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 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1401 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Facility
				meal service programs shall be inspected and approved by the Department, and
				shall be regulated, inspected, and graded pursuant to R.61-25.
B. When meals are catered to a facility, such
				meals shall be obtained from a meal service establishment graded by the
				Department, pursuant to R.61-25. (I)
C. If food is prepared at a central kitchen
				and delivered to separate facilities or separate buildings and/or floors of the
				same facility, provisions shall be made for proper maintenance of food
				temperatures and a sanitary mode of transportation that are approved by the
				Department.
D. Food shall be
				prepared by methods that conserve the nutritive value, flavor and appearance.
				The food shall be palatable, properly prepared, and sufficient in quantity and
				quality to meet the daily nutritional needs of the residents in accordance with
				written dietary policies and procedures.
E. Efforts shall be made to accommodate the
				religious, cultural, and ethnic preferences of each resident and consider
				variations of eating habits, unless the orders of a physician or other legally
				authorized healthcare provider contraindicate.
F. Nourishment stations, if provided, shall
				contain a handwashing sink equipped for handwashing, equipment for serving
				nourishment between scheduled meals, refrigerator, and storage
				cabinets.
G. At least one (1)
				dietary refrigerator shall be provided on each resident floor and shall have a
				thermometer accurate to plus or minus two (2) degrees Fahrenheit. In addition,
				if a refrigerator(s) is in a resident room for food storage, the same
				thermometer requirement applies.
H.
				Medications, nursing supplies, or biologicals shall not be stored in the
				dietary department or any refrigerator or storage area utilized by the dietary
				department.
I. The preparation of
				meals shall only be conducted in areas of the facility that have been approved
				by the Department. Extended operations of a facility's meal service program
				shall not be located in rooms used for other purposes, such as, sleeping,
				living, laundry.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1402 - Food and Food Storage (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The storage, preparation, serving,
				transportation of food, and the sources from which food is obtained shall be in
				accordance with R.61-25.
B. Home
				canned food shall be prohibited.
C.
				At least a three-day supply of staple foods and a two-day supply of perishable
				foods shall be maintained on the premises. Supplies shall be appropriate to
				meet the requirements of the menu and special or therapeutic diets.
D. All food in the facility shall be from
				food sources approved or considered satisfactory by the Department, and shall
				be clean, wholesome, free from spoilage, free from adulteration and
				misbranding, and safe for human consumption. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1403 - Food Equipment and Utensils

Current through Register Vol. 48, No. 6, June 28, 2024
A. The storage, cleaning and sanitizing of
				equipment and utensils utilized shall be in accordance with R.61-25. (II)
B. There shall be written procedures for
				cleaning, disinfecting and sanitizing all equipment and meal service work
				areas.
C. Drinking containers made
				of porous materials shall not be used unless the containers have smooth liners
				which can be easily cleaned. These containers and/or liners shall be sanitized
				at least weekly or more often as necessary and identified for individual
				resident use. Disposable containers shall be replaced at least weekly.
				(II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1404 - Meals and Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall provide meal services to meet the daily nutritional needs
				of the residents in accordance with the dietary reference intakes (DRIs) of the
				Food and Nutrition Board of the Institute of Medicine, National Academy of
				Sciences.
B. The dining area shall
				provide a comfortable and relaxed environment. Table service shall be planned
				in an attractive and colorful manner for each meal.
C. A minimum of three (3)
				nutritionally-adequate meals in each twenty-four-hour (24-hour) period shall be
				provided for each resident unless otherwise directed by the resident's
				physician or other legally authorized healthcare provider. Residents shall be
				allowed to choose between a variety of foods offered. Personal preferences as
				to the times residents receive their meals may be honored. This may include
				offering smaller, more frequent meals, or snacks, or postponing meals to honor
				a resident's request, for example, to sleep or not to eat. The condition of the
				resident shall dictate the manner in which meal service is adjusted to suit
				personal preferences. Meal service systems, for example, four-meal plans and/or
				buffet dining, may be offered in order to facilitate the resident receiving a
				variety of foods.
D. Not more than
				fourteen (14) hours shall elapse between the scheduled serving of the evening
				meal and breakfast the following day.
