reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › NUTRITION › Section 2800.163 - Personal hygiene for food service workers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Staff persons, volunteers and residents
					 involved in the storage, preparation, serving and distributing of food shall
					 wash their hands with hot water and soap prior to working in the kitchen areas
					 and after using the bathroom.
(b)
					 Staff persons, volunteers and residents shall follow sanitary practices while
					 working in the kitchen areas.
(c)
					 Staff persons, volunteers and residents involved with the storage, preparation,
					 serving and distributing of food shall be in good health.
(d) Staff persons, volunteers and residents
					 who have a discharging or infected wound, sore, lesion on hands, arms or any
					 exposed portion of their body may not work in the kitchen areas in any
					 capacity.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › NUTRITION › Section 2800.164 - Withholding or forcing of food prohibited

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residence may not withhold meals,
					 beverages, snacks or desserts as punishment. Food and beverages may be withheld
					 in accordance with prescribed medical or dental procedures.
(b) A resident may not be forced to eat
					 food.
(c) If a resident refuses to
					 eat or drink continuously during a 24-hour period, the resident's primary care
					 physician and the resident's designated person shall be immediately
					 notified.
(d) If a resident has a
					 cognitive impairment that affects the resident's ability to consume adequate
					 amounts of food and water, a staff person shall encourage and remind the
					 resident to eat and drink.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › TRANSPORTATION › Section 2800.171 - Transportation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residence
					 shall be required to provide or arrange for transportation on a regular weekly
					 basis that permits residents to schedule medical and social appointments within
					 a reasonable local area.
(b) The
					 following requirements apply whenever staff persons or volunteers of the
					 residence provide transportation for the resident:
(1) The occupants of the vehicle shall be in
					 an appropriate safety restraint at all times the vehicle is in
					 motion.
(2) The driver of a vehicle
					 shall be 18 years of age or older and possess a valid driver's
					 license.
(3) The driver of the
					 residence vehicle cannot be a resident.
(4) At least one staff member transporting or
					 accompanying the residents shall have completed the initial new hire direct
					 care staff person training as specified in §
												2800.65 (relating to staff
					 orientation and direct care staff person training and orientation).
(5) The vehicle must have a first aid kit
					 with the contents as specified in §
												2800.96 (relating to first aid
					 kit). The inclusion of an automatic external defibrillation device in a vehicle
					 is optional.
(6) During vehicle
					 operations, the driver may only use a hands-free cellular telephone.
(7) Transportation must include, when
					 necessary, an assistant to the driver who assists the driver to escort
					 residents in and out of the residence and provides assistance during the
					 trip.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.181 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residence
					 shall provide residents with assistance, as needed, with medication prescribed
					 for the resident's self-administration. This assistance includes helping the
					 resident to remember the schedule for taking the medication, storing the
					 medication in a secure place and offering the resident the medication at the
					 prescribed times.
(b) If assistance
					 includes helping the resident to remember the schedule for taking the
					 medication, the resident shall be reminded of the prescribed schedule.
					 Appropriate cueing shall be used to remind residents to take their
					 medication.
(c) The resident's
					 assessment shall identify if the resident is able to self-administer
					 medications as specified in §
											2800.227(e)
					 (relating to development of the final support plan). A resident who desires to
					 self-administer medications shall be assessed by a physician, physician's
					 assistant or certified registered nurse practitioner regarding the ability to
					 self-administer and the need for medication reminders.
(d) If the resident does not need assistance
					 with medication, medication may be stored in a resident's living unit for
					 self-administration. Medications stored in the resident's living unit shall be
					 kept in a safe and secure location to protect against contamination, spillage
					 and theft. The residence shall provide a lockable storage unit for this
					 purpose.
(e) To be considered
					 capable to self-administer medications, a resident shall:
(1) Be able to recognize and distinguish his
					 medication.
(2) Know how much
					 medication is to be taken.
(3) Know
					 when medication is to be taken.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.182 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 residence shall provide medication administration services for a resident who
					 is assessed to need medication administration services in accordance with
					 §
											2800.181 (relating to
					 self-administration) and for a resident who chooses not to self-administer
					 medications.
(b) Prescription
					 medication that is not self-administered by a resident shall be administered by
					 one of the following:
(1) A physician,
					 licensed dentist, licensed physician's assistant, RN, certified registered
					 nurse practitioner, LPN or licensed paramedic.
(2) A graduate of an approved nursing program
					 functioning under the direct supervision of a professional nurse who is present
					 in the residence.
(3) A student
					 nurse of an approved nursing program functioning under the direct supervision
					 of a member of the nursing school faculty who is present in the
					 residence.
(4) A staff person who
					 has completed the medication administration training as specified in §
												2800.190 (relating to medication
					 administration training) for the administration of oral; topical; eye, nose and
					 ear drop prescription medications; insulin injections and epinephrine
					 injections for insect bites or other allergies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.183 - Storage and disposal of medications and medical supplies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription medications, OTC medications
					 and CAM shall be kept in their original labeled containers and may not be
					 removed more than 2 hours in advance of the scheduled administration.
					 Assistance with insulin and epinephrine injections and sterile liquids shall be
					 provided immediately upon removal of the medication from its
					 container.
(b) Prescription
					 medications, OTC medications, CAM and syringes shall be kept in an area or
					 container that is locked. This includes medications and syringes unless kept in
					 the resident's living unit.
(c)
					 Prescription medications, OTC medications and CAM stored in a refrigerator
					 shall be kept in an area or container that is locked unless the resident has
					 the capacity to store the medications in the resident's own refrigerator in the
					 resident's living unit.
(d) Only
					 current prescription, OTC medications, sample and CAM for individuals living in
					 the residence may be kept in the residence.
(e) Prescription medications, OTC medications
					 and CAM shall be stored in an organized manner under proper conditions of
					 sanitation, temperature, moisture and light and in accordance with the
					 manufacturer's instructions.
(f)
					 Prescription medications, OTC medications and CAM that are discontinued,
					 expired or for residents who are no longer served at the residence shall be
					 destroyed in a safe manner according to the Department of Environmental
					 Protection and Federal and State regulations. When a resident permanently
					 leaves the residence, the resident's medications shall be given to the
					 resident, the designated person, if any, or the person or entity taking
					 responsibility for the new placement on the day of departure from the
					 residence.
(g) Subsections (a) and
					 (e) do not apply to a resident who self-administers medication and stores the
					 medication in his living unit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.184 - Labeling of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 original container for prescription medications must be labeled with a pharmacy
					 label that includes the following:
(1) The
					 resident's name.
(2) The name of
					 the medication.
(3) The date the
					 prescription was issued.
(4) The
					 prescribed dosage and instructions for administration.
(5) The name and title of the
					 prescriber.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.185 - Accountability of medication and controlled substances

