reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.701 - Accidents and Incidents

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				facility shall maintain a record of each accident and incident, including each
				serious accident and incident as defined in Section 701.B, involving residents
				or staff members or volunteers, occurring in the facility or on the facility
				grounds. A facility's record of each accident and incident shall be reviewed,
				investigated if necessary, evaluated in accordance with facility policies and
				procedures, and retained by the facility for six (6) years after the resident
				stops receiving services.
B. A
				facility shall report every serious accident and incident that results in
				resident's death or significant loss of function or damage to a body structure,
				not related to the natural course of a resident's illness or underlying
				condition or normal course of treatment, and resulting from an accident or
				incident occurring to resident within the facility or on the facility grounds.
				Serious accidents and incidents requiring reporting include, but are not
				limited to:
1. Crime(s) against
				resident;
2. Confirmed or suspected
				cases of abuse, neglect, or exploitation;
3. Medication error with adverse
				reaction;
4. Hospitalization as a
				result of the accident or incident;
5. Severe hematoma, laceration, or burn
				requiring medical attention or hospitalization;
6. Bone fracture or joint fracture;
7. Severe injury involving use of
				restraints;
8. Attempted suicide;
				or
9. Fire.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.702 - Fire and Disasters (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				Department shall be notified immediately via telephone, email, or fax regarding
				any fire, regardless of size or damage that occurs in the facility, and
				followed by a complete written report to include fire department reports, if
				any, to be submitted within a time period determined by the facility, but not
				to exceed five (5) days.
B. Any
				natural disaster in the facility which requires displacement of the residents,
				or jeopardizes or potentially jeopardizes the safety of the residents, shall be
				reported to the Department via telephone, email, or fax immediately, with a
				complete written report that includes the fire department report from the local
				fire department, if appropriate, submitted within a time period as determined
				by the facility, but not to exceed five (5) days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.703 - Communicable Diseases and Animal Bites (I)

Current through Register Vol. 48, No. 6, June 28, 2024
All cases of reportable diseases, animal bites, any
				  occurrences such as epidemic outbreaks or poisonings, or other unusual
				  occurrences that threaten the health and safety of residents or staff shall be
				  reported in accordance with R.61-20.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.704 - Administrator Change

Current through Register Vol. 48, No. 6, June 28, 2024
The Department shall be notified in writing by the licensee
				  within ten (10) days of any change in Administrator. The notice shall include
				  at a minimum the name of the newly-appointed individual, the effective date of
				  the appointment, and a copy of the Administrator's license.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.705 - Joint Annual Report

Current through Register Vol. 48, No. 6, June 28, 2024
Facilities shall complete and return a "Joint Annual Report"
				  to the Revenue and Fiscal Affairs Office (RFA) within the time period specified
				  by the Department or RFA.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.706 - Facility Closure

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior
				to the permanent closure of a facility, the licensee shall notify the
				Department in writing of the intent to close and the effective closure date.
				Within ten (10) days of the closure, the facility shall notify the Department
				of the provisions for the maintenance of the facility records as required by
				regulation. On the date of closure, the current original license shall be
				returned to the Department.
B. In
				instances where a facility temporarily closes, the licensee shall notify the
				Department in writing within fifteen (15) days prior to temporary closure. In
				the event of temporary closure due to an emergency, the facility shall notify
				the Department in writing within twenty-four (24) hours of the closure. At a
				minimum this notification shall include, but not be limited to, the reason for
				the temporary closure, the manner in which the records are being stored, and
				the anticipated date for reopening. The Department shall consider, upon
				appropriate review, the necessity of inspecting and determining the
				applicability of current construction standards to the facility prior to its
				reopening. If the facility is closed for a period longer than one (1) year, and
				there is a desire to reopen, the facility shall reapply to the Department for
				licensure and shall be subject to all licensing requirements at the time of
				that application, including construction-related requirements for a new
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.700 - REPORTING › Section 61-17.700.707 - Zero Census