EXCEPTION:
There may be up to sixteen (16) hours
				  between the scheduled serving of the evening meal and breakfast the following
				  day if approved by the resident's attending physician and the resident, and if
				  a nourishing snack is provided after the evening meal.
E. Food shall be cut, chopped, ground or
				blended to meet individual needs.
F. The same menu items shall not be
				repetitively served during each seven (7) day period except to honor specific,
				individual resident requests. Substitutes of similar nutritive value shall be
				offered to residents who refuse food served.
G. Food and snacks shall be available and
				offered between meals at no additional cost to the residents. Individual
				resident food and snack preferences shall be honored when reasonable.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1405 - Meal Service Staff

Current through Register Vol. 48, No. 6, June 28, 2024
A. The
				meal service operations shall be under the direction of a dietitian or
				qualified food service supervisor who shall be responsible for supervising the
				meal service staff, planning, preparation and serving of food and the
				maintenance of proper records. A staff member shall be designated, by name or
				position, to act in the absence of this person. (II)
B. A qualified food service supervisor shall
				be a person who: (II)
1. Is a graduate of a
				dietetic technician training program approved by the American Dietetic
				Association;
2. Is a graduate of a
				course of study meeting the requirements of the American Dietetic Association
				and approved by the state;
3. Is
				certified by the Certifying Board for Dietary Managers of the Dietary Managers
				Association and maintains that credential;
4. Has completed a Dietary Managers
				Association approved course curriculum necessary to take the certification
				examination required to become a certified dietary manager; or
5. Has at least three (3) years of training
				and experience in meal service supervision and management in a military service
				equivalent in content to the programs described in Sections 1405.B.1 through
				1405.B.3.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1406 - Diets (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. All diets
				shall be prescribed, dated and signed by the physician and be prepared in
				conformance with physicians' orders giving consideration to individual resident
				preferences.
B. The necessary
				equipment for preparation of resident diets shall be available and
				utilized.
C. A diet manual
				published within the previous five (5) years shall be available and shall
				address at a minimum:
1. Food sources and
				food quality;
2. Food protection
				storage, preparation and service;
3. Meal service staff health and
				cleanliness;
4. Dietary Reference
				Intakes (DRIs) of the Food and Nutrition Board of the Institute of Medicine,
				National Academy of Sciences food serving recommendations;
5. Menu planning, including plans appropriate
				to special needs, for example, diabetic, low-salt, low-cholesterol, or other
				diets appropriate for the elderly and/or infirm.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1407 - Menus

Current through Register Vol. 48, No. 6, June 28, 2024
A. Menus shall be
				planned and written at a minimum of four (4) weeks in advance and dated as
				served. The current week's menu, including routine and special diets and any
				substitutions or changes made, shall be readily available. At least the current
				day's menu shall be posted in one (1) or more conspicuous places in a public
				area. All substitutions made on the master menu shall be recorded in writing.
				Cycled menus shall be rotated so that the same weekly menu is not duplicated
				for at least a period of two (2) weeks.
B. Each menu shall be approved in writing by
				a dietitian before meals are prepared and served.
C. A file of tested recipes, adjusted to
				appropriate yield, shall correspond to items on the posted menus.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1400 - MEAL SERVICE › Section 61-17.1400.1408 - Ice and Drinking Water (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Ice from a water system in accordance with
				R.61-58, shall be available and
				precautions taken to prevent contamination. The ice scoop shall be stored in a
				sanitary manner outside the ice container and allowed to air dry. The ice scoop
				and holding tray shall be sanitized daily.
B. Potable drinking water shall be available
				and accessible to residents at all times.
C. The use of common cups shall be
				prohibited.
D. Ice delivered to
				resident areas in bulk shall be in nonporous, covered containers that shall be
				cleaned after each use.
E. Drinking
				fountains of a sanitary angle jet design shall be properly regulated and
				maintained. There shall be no possibility of the mouth or nose becoming
				submerged. If drinking fountains are not provided, single service cups shall be
				used.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1501 - Emergency Care (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The facility shall provide for the care of residents in an
				  emergency and make available appropriate equipment and services to render
				  emergency resuscitative and life-support procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1502 - Disaster Preparedness (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall develop, by contact and consultation with their county
				emergency preparedness agency, a suitable written plan for actions to be taken
				in the event of a disaster and/or emergency evacuation. In the event of mass
				casualties, the facility shall provide resources as available. The plan shall
				be updated, as appropriate, annually, or as needed, and rehearsed at least
				annually. A record of the rehearsal, including its date and time, a summary of
				actions and recommendations, and the names of participants shall be
				maintained.
