iii) Spontaneous activities for enjoyment or
			 those that may help diffuse a behavior;
(iv) One to one activities that encourage
			 positive relationships between residents and staff (e.g. life story,
			 reminiscing, music);
(v) Spiritual,
			 creative, and intellectual activities;
(vi) Sensory stimulation
			 activities;
(vii) Physical
			 activities that enhance or maintain a resident's ability to ambulate or move;
			 and
(viii) Outdoor
			 activities.
(e) Behavioral symptoms which negatively
			 impact the resident and others in the community must be evaluated and included
			 on the service or care plan. The memory care community must initiate and
			 coordinate outside consultation or acute care when indicated.
(f) Support must be offered to family and
			 other significant relationships on a regularly scheduled basis not less than
			 quarterly. Examples in which support may be provided include support groups,
			 community gatherings, social events, or meetings that address the needs of
			 individual residents or their family or significant relationships.
(g) Access to secured outdoor space and
			 walkways which allow residents to enter and return without staff assistance,
			 except when indicated by OAR
			 411-057-0170(5)(e).