Current through Register Vol. 48, No. 6, June 28, 2024
In instances when there have been no residents in a facility
				  for any reason, for a period of ninety (90) days or more, the facility shall
				  notify, in writing, the Department no later than the one-hundredth (100th) day
				  following the date of discharge or transfer of the last active resident. If the
				  facility has no residents for a period longer than one (1) year, and there is a
				  desire to re-open, the facility shall re-apply to the Department and shall be
				  subject to all licensing requirements at the time of that application,
				  including Certificate of Need review and construction-related requirements for
				  a new facility. Instances of zero census do not relieve the facility of the
				  requirement to pay licensing fees that may be due during that
				  time.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.800 - RESIDENT RECORDS › Section 61-17.800.802 - Physician Orders (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Physician Orders. The resident's physician shall sign and date all treatment,
				care, and medication orders, including standing orders.
1. The use of a rubber stamp signature or
				electronic representation is acceptable under the following conditions:
a. The physician whose signature the rubber
				stamp or electronic representation denotes is the only one who has possession
				of the stamp or electronic representation and is the only one who uses it;
				and
b. The physician places in the
				administrative offices of the facility a signed statement to the effect that he
				or she is the only one who has the stamp or electronic representation and is
				the only one who will use it.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.800 - RESIDENT RECORDS › Section 61-17.800.803 - Individual Care Plan (ICP) (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				The facility shall develop an ICP with participation by, and as evidenced by
				the signatures of the resident or responsible party, or documentation that the
				facility attempted to obtain the signatures, and an interdisciplinary team of
				qualified individuals, within twenty-one (21) days of admission. The ICP shall
				be reviewed and/or revised as changes in resident needs occur, but not less
				than quarterly by the interdisciplinary team.
B. The ICP shall describe:
1. The needs of the resident, including the
				services that are to be furnished, for example, what assistance, how much, who
				will provide the assistance, how often, and when;
2. Advance directives and healthcare
				power-of-attorney, as applicable;
3. Recreational and social activities that
				are suitable, desirable, and important to the resident;
4. Dietary needs and preferences of resident
				as approved by a physician;
5.
				Discharge planning, to include assessing continuing care needs and developing a
				plan designed to assure the resident's needs will be met after discharge or
				transfer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.800 - RESIDENT RECORDS › Section 61-17.800.804 - Record Maintenance

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Organization.
1. The Administrator shall
				designate a staff member the responsibility for the maintenance of resident and
				outpatient records.
2. Resident and
				outpatient records shall be properly indexed and filed for ready access by
				staff members.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.800 - RESIDENT RECORDS › Section 61-17.800.805 - Electronic Resident Records

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Electronic records are subject to all of the standards of this
				regulation.
B. A facility that
				maintains electronic records shall:
1. Retain
				the hard copy originals of any materials that cannot be electronically
				stored;
2. Employ an off-site
				backup storage system as protection in the event that the on-site system is
				damaged or destroyed;
3. Use an
				imaging mechanism that is able to copy documents with signatures;
4. Assure that records, once put in
				electronic form, are unalterable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1001 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be a
				written care and services agreement between the resident, and/or his or her
				responsible party, and the facility. The agreement shall be signed and
				completed before or at the time of admission and include and/or address at
				least the following:
1. An explanation of the
				specific care, treatment, services, or equipment provided by the facility, for
				example, degree of nursing care, administration of medication, provision of
				special diet as necessary, assistance with bathing, toileting, feeding,
				dressing, and mobility;
2.
				Disclosure of fees for all care, treatment, services, or equipment
				provided;
3. Advance notice
				requirements to change fees;
4.
				Refund provisions to include when monies are to be forwarded to resident upon
				discharge, transfer, or relocation;
5. Transportation provisions in accordance
				with facility policies and procedures;
6. Discharge and transfer provisions to
				include the conditions under which the resident may be discharged and the
				agreement terminated, and the disposition of personal belongings;
7. Documentation of the explanation of the
				Bill of Rights for Residents of Long-Term Care Facilities and grievance
				procedures;
8. Arrangements for, or
				the provision at a specified written cost for the laundering of resident
				personal clothes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1002 - Fiscal Management (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Provisions shall be made for safeguarding money and valuables for those
				residents who request this assistance.
B. Residents shall manage their own money
				whenever possible.
C. Only
				residents may endorse checks made payable to them, unless a legally constituted
				authority has been authorized to endorse their checks.
D. Upon written request of the resident or
				his or her responsible party, the facility may maintain the personal monies for
				the resident.
E. There shall be an
				accurate accounting of resident's personal monies and written evidence of
				purchases by the facility on behalf of the residents to include a record of
				items or services purchased, written authorization from residents of each item
				or service purchased, and an accounting of all monies paid to the facility for
				care and services. Personal monies include all monies, including family
				donations. No personal monies shall be given to anyone, including family
				members, without written consent of the resident or his or her responsible
				party. If a resident's money is given to anyone by the facility, a receipt
				shall be obtained.
F. A written
				report of the balance of resident finances shall be physically provided to each
				resident by the facility on a quarterly basis in accordance with the Bill of
				Rights for Residents of Long-Term Care Facilities, regardless of the balance
				amount, for example, zero balance.
G. Within sixty (60) days of a resident's
				death or discharge, a final written account of remaining resident monies shall
				be made to the individual administering the resident's estate, or to the
				resident or the resident's responsible party upon discharge. Any personal
				monies due shall be refunded within thirty (30) days.
H. In the event of a licensee change, the
				existing licensee shall provide written verification to the new licensee that
				all resident monies have been transferred to the new licensee.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1003 - Recreation