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The residence shall develop and implement
					 procedures for the safe storage, access, security, distribution and use of
					 medications and medical equipment by trained staff persons.
(b) At a minimum, the procedures must
					 include:
(1) Documentation of the receipt of
					 controlled substances and prescription medications.
(2) A process to investigate and account for
					 missing medications and medication errors.
(3) Limited access to medication storage
					 areas.
(4) Documentation of the
					 administration of prescription medications, OTC medications and CAM for
					 residents who receive medication administration services or assistance with
					 self-administration. This requirement does not apply to a resident who
					 self-administers medication without the assistance of a staff person and stores
					 the medication in his living unit.
(5) To the extent indicated in the resident's
					 support plan, the residence shall obtain prescribed medication for residents
					 and keep an adequate supply of resident medication on hand at all
					 times.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.186 - Prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
					 prescription medication must be prescribed in writing by an authorized
					 prescriber. Prescription orders shall be kept current.
(b) Prescription medications shall be used
					 only by the resident for whom the prescription was prescribed.
(c) Changes in medication may only be made in
					 writing by the prescriber, or in the case of an emergency, an alternate
					 prescriber, except for circumstances in which oral orders may be accepted by
					 nurses in accordance with regulations of the Department of State. The
					 resident's medication record shall be updated as soon as the residence receives
					 written notice of the change.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.187 - Medication records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 medication record shall be kept to include the following for each resident for
					 whom medications are administered:
(1)
					 Resident's name.
(2) Drug
					 allergies.
(3) Name of
					 medication.
(4) Strength.
(5) Dosage form.
(6) Dose.
(7) Route of administration.
(8) Frequency of administration.
(9) Administration times.
(10) Duration of therapy, if
					 applicable.
(11) Special
					 precautions, if applicable.
(12)
					 Diagnosis or purpose for the medication, including pro re nata (PRN).
(13) Date and time of medication
					 administration.
(14) Name and
					 initials of the staff person administering the medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.188 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medication errors include the following:
(1)
					 Failure to administer a medication.
(2) Administration of the wrong
					 medication.
(3) Administration of
					 the wrong amount of medication.
(4)
					 Failure to administer a medication at the prescribed time.
(5) Administration to the wrong
					 resident.
(6) Administration
					 through the wrong route.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.189 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 resident has a suspected adverse reaction to a medication, the residence shall
					 immediately consult a physician or seek emergency medical treatment. The
					 resident's designated person shall be notified, if applicable.
(b) The residence shall document adverse
					 reactions, the prescriber's response and any action taken in the resident's
					 record.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.190 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who has successfully
					 completed a Department-approved medications administration course that includes
					 the passing of the Department's performance-based competency test within the
					 past 2 years may administer oral; topical; eye, nose and ear drop prescription
					 medications and epinephrine injections for insect bites or other
					 allergies.
(b) A staff person is
					 permitted to administer insulin injections following successful completion of a
					 Department-approved medications administration course that includes the passing
					 of a written performance-based competency test within the past 2 years, as well
					 as successful completion of a Department-approved diabetes patient education
					 program within the past 12 months.
(c) A record of the training shall be kept
					 including the staff person trained, the date, source, name of trainer and
					 documentation that the course was successfully completed.
This section cited in 55 Pa. Code §
													2800.182 (relating to medication
						  administration).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › MEDICATIONS › Section 2800.191 - Resident education