B. The disaster and
				emergency evacuation plan shall include, but not be limited to:
1. A sheltering plan to include:
a. Facility occupancy at the time of the
				disaster;
b. Name, address and
				phone number of the sheltering facility or facilities to which the residents
				will be relocated during a disaster;
c. A letter of agreement signed by an
				authorized representative of each sheltering facility which shall include: the
				number of relocated residents that can be accommodated; sleeping, feeding, and
				medication plans for the relocated residents; and provisions for accommodating
				relocated staff members and volunteers. The letter shall be updated with the
				sheltering facility at least every three (3) years and whenever significant
				changes occur. For those facilities located in Beaufort, Charleston, Colleton,
				Horry, Jasper, and Georgetown counties, at least one (1) sheltering facility
				shall be located in a county other than these counties.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1503 - Licensed Bed Capacity During An Emergency (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility desiring to temporarily admit
				residents in excess of its licensed bed capacity due to an emergency shall:
1. Request that the Department concur that an
				emergency situation exists by contacting the Department;
2. Determine the maximum number of residents
				to be temporarily admitted;
3.
				Establish an anticipated date for discharge of the temporary
				residents;
4. Outline how and where
				the temporary residents will be housed; and
5. Contact the county emergency preparedness
				agency to advise of additional residents.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1504 - Emergency Call Numbers (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Although the facility may be in a location that has access to
				  "911" services, emergency call data shall be immediately available, posted in a
				  conspicuous place, at least at every staff work area, and shall include, at a
				  minimum, the telephone numbers of fire and police departments, ambulance
				  service, and the Poison Control Center. Other emergency call information shall
				  be available, to include the names, addresses, and telephone numbers of
				  physicians and staff members to be notified in case of
				  emergency.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1505 - Continuity of Essential Services (II)

Current through Register Vol. 48, No. 6, June 28, 2024
There shall be a written plan to be implemented to assure the
				  continuation of essential resident support services for such reasons as power
				  outage, water shortage, or in the event of the absence from work of any portion
				  of the workforce resulting from inclement weather or other
				  causes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1500 - EMERGENCY PROCEDURES AND DISASTER PREPAREDNESS › Section 61-17.1500.1506 - Use of the Facility or Services in Response to a Public Health Emergency (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The Department, in coordination with the guidelines of the
				  State Emergency Operations Plan, may, for such period as the state of public
				  health emergency exists and as may be reasonable and necessary for emergency
				  response, require a nursing home to provide services or the use of its facility
				  if the services are reasonable and necessary to respond to the public health
				  emergency as a condition of licensure, authorization, or the ability to
				  continue doing business as a nursing home. When the Department needs the use or
				  services of the facility to isolate or quarantine individuals during a public
				  health emergency, the management and supervision of the nursing home shall be
				  coordinated with the Department to assure protection of existing residents and
				  compliance with the regulation in accordance with S.C. Code Section
				  44-4-310.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1600 - FIRE PREVENTION › Section 61-17.1600.1601 - Arrangements for Fire Department Response/Protection (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each facility shall develop, in
				coordination with its supporting fire department and/or disaster preparedness
				agency, suitable written plans for actions to be taken in the event of fire,
				for example, fire plan and evacuation plan. (I)
B. Facilities located outside a service area
				or range of a public fire department shall arrange for the nearest fire
				department to respond in case of fire by written agreement with that fire
				department. A copy of the agreement shall be maintained on file in the facility
				and a copy shall be forwarded to the Department. If the agreement is changed, a
				copy shall be forwarded to the Department. (I)
C. Fire protection for all facilities shall
				meet all of the requirements of the South Carolina State Fire Marshal's
				Office.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1600 - FIRE PREVENTION › Section 61-17.1600.1602 - Tests (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Fire protection and suppression systems shall be maintained
				  and tested at least annually in accordance with the provisions of the codes
				  officially adopted by the South Carolina Building Codes Council and the South
				  Carolina State Fire Marshal applicable to nursing homes.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1600 - FIRE PREVENTION › Section 61-17.1600.1603 - Fire Response Training (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each staff member shall receive training
				within forty-eight (48) hours of his or her first day on the job in the
				facility and at least annually thereafter, addressing at a minimum, the
				following:
1. Fire plan;
2. Reporting a fire;
3. Use of the fire alarm system;
4. Location and use of fire-fighting
				equipment;
5. Methods of fire
				containment;
6. Specific
				responsibilities, tasks, or duties of each individual when a facility fire
				occurs.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1600 - FIRE PREVENTION › Section 61-17.1600.1604 - Fire Drills (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				unannounced fire drill shall be conducted at least quarterly for all shifts.