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				shall offer a regular and ongoing program of varied, meaningful activities
				designed to suit the interests and physical and cognitive capabilities of the
				residents who choose to participate. The facility shall provide recreational
				activities that provide stimulation (intellectual, physical); promote or
				enhance physical, mental, and/or emotional health; are age-appropriate; and are
				based on input from the residents and/or responsible party, as well as
				information obtained in the initial assessment. These activities shall include
				appropriate group activities and also activities for individuals with
				particular interests and needs.
B.
				Variety in planning may include some outdoor activities in suitable weather.
				Plans for activity involvement both on an individual and a group basis shall be
				developed for all residents. The planned activities may include community
				intergenerational programs, if applicable.
C. A staff member shall be designated as
				director of the resident activities program who shall be responsible for the
				development of the recreational program, to include responsibility for
				obtaining and maintaining recreational supplies. This staff member shall have
				sufficient time to provide and coordinate the activities program so that it
				fully meets the needs of the residents. Staff members responsible for providing
				and coordinating recreational activities for the residents shall have expertise
				or training and/or experience in individual and group activities. The director
				of resident activities shall hold at least one (1) of the following four (4)
				qualifications:
1. A baccalaureate degree
				from an accredited college or university with a major area of concentration in
				recreation, creative arts therapy, therapeutic recreation, art, art education,
				psychology, sociology, or occupational therapy;
2. A high school diploma and three (3) years
				of experience in resident activities in a health care facility;
3. Served as the facility director of
				resident activities on the effective date of promulgation of this regulation,
				and has continuously served as activities director since that time;
				or
4. Holds current certification
				from the National Certification Council for Activity Professionals, or the
				National Council for Therapeutic Recreation Certification.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1004 - Physician Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				resident or responsible party shall designate a physician licensed to practice
				in South Carolina for the supervision of the care and treatment of the
				resident.
1. Residents shall be seen by the
				attending physician at least once every sixty (60) days, unless more frequent
				visits are indicated.
EXCEPTION:
Another legally authorized healthcare
				  provider who is authorized by the attending physician in writing, may make the
				  sixty (60) day visits and the resident or the resident's responsible party
				  shall be notified in writing of the person who will be making the visits in
				  lieu of the attending physician.
2. A facility shall not restrict a resident's
				or responsible party's choice in attending physician coverage, provided that
				the physician agrees to, and demonstrates that he or she will provide care in
				accordance with facility policies and procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1005 - Social Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Social
				services for residents shall be provided by the facility. When a facility
				provides social services directly, there shall be a staff member designated in
				writing who is responsible for the program and provides the leadership and
				direction of the program, including the maintenance of any required
				records.
B. Social service history
				shall be obtained and documented for each resident. This history shall include
				social and emotional factors related to the resident's condition, information
				concerning home situation, financial resources and relationships with other
				people. The social history shall be obtained within seven (7) business days of
				admission. The social service history shall be utilized in the preparation of
				the ICP and maintained current in terms of changes in financial resources,
				physical condition, mental state or family situation.
C. Services shall be provided to assist all
				residents in addressing social, emotional and related problems or through
				effective arrangements with a social service agency.
D. The social services staff shall
				participate in discharge planning to assist residents to access inpatient,
				outpatient, extended care, and home health services in the community.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1006 - Dental Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. Within
				one (1) week of admission, an oral assessment by a physician, dentist or
				registered nurse shall be conducted to determine the consistency of diet which
				the resident can best manage and the condition of gums and teeth.
B. Residents shall be assisted as necessary
				with daily dental care. (II)
C.
				Each facility shall maintain names of dentists who can render emergency and
				other dental treatments. Residents shall be encouraged to utilize dental
				services of choice.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1007 - Oxygen Therapy (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				facility shall provide oxygen for the treatment of residents when ordered by a
				physician or other legally authorized healthcare provider.
B. The facility shall post "No Smoking" signs
				conspicuously when oxygen is dispensed, administered, or stored. The facility
				shall appropriately secure all cylinders.
EXCEPTION:
"Smoke-Free" facilities where smoking
				  is prohibited, and where the facility nonsmoking policy is strictly enforced,
				  and where "Smoke-Free" signs are strategically placed at all major entrances,
				  secondary "No Smoking" signs shall not be required in and in the vicinity of
				  resident rooms where oxygen is being administered. "No Smoking" signs shall be
				  required in and in the vicinity of resident rooms and all other areas of the
				  facility where oxygen is being stored. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1008 - Laboratory Services