Current through Register Vol. 54, No. 28, July 13, 2024
The residence shall educate the resident of the right to
						question or refuse a medication if the resident believes there may be a
						medication error. Documentation of this resident education shall be kept.
This section cited in 55 Pa. Code Appendix A (relating
						  to assisted living resident rights: during residency and during discharge or
						  termination of residency).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SAFE MANAGEMENT TECHNIQUES › Section 2800.201 - Safe management techniques

Current through Register Vol. 54, No. 28, July 13, 2024
The residence shall use positive interventions to modify
						or eliminate a behavior that endangers the resident himself or others. Positive
						interventions include improving communications, reinforcing appropriate
						behavior, redirection, conflict resolution, violence prevention, praise,
						deescalation techniques and alternative techniques or methods to identify and
						defuse potential emergency situations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SAFE MANAGEMENT TECHNIQUES › Section 2800.202 - Prohibitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following procedures are prohibited:
(1) Seclusion, defined as involuntary
					 confinement of a resident in a room or living unit from which the resident is
					 physically prevented from leaving, is prohibited. This does not include the
					 admission of a resident in a secured dementia care unit in accordance with
					 §
											2800.231 (relating to
					 admission).
(2) Aversive
					 conditioning, defined as the application of startling, painful or noxious
					 stimuli, is prohibited.
(3)
					 Pressure point techniques, defined as the application of pain for the purpose
					 of achieving compliance, is prohibited.
(4) A chemical restraint, defined as use of
					 drugs or chemicals for the specific and exclusive purpose of controlling acute
					 or episodic aggressive behavior, is prohibited. A chemical restraint does not
					 include a drug ordered by a physician or dentist to treat the symptoms of a
					 specific mental, emotional or behavioral condition, or as pretreatment prior to
					 a medical or dental examination or treatment.
(5) A mechanical restraint, defined as a
					 device that restricts the movement or function of a resident or portion of a
					 resident's body, is prohibited. Mechanical restraints include geriatric chairs,
					 handcuffs, anklets, wristlets, camisoles, helmet with fasteners, muffs and
					 mitts with fasteners, poseys, waist straps, head straps, papoose boards,
					 restraining sheets, chest restraints and other types of locked restraints. A
					 mechanical restraint does not include a device used to provide support for the
					 achievement of functional body position or proper balance that has been
					 prescribed by a medical professional as long as the resident can easily remove
					 the device or the resident or his designee understands the need for the device
					 and consents to its use.
(6) A
					 manual restraint, defined as a hands-on physical means that restricts,
					 immobilizes or reduces a resident's ability to move his arms, legs, head or
					 other body parts freely, is prohibited. A manual restraint does not include
					 prompting, escorting or guiding a resident to assist in the ADLs or
					 IADLs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SAFE MANAGEMENT TECHNIQUES › Section 2800.203 - Bedside rails