				Records of drills shall be maintained at the facility, indicating the date,
				time, shift, description, an evaluation of the drill, and the names of staff
				members directly involved in responding to the drill. Should fire drill
				requirements be mandated by statute or regulation, then compliance with that
				statute or regulation shall supersede the provisions of this section.
B. Drills shall be designed and conducted in
				consideration of and reflecting the content of the fire response training
				described in Section
				1603.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1701 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Staff
				practices shall promote conditions that prevent the spread of infectious,
				contagious, or communicable diseases and provide for the proper disposal of
				toxic and hazardous substances. These preventive measures and practices shall
				be in compliance with applicable regulations and guidelines of the Occupational
				Safety and Health Administration, for example, the Bloodborne Pathogens
				Standard; the Centers for Disease Control and Prevention, for example,
				Immunization of Health-Care Workers: Recommendations of the Advisory Committee
				on Immunization Practices and the Hospital Infection Control Practices Advisory
				Committee; and R.61-105; and other applicable
				state, federal, and local laws and regulations.
B. There shall be an infection control/QI
				committee that meets at least annually to address infection control issues
				consisting of the medical director and representatives from at least
				administration, nursing, dietary, and housekeeping staff to assure compliance
				with this regulation regarding infection control.
C. There shall be a tuberculosis infection
				control program per CDC guidelines. A facility licensed nurse shall be
				designated at each facility to coordinate the tuberculosis infection control
				program.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1702 - Tuberculosis Risk Assessment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				All facilities shall conduct an annual tuberculosis risk assessment (See
				Section 101.JJJ) in accordance with CDC guidelines (See Section 102.B.9) to
				determine the appropriateness and frequency of tuberculosis screening and other
				tuberculosis related measures to be taken.
B. The risk classification, for example, low
				risk, medium risk, shall be used as part of the risk assessment to determine
				the need for an ongoing TB screening program for staff and residents and the
				frequency of screening. A risk classification shall be determined for the
				entire facility. In certain settings, such as, healthcare organizations that
				encompass multiple sites or types of services, specific areas defined by
				geography, functional units, resident population, job type, or location within
				the setting may have separate risk classifications.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1703 - Staff Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to date of hire
				or initial resident contact, the tuberculosis status of direct care staff shall
				be determined in the following manner in accordance with the applicable risk
				classification:
B. Low Risk:
1. Baseline two-step Tuberculin Skin Test
				(TST) or a single Blood Assay for
Mycobacterium tuberculosis
(BAMT): All staff (within three (3) months prior to contact with residents)
				unless there is a documented TST or a BAMT result during the previous twelve
				(12) months. If a newly employed staff has had a documented negative TST or a
				BAMT result within the previous twelve (12) months, a single TST (or the single
				BAMT) can be administered to serve as the baseline.
2. Periodic TST or BAMT is not
				required.
3. Post-exposure TST or a
				BAMT for staff upon unprotected exposure to
M. tuberculosis
:
				Perform a contact investigation when unprotected exposure is identified.
				Administer one (1) TST or a BAMT as soon as possible to all staff who have had
				unprotected exposure to an infectious TB case or suspect. If the TST or the
				BAMT result is negative, administer another TST or a BAMT eight to ten (8-10)
				weeks after that exposure to
M. tuberculosis
ended.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1704 - Resident Tuberculosis Screening (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Tuberculosis Status. Prior to admission,
				the tuberculosis status of a resident shall be determined in the following
				manner in accordance with the applicable risk classification:
B. For Low Risk and Medium Risk:
1. Admission/Baseline two-step TST or a
				single BAMT: All residents within one (1) month prior to admission unless there
				is a documented TST or a BAMT result during the previous twelve (12) months. If
				a newly-admitted resident has had a documented negative TST or a BAMT result
				within the previous twelve (12) months, a single TST (or the single BAMT) can
				be administered within one (1) month prior to admission to the facility to
				serve as the baseline. In the institutional nursing home setting, residents
				admitted from other parts of that institutional campus who have had TB
				screening done which meets the requirements outlined in this section and which
				was done within the last six (6) months will not be required to undergo
				additional initial screening.