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Laboratory services required in connection with the care or treatment to be
				performed shall be provided or arrangements made to obtain such
				services.
B. Laboratories that
				examine materials derived from the human body for diagnosis, prevention, or
				treatment purposes shall be certified by the Centers for Medicare and Medicaid
				Services (CMS). Some laboratory tests, for example, blood sugar levels or
				hemoglobin, may not require the certification; however a Clinical Laboratories
				Improvement Amendments (CLIA) "Certificate of Waiver" shall be obtained from
				the Department's CLIA Program if those tests are performed.
C. Expired laboratory supplies shall be
				disposed of in accordance with facility policies and procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1009 - Outpatient Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. When
				the facility provides outpatient services such as those described in Section
				1010, a physician shall be in
				charge of the service.
B.
				Outpatient services shall be in a location that is easily accessible for all
				outpatients and to all necessary outpatient equipment and supplies. Adequate
				toilet facilities, waiting, dressing, examining, treatment, and therapy rooms
				shall be provided.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1010 - Other Services to Residents

Current through Register Vol. 48, No. 6, June 28, 2024
Other services, such as physical therapy, occupational
				  therapy, and speech therapy, if offered as a service of the facility, shall be
				  on orders of a physician or other legally authorized healthcare provider and
				  administered and/or furnished by legally authorized healthcare providers. If
				  offered, space and equipment shall be provided to accommodate the
				  service(s).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1011 - Transportation (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall arrange for appropriate transportation of
				  residents to other healthcare services provided outside the facility, for
				  example, hospital, medical clinic, dentist, and in accordance with the
				  physician's orders. If a physician's services are not immediately available and
				  the resident's condition requires immediate medical attention, the facility
				  shall provide or secure transportation for the resident to the appropriate
				  healthcare providers, such as, but not limited to, physicians, dentists,
				  physical therapists, or for treatment at renal dialysis
				  facilities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1012 - Restraints (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility
				shall maintain written instructions on how to apply specific
				restraints.
B. A facility shall
				have a written order signed by the physician who approved of the use of
				restraints either at the time the restraints are applied to a resident or, in
				case of emergency, within twenty-four (24) hours after the restraints are
				applied.
C. During emergency
				restraint, residents shall be monitored, their condition recorded at least
				every fifteen (15) minutes, and they shall be provided with an opportunity for
				motion and exercise at least every thirty (30) minutes. Prescribed medications
				and treatments shall be administered as ordered, and residents shall be offered
				nourishment and fluids and given restroom privileges. (I)
D. Only those devices specifically designed
				as restraints may be used. Makeshift restraints shall not be used under any
				circumstance. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1000 - RESIDENT CARE AND SERVICES › Section 61-17.1000.1013 - Discharge and Transfer