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Bedside
					 rails may not be used unless the resident can raise and lower the rails on his
					 own. Bedside rails may not be used to keep a resident in bed. Use of any length
					 rail longer than half the length of the bed is considered a restraint and is
					 prohibited. Use of more than one rail on the same side of the bed is not
					 permitted.
(b) Half-length rails
					 are permitted only if the following conditions are met:
(1) The resident's assessment or support
					 plan, or both, addresses the medical symptoms necessitating the use of
					 half-length rails and the health and safety protection necessary in order to
					 safely use half-length rails.
(2)
					 The residence has attempted to use less restrictive alternatives.
(3) The resident or legal representative
					 consented to the use of half-length rails after the risk, benefits and
					 alternatives were explained.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.220 - Service provision

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Services.
The residence shall provide assisted living services
					 as specified in subsection (b). The residence shall offer and provide the core
					 service packages specified in subsection (c). The residence shall provide or
					 arrange for the provision of supplemental health care services as specified in
					 subsection (e). Other individuals or agencies may furnish services directly or
					 under arrangements with the residence in accordance with a mutually agreed upon
					 charge or fee between the residence, resident and other individual or agency.
					 These other services shall be supplemental to the assisted living services
					 provided by the residence and do not supplant them.
(b)
Assisted living
					 services.
The residence shall, at a minimum, provide the following
					 services:
(1) Nutritious meals and snacks in
					 accordance with §§
												2800.161 and
					 2800.162 (relating to nutritional
					 adequacy; and meals).
(2) Laundry
					 services in accordance with §
												2800.105 (relating to
					 laundry).
(3) A daily program of
					 social and recreational activities in accordance with §
												2800.221 (relating to activities
					 program).
(4) Assistance with
					 performing ADLs and IADLs in accordance with §§
												2800.23 and
					 2800.24 (relating to activities;
					 and personal hygiene).
(5)
					 Assistance with self-administration of medication or medication administration
					 as indicated in the resident's assessment and support plan in accordance with
					 §§
												2800.181 and
					 2800.182 (relating to
					 self-administration; and medication administration).
(6) Housekeeping services essential for the
					 health, safety and comfort of the resident based upon the resident's needs and
					 preferences.
(7) Transportation in
					 accordance with §
												2800.171 (relating to
					 transportation).
(8) Financial
					 management in accordance with §
												2800.20 (relating to financial
					 management).
(9) 24-hour
					 supervision, monitoring and emergency response.
(10) Activities and socialization.
(11) Basic cognitive support services as
					 defined in §
												2800.4 (relating to
					 definitions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.221 - Activities program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 residence shall develop a program of daily activities designed to promote each
					 resident's active involvement with other residents, the resident's family and
					 the community and provide the necessary space and equipment for the activities
					 in accordance with §§
											2800.98 and
					 2800.99 (relating to indoor
					 activity space; and recreation space). The residence shall offer the
					 opportunity for the residents' active participation in the development of the
					 daily activities calendar.
(b) The
					 program must be based upon individual and group interests and provide social,
					 physical, intellectual and recreational activities in a planned, coordinated
					 and structured manner and shall encourage active participation in the community
					 at large.
(c) The week's daily
					 activity calendar shall be posted in advance in a conspicuous and public place
					 in the residence. The residence shall provide verbal cueing and reminders of
					 activities, their start times and locations within the residence.
This section cited in 2800.220 (relating to service
						  provision).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.222 - Community social services