a. A facility
				may admit a resident with at least the first step of the TB screening process
				completed prior to admission and the second step within fourteen (14) days of
				admission.
b. A facility may admit,
				when appropriate, only those residents referred by South Carolina Department of
				Social Services (SCDSS) Adult Protective Services subject to documenting a
				current chest radiograph (negative for TB) and a negative assessment for signs
				and symptoms of TB followed by two-step TST completed within fourteen (14) days
				of admission.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1705 - Isolation Procedures (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				infection isolation room shall be made available if ordered by the attending
				physician for a resident who has a communicable disease that poses a threat to
				the health or safety of other residents or who for some other reason requires
				isolation and only to the extent that is required to protect the resident and
				others.
B. Should it be determined
				that the facility is unable to care for the resident to the degree which
				assures the health and safety of the resident and the other residents of the
				facility, the resident shall be relocated to a facility that can meet his or
				her needs.
C. The facility may
				accept residents with contagious pulmonary tuberculosis and provide appropriate
				treatment, provided that CDC guidelines are met.
1. Residents with contagious pulmonary
				tuberculosis shall be separated, for example, Airborne Infection Isolation
				room, transfer, from all other residents until declared noncontagious by a
				Department TB physician.
2. When
				residents with contagious pulmonary tuberculosis are to remain in the facility
				for treatment instead of being transferred to another facility, isolation
				procedures shall follow CDC guidelines, including Airborne Infection Isolation
				requirements.
3. Airborne Infection
				Isolation rooms may be required to have negative pressure as determined by the
				facility's tuberculosis risk assessment (See Section 101.JJJ) in the manner
				designated by guidelines established by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1706 - Vaccinations (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Hepatitis B.
1. All direct care staff who perform tasks
				involving contact with blood, blood-contaminated body fluids, other body
				fluids, or sharps shall have the hepatitis B vaccination series unless the
				vaccine is medically contraindicated or an individual is offered the series and
				declined. In either case, the decision shall be documented.
2. Each staff member with eligibility as
				identified in Section 1706.A.1 who elects vaccination shall start the initial
				dose of the three-dose series within ten (10) days of the date hired and
				complete the series within six (6) months.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1707 - Housekeeping (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				and its grounds shall be uncluttered, clean, and free of vermin and offensive
				odors. There shall be sufficient cleaning supplies and equipment available.
				Housekeeping shall at a minimum include:
1.
				Cleaning each specific area, including storage areas, of the facility.
				Accumulated waste material shall be removed daily or more often if
				necessary;
2. Cleaning and
				disinfection, as needed, of equipment used and/or maintained in each area.
				Cleaning and disinfection shall be appropriate to the area and the equipment's
				purpose or use and shall include resident room preparation for new
				occupants;
3. Disposable materials
				and equipment shall be used by one (1) resident only, in accordance with
				manufacturer's recommendations and then disposed of in an acceptable
				manner;
4. Storage of chemicals
				indicated as harmful on the product label, cleaning materials, and supplies in
				cabinets or well-lighted closets and rooms, inaccessible to
				residents;
5. Cleaning of all
				exterior areas, such as, porches and ramps, and removal of safety impediments
				such as snow, ice and standing water;
6. Keeping facility grounds free of weeds,
				rubbish, overgrown landscaping, and other potential breeding sources for
				vermin.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1708 - Infectious Waste (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Accumulated waste, including all contaminated sharps,
				  dressings, and/or similar infectious waste, shall be disposed of in a manner
				  compliant with R.61-105.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1709 - Pets (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Healthy
				domestic pets that are free of fleas, ticks, and intestinal parasites, and have
				been screened by a veterinarian within the past twelve (12) months prior to
				entering the facility, have received required inoculations, if applicable, and
				that present no apparent threat to the health and safety of the residents, may
				be permitted in the facility.