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Residents shall be transferred or discharged only upon physician orders and
				only as appropriate in accordance with the Bill of Rights for Residents of
				Long-Term Care Facilities. Immediate transfer is permissible in cases of
				medical emergencies or where the health and safety of other residents would be
				endangered, in accordance with the Bill of Rights for Residents of Long-Term
				Care Facilities.
B. Notification of
				resident discharge and transfer shall be in accordance with the Bill of Rights
				for Residents of Long-Term Care Facilities. In cases of transfer due to medical
				emergencies or instances where other residents may be endangered, the family
				member, if any, shall be notified within a time period that is practicable
				under the circumstances, but not later than twenty-four (24) hours following
				the transfer.
C. Other than
				residents transferred back to their home, residents requiring care and/or
				supervision shall be transferred or discharged to a location that is licensed
				to provide that care and is appropriate to the resident's needs and abilities.
				(II)
D. Upon transfer or discharge,
				the facility shall assure that resident information, medications, as
				appropriate, personal possessions and personal monies are released to the
				resident and/or the receiving facility in a manner that assures continuity of
				treatment, care, and services. (II)
E. A discharge summary shall accompany each
				resident discharged or transferred to another licensed healthcare facility, or
				shall be forwarded to the receiving facility in a manner that assures
				continuity of care and services.
F.
				The facility shall have a written transfer agreement with one (1) or more
				hospitals that provides reasonable assurance that transfer of residents will be
				made between the hospital and the facility whenever such transfer is deemed
				medically appropriate by the attending physician; or, the facility shall have
				on file documented evidence that it has attempted in good faith to effect a
				transfer agreement. The transfer agreement shall be dated and signed by
				authorized officials who are a party to the agreement. The agreement shall
				provide reasonable assurance of mutual exchange of information necessary or
				useful in the care and treatment of individuals transferred between the
				facilities. The agreement may be updated following a change of Administrator;
				the agreement shall be updated following changes in licensee or at any other
				time as deemed advisable to maintain or further improve continuity of
				care.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1100 - RIGHTS AND ASSURANCES › Section 61-17.1100.1102 - Resident and Family Councils (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility shall allow residents to form
				and participate in resident councils to discuss and resolve concerns.
B. Adequate notification shall be provided to
				family members or to the responsible party of the resident concerning pertinent
				information pertaining to the operation or interest of the family council in
				accordance with facility policies and procedures.
C. Should there be a council, the facility
				Administrator shall designate a staff coordinator and provide suitable private
				accommodations within the facility for these council(s). The staff coordinator
				shall assist the council(s) in scheduling regular meetings and preparing
				written reports of meetings for dissemination to residents of the
				facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1200 - RESIDENT PHYSICAL EXAMINATION AND TUBERCULOSIS SCREENING (I) › Section 61-17.1200.1201 - Deleted

Current through Register Vol. 48, No. 6, June 28, 2024
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1301 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications,
				including controlled substances, medical supplies, and those items necessary
				for the rendering of first aid shall be properly managed in accordance with
				state, federal, and local laws and regulations. Such management shall address
				the securing, storing, and administering of medications, medical supplies,
				first aid supplies, and biologicals, their disposal when discontinued or
				expired, and their disposition at discharge, transfer, or death of a resident.
				(I)
B. Applicable
				medication-related reference materials such as Physicians' Desk Reference and
				information on the use of medications shall be readily available at each staff
				work area in order to provide staff members with adequate information
				concerning medications. At least one (1) such reference in the facility shall
				have been published within the previous year and none shall be older than three
				(3) years.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1302 - Medication and Treatment Orders (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medication and treatment, to include
				oxygen, shall be administered to residents only upon orders (to include
				standing orders) of a physician or other legally authorized healthcare
				provider. (I)
B. All orders
				(including verbal) shall be received only by licensed nurses or other legally
				authorized healthcare providers, and shall be authenticated and dated by a
				physician or other legally authorized healthcare provider pursuant to the
				facility's policies and procedures. This restriction shall not be construed to
				prohibit the issuance and acceptance of verbal orders in other specialized
				departments or services in accordance with facility policies and procedures,
				for example, orders pertaining to respiratory therapy modalities; medications
				administered therewith may be given to respiratory therapy personnel and
				physical therapy orders to physical therapists. (I)
C. Physician's orders for medication,
				treatment, care and diet shall be reviewed and reordered no less frequently
				than every two (2) months. (I)
D.
				All medication orders that do not specifically indicate the number of doses to
				be administered or the length of time the medication is to be administered
				shall automatically be stopped in accordance with facility policies and
				procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1303 - Administering Medication (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Medications shall be administered in accordance with orders of the attending
				physician, dentist or other individual legally authorized to prescribe
				medications or biologicals for human consumption. (I)
B. Medications and medical supplies ordered
				for a specific resident shall not be provided to or administered to any other
				resident.
C. Medications shall be
				administered in accordance with state practice acts. The administration of
				medication shall include, but not be limited to:
1. Removing an individual dose from a
				previously dispensed, properly labeled container (including a unit dose
				container);
2. Verifying the dosage
				with the physician's orders;
3.
				Giving the individual dose to the proper resident;
4. Monitoring the ingestion or application of
				the dose; and
5. Promptly recording
				on the MAR, as it is administered, the date, time, dose given, mode of
				administration, and identification of the individual who administered the
				medication.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1304 - Pharmacy Services