Current through Register Vol. 54, No. 28, July 13, 2024
Residents shall be encouraged and assisted in the access
						to and use of social services in the community which may benefit the resident,
						including a county mental health and intellectual disability program, a drug
						and alcohol program, a senior citizens center, an area agency on aging or a
						home health care agency.
The provisions of this §
													2800.222 amended under sections
						  211 and 213 and Articles IX and X of the Human Services Code (62 P.S.
						  §§
														211,
						  213,
						  901-922 and
						  1001-1088).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.223 - Description of services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 residence shall have a current written description of services and activities
					 that the residence provides including the following:
(1) The scope and general description of the
					 services and activities that the residence provides.
(2) The criteria for admission and
					 discharge.
(3) Specific services
					 that the residence does not provide, but will arrange or coordinate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.224 - Initial assessment and preliminary support plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Initial assessment.
(1) The administrator, administrator
					 designee, or LPN, under the supervision of an RN, or an RN shall complete the
					 initial assessment.
(2) An
					 individual shall have a written initial assessment that is documented on the
					 Department's assessment form within 30 days prior to admission unless one of
					 the conditions contained in paragraph (3) apply.
(3) A resident shall have a written initial
					 assessment that is documented on the Department's assessment form within 15
					 days after admission if one of the following conditions applies:
(i) The resident is being admitted directly
					 to the residence from an acute care hospital.
(ii) The resident is being admitted to escape
					 from an abusive situation.
(iii)
					 The resident has no alternative living arrangement.
(4) A residence may use its own assessment
					 form if it includes the same information as the Department's assessment
					 form.
(5) The written initial
					 assessment must, at a minimum include the following:
(i) The individual's need for assistance with
					 ADLs and IADLs.
(ii) The mobility
					 needs of the individual.
(iii) The
					 ability of the individual to self-administer medication.
(iv) The individual's medical history,
					 medical conditions, and current medical status and how they impact or interact
					 with the individual's service needs.
(v) The individual's need for supplemental
					 health care services.
(vi) The
					 individual's need for special diet or meal requirements.
(vii) The individual's ability to safely
					 operate key-locking devices.
(viii)
					 The individual's ability to evacuate from the residence.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.225 - Additional assessments

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 administrator or administrator designee, or an LPN, under the supervision of an
					 RN, or an RN shall complete additional written assessments for each resident. A
					 residence may use its own assessment form if it includes the same information
					 as the Department's assessment form. Additional written assessments shall be
					 completed as follows:
(1) Annually.
(2) If the condition of the resident
					 significantly changes prior to the annual assessment.
(3) At the request of the Department upon
					 cause to believe that an update is required.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.226 - Mobility criteria

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 resident shall be assessed for mobility needs as part of the resident's
					 assessment.
(b) If a resident is
					 determined to have mobility needs as part of the resident's initial or annual
					 assessment, specific requirements relating to the care, health and safety of
					 the resident shall be met immediately.
(c) The administrator or the administrator
					 designee shall notify the Department within 30 days after a resident with
					 mobility needs is admitted to the residence and compile a monthly list of when
					 a resident develops mobility needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.228 - Transfer and discharge

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 facility shall ensure that a transfer or discharge is safe and orderly and that
					 the transfer or discharge is appropriate to meet the resident's needs. This
					 includes ensuring that a resident is transferred or discharged with all his
					 medications, durable medical equipment and personal property. The residence
					 shall permit the resident to participate in the decision relating to the
					 relocation.
(b) If the residence
					 initiates a transfer or discharge of a resident, or if the legal entity chooses
					 to close the residence, the residence shall provide a 30-day advance written
					 notice to the resident, the resident's family or designated person and the
					 referral agent citing the reasons for the transfer or discharge. This shall be
					 stipulated in the resident-residence contract.
(1) The 30-day advance written notice must be
					 written in language in which the resident understands, or performed in American
					 Sign Language or presented orally in a language the resident understands if the
					 resident does not speak standard English. The notice must include the
					 following:
(i) The specific reason for the
					 transfer or discharge.
(ii) The
					 effective date of the transfer or discharge.
(iii) The location to which the resident will
					 be transferred or discharged.
(iv)
					 An explanation of the measures the resident or the resident's designated person
					 can take if they disagree with the residence decision to transfer or discharge
					 which includes the name, mailing address, and telephone number of the State and
					 local long-term care ombudsman.
(v)
					 The resident's transfer or discharge rights, as applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.229 - Excludable conditions; exceptions

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Excludable conditions.
Except as provided in subsection (b), a residence may not admit, retain or
					 serve an individual with any of the following conditions or health care needs:
(1) Ventilator dependency.
(2) Stage III and IV decubiti and vascular
					 ulcers that are not in a healing stage.
(3) Continuous intravenous fluids.
(4) Reportable infectious diseases, such as
					 tuberculosis, in a communicable state that requires isolation of the individual
					 or requires special precautions by a caretaker to prevent transmission of the
					 disease unless the Department of Health directs that isolation be established
					 within the residence.
(5)
					 Nasogastric tubes.
(6) Physical
					 restraints.
(7) Continuous skilled
					 nursing care 24 hours a day.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.231 - Admission