Current through Register Vol. 48, No. 6, June 28, 2024
A. There
				shall be a written agreement with a consulting pharmacist to direct, supervise
				and be responsible for pharmacy services in the facility in accordance with
				accepted professional principles and appropriate state, federal, and local laws
				and regulations. (II)
B. At least
				monthly the pharmacist shall: (II)
1. Review
				the medication profile for each resident for potential adverse reactions,
				allergies, interactions and laboratory test modifications. The attending
				physician shall be advised of recommended changes in the medication regimen,
				medication therapy duplication, incompatibilities or
				contraindications;
2. Review
				medication storage areas and emergency medication kits;
3. Review all medications in the facility for
				expiration dates and assure the removal of discontinued or expired medications
				from use as indicated;
4. Verify
				proper storage of medications and biologicals in the facility and make
				recommendations concerning the handling, storing and labeling of
				medications;
5. Examine the
				controlled substances records and affirm to the Administrator that this
				inventory is correct;
6. Assess the
				facility pharmaceutical services to assure the services have been properly
				implemented and maintained and submit to the Administrator a written report of
				each pharmaceutical assessment including recommendations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1305 - Medication Containers (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				labeling of medications and biologicals shall be based on currently accepted
				professional principles. Labels shall identify, at a minimum, the name of the
				medication or biological, strength and lot number. As appropriate, labels shall
				include resident name and any identifying number. The prescribing physician's
				name and directions for use shall be on the label if it is not documented in
				another effective manner. (I)
B.
				Medication containers that have been damaged, compromised, or without labels,
				or that have damaged, incomplete or makeshift labels are considered to be
				misbranded and are prohibited and shall be destroyed in accordance with Section
				1309.
C. Medications for each resident shall be
				maintained in the original container(s) including unit dose systems. Opening
				blister packs to remove medications for destruction or adding new medications
				for administration, except under the direction of a pharmacist, is prohibited.
				(I)
D. When a physician or other
				legally authorized healthcare provider changes the dosage of a medication, such
				information shall be documented in the medication administration record and a
				label that does not obscure the original label shall be attached to the
				container that states, "Directions changed; refer to MAR and physician or other
				legally authorized healthcare provider orders for current administration
				instructions." The new directions shall be communicated to the pharmacist upon
				receipt of the order. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1306 - Medication Storage