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Special
					 care units.
This section and §§
											2800.232-2800.239 apply to special care
					 units. These provisions are in addition to the other provisions of this
					 chapter. A special care unit is a residence or portion of a residence that
					 provides one or both of the following:
(1)
					 Specialized care and services for residents with Alzheimer's disease or
					 dementia in the least restrictive manner consistent with the resident's support
					 plan to ensure the safety of the resident and others in the residence while
					 maintaining the resident's ability to age in place.
(i) Admission of a resident shall be in
					 consultation with the resident's family or designated person.
(ii) Prior to admission other service options
					 that may be available to a resident shall be considered.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.232 - Environmental protection

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 residence shall provide exercise space, both indoor and outdoor.
(b) No more than two residents may occupy a
					 living unit regardless of its size. A living unit must meet the requirement in
					 §
											2800.101 (relating to resident
					 living units), as applicable. Kitchen facilities may not be included in a
					 living unit located in a special care unit for INRBI.
(c) The residence shall provide space for
					 dining, group and individual activities and visits.
(d) The residence shall provide a full
					 description of the measures implemented to enhance environmental awareness,
					 minimize environmental stimulation and maximize independence of the residents
					 in public and private spaces based on the needs of the individuals being
					 served.
(e) The residence with a
					 special care unit for INRBI shall identify the process used to assure
					 conformity of the individual resident's living unit to the ongoing
					 rehabilitation recommendations of the neuropsychologist and the cognitive
					 physical, emotional behavioral assessment team as expressed in the current
					 rehabilitation and support plan.
This section cited in 55 Pa. Code §
													2800.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.233 - Doors, locks and alarms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Doors
					 equipped with key-locking devices, electronic card operated systems or other
					 devices that prevent immediate egress are permitted only if there is written
					 approval from the Department of Labor and Industry, Department of Health or
					 appropriate local building authority permitting the use of the specific locking
					 system.
(b) A residence shall have
					 a statement from the manufacturer, specific to that residence, verifying that
					 the electronic or magnetic locking system will shut down, and that all doors
					 will open easily and immediately when one or more of the following occurs:
(1) Upon a signal from an activated fire
					 alarm system, heat or smoke detector.
(2) Power failure to the residence.
(3) Overriding the electronic or magnetic
					 locking system by use of a key pad or other lock-releasing device.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.234 - Resident care

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Support or rehabilitation plan.
(1) Within 72 hours of the admission, or
					 within 72 hours prior to the resident's admission to the special care unit, a
					 support plan shall be developed, implemented and documented in each resident's
					 record.
(2) For individuals being
					 admitted into a special care unit for INRBI, a rehabilitation plan shall be
					 developed, implemented and documented in the resident record. This
					 rehabilitation plan and the individual's support plan shall be based on the CPB
					 preadmission assessment and other available records and
					 information.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.235 - Discharge

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
					 residence initiates a discharge or transfer of a resident, or the legal entity
					 chooses to close the residence, the administrator shall give a 30-day advance
					 written notice to the resident, the resident's designated person and the
					 referral agent citing the reasons for the discharge or transfer. This
					 requirement shall be stipulated in the resident-residence contract signed prior
					 to admission to the special care unit.
(b) If a resident of a special care unit for
					 INRBI, or when appropriate, the resident's designated person or the resident's
					 family, request discharge to another facility, another assisted living
					 residence or an independent living arrangement, transition services shall be
					 provided by the special care unit.
This section cited in 55 Pa. Code §
													2800.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.236 - Training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each direct
					 care staff person working in a special care unit for residents with Alzheimer's
					 disease or dementia shall have 8 hours of initial training within the first 30
					 days of the date of hire and a minimum of 8 hours of annual training related to
					 dementia care and services, in addition to the 16 hours of annual training
					 specified in §
											2800.65 (relating to staff
					 orientation and direct care staff person training and orientation).
(b) The training for each direct care staff
					 person working in a special care unit for residents with Alzheimer's disease or
					 dementia at a minimum must include the following topics:
(1) An overview of Alzheimer's disease and
					 related dementias.
(2) Managing
					 challenging behaviors.
(3)
					 Effective communications.
(4)
					 Assistance with ADLs.
(5) Creating
					 a safe environment.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.237 - Program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following
					 types of activities shall be offered at least weekly to residents of a special
					 care unit for residents with Alzheimer's disease or dementia:
(1) Gross motor activities, such as dancing,
					 stretching and other exercise.
(2)
					 Self-care activities, such as personal hygiene.
(3) Social activities, such as games, music
					 and holiday and seasonal celebrations.
(4) Crafts, such as sewing, decorations and
					 pictures.
(5) Sensory and memory
					 enhancement activities, such as review of current events, movies, story
					 telling, picture albums, cooking, pet therapy and reminiscing.
(6) Outdoor activities, as weather permits,
					 such as walking, gardening and field trips.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.238 - Staffing

Current through Register Vol. 54, No. 28, July 13, 2024
Each resident in a special care unit shall be considered
						to be a resident with mobility needs under §
											2800.57(c)
						(relating to direct care staffing).
This section cited in 55 Pa. Code §
													2800.231 (relating to
						  admission).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SPECIAL CARE UNITS › Section 2800.239 - Application to Department

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The legal entity shall submit an application to the Department at least 60 days
					 prior to the following:
(1) Opening a special
					 care unit.
(2) Adding a special
					 care unit to an existing residence.
(3) Increasing the maximum capacity in an
					 existing unit.
(4) Changing the
					 locking system, exit doors or floor plan of an existing
					 unit.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › RESIDENT RECORDS › Section 2800.251 - Resident records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 separate record shall be kept for each resident.
(b) The entries in a resident's record must
					 be permanent, legible, dated and signed by the staff person making the
					 entry.
(c) The residence shall use
					 standardized forms to record information in the resident's record.
(d) Separate resident records shall be kept
					 on the premises where the resident lives.
(e) Resident records shall be made available
					 to the resident and the resident's designated person during normal working
					 hours. Resident records shall be made available upon request to the resident
					 and the resident's designated person.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › RESIDENT RECORDS › Section 2800.252 - Content of resident records

Current through Register Vol. 54, No. 28, July 13, 2024
Each resident's record must include the following
						information:
(1) Name, gender,
					 admission date, birth date and Social Security number.
(2) Race, height, weight at time of
					 admission, color of hair, color of eyes, religious affiliation, if any, and
					 identifying marks.
(3) A photograph
					 of the resident that is no more than 2 years old.
(4) A language, speech, hearing or vision
					 need which requires accommodation or awareness of during oral or written
					 communication.
(5) The name,
					 address, telephone number and relationship of a designated person to be
					 contacted in case of an emergency.
(6) The name, address and telephone number of
					 the resident's physician or source of health care.
(7) The current and previous 2 years'
					 physician's examination reports, including copies of the medical evaluation
					 forms.
(8) A list of prescribed
					 medications, OTC medications and CAM.
(9) Dietary restrictions.
(10) A record of incident reports for the
					 individual resident.
(11) A list of
					 allergies.
(12) Documentation of
					 health care services and orders, including orders for the services of visiting
					 nurse or home health agencies.
(13)
					 The initial assessment, the preliminary support plan and the most current
					 version of the annual assessment.
(14) A final support plan.
(15) Applicable court order, if
					 any.
(16) The resident's medical
					 insurance information.
(17) The
					 date of entrance into the residence, relocations and discharges, including the
					 transfer of the resident to other residences owned by the same legal
					 entity.
(18) An inventory of the
					 resident's personal property as voluntarily declared by the resident upon
					 admission and voluntarily updated.
(19) An inventory of the resident's property
					 entrusted to the administrator for safekeeping.
(20) The financial records of residents
					 receiving assistance with financial management.
(21) The reason for termination of services
					 or transfer of the resident, the date of transfer and the
					 destination.
(22) Copies of
					 transfer and discharge summaries from hospitals, if available.
(23) If the resident dies in the residence, a
					 copy of the official death certificate.
(24) Signed notification of rights, grievance
					 procedures and applicable consent to treatment protections specified in §
											2800.41 (relating to notification
					 of rights and complaint procedures).
(25) A copy of the resident-residence
					 contract.
(26) A termination
					 notice, if any.
(27) A record
					 relating to any exception request under §
											2800.229 (relating to excludable
					 conditions; exceptions).
(28)
					 Ongoing resident progress notes.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › RESIDENT RECORDS › Section 2800.253 - Record retention and disposal

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The resident's entire record shall be
					 maintained for a minimum of 3 years following the resident's death, discharge
					 from the residence or until any audit or litigation is resolved.
(b) Records shall be destroyed in a manner
					 that protects confidentiality.
(c)
					 The residence shall keep a log of resident records destroyed on or after
					 January 18, 2011. This log must include the resident's name, record number,
					 birth date, admission date and discharge date.
(d) Records required under this chapter that
					 are not part of the resident records shall be kept for a minimum of 3 years or
					 until any audit or litigation is resolved.