Current through Register Vol. 48, No. 6, June 28, 2024
A. Medications
				shall be stored and safeguarded in a locked medicine preparation room or locked
				cabinet at or near the staff work area to prevent access by unauthorized
				individuals. If medication carts are utilized for storage, they shall be locked
				when not in use. Expired or discontinued medications shall not be stored with
				current medications. Storage areas shall not be located near sources of heat,
				humidity, or other hazards that may negatively impact medication effectiveness
				or shelf life. (I)
B. Medications
				requiring refrigeration or freezing shall be stored in a refrigerator or
				freezer as appropriate at the temperature range established by the manufacturer
				used exclusively for that purpose in the medicine preparation room, or in a
				locked refrigerator used exclusively for medications, or in a separate locked
				box within a multi-use refrigerator at or near the staff work area. Food and
				drinks shall not be stored in the same refrigerator or freezer in which
				medications and biologicals are stored. Blood and blood products may be stored
				in the same refrigerator with medications and biologicals if stored in a
				separate compartment from the medications and biologicals in accordance with
				the AABB. Refrigerators and freezers shall be provided with a thermometer
				accurate to plus or minus two (2) degrees Fahrenheit. (I)
C. Medications shall be stored: (I)
1. Under proper conditions of sanitation,
				temperature, light, moisture, ventilation, segregation, safety and
				security;
2. In accordance with
				manufacturer's directions and in accordance with all applicable state, federal,
				and local laws and regulations;
3.
				Separately from poisonous substances, such as cleaning and germicidal agents,
				or body fluids;
4. In a manner that
				provides for separation between topical and oral medications, and which
				provides for separation of each resident's medication;
5. In medicine preparation rooms or cabinets
				that are well-lighted and of sufficient size to permit orderly storage and
				preparation of medications. Keys to the medicine preparation room, cabinet,
				refrigerator or medication cart at the staff work area shall be under the
				control of a designated licensed nurse.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1307 - Medication Control and Accountability (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Records of receipt, administration and
				disposition of all medications shall be maintained in sufficient detail to
				enable an accurate reconciliation.
B. Medication, supplies and devices shall not
				be administered and/or provided to residents beyond the expiration date of
				those items. (I)
C. Medications
				that have been discontinued may be secured in the staff work area with a
				written order by the attending physician. Such medications shall not be held
				beyond a ninety-day (90-day) period unless so ordered by the physician or other
				legally authorized healthcare provider, but in no case held beyond the
				expiration date of the medication.
D. Separate control sheets shall be
				maintained on any controlled substances listed in Schedules II, III, IV, and V,
				State and Federal Controlled Substance Act. This record shall contain the
				following information: date, time administered, name of resident, dose,
				signature of individual administering, name of physician or other legally
				authorized healthcare provider ordering the medication and all scheduled
				controlled substances balances (See Section 1303.G).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1308 - Emergency Medications (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Each facility shall maintain, upon the advice and written approval of the
				Medical Director and consultant pharmacist, an emergency medication kit or cart
				of designated medicines and equipment at each staff work area for the use of
				physicians or other legally authorized healthcare providers in treating the
				emergency needs of residents. As an exception, the facility may determine that
				one (1) emergency medication kit can be readily accessible to, and adequately
				meet the needs of two (2) or more staff work areas. If such is the case, the
				facility's written policies shall include the location(s) of the emergency
				medication kit(s) and the justification for this determination. There shall not
				be less than one (1) emergency medication kit on each resident floor.
B. The emergency medication kit or cart shall
				be sealed and stored in a secured area to prevent unauthorized access and to
				assure a proper environment for preservation of the medications within, but in
				such a manner as to allow immediate access.
C. An inventory of medications maintained in
				the kit shall be attached to or placed in the kit. Another inventory list shall
				be maintained at the staff work area for quick reference.
D. Whenever the emergency medication kit or
				cart is opened, the use of contents shall be documented by the nursing staff
				and it shall be restocked and resealed by the pharmacist within four (4)
				business days.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1300 - MEDICATION MANAGEMENT › Section 61-17.1300.1309 - Disposition of Medications

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Upon discharge of a resident, unused medications, biologicals, medical supplies
				and solutions may be released to the resident, family member, or responsible
				party, unless prohibited by facility policies and procedures, the attending
				physician or other legally authorized healthcare provider.
B. When resident medications, biologicals,
				medical supplies or solutions have deteriorated or exceeded their expiration
				date or there are partially unused medications, or medication containers are
				misbranded, they shall be destroyed by a licensed nurse or other legally
				authorized healthcare provider or returned to the pharmacy. (II)
C. When noncontrolled legend drugs,
				biologicals, medical supplies and solutions are destroyed, the following shall
				be documented: date of destruction, medication name, strength, quantity, mode
				of destruction, and the name of the individual performing the destruction and
				witnessed by a licensed nurse or pharmacist. (I)
D. The destruction of controlled substances
				shall be accomplished pursuant to the requirements of R.61-4. (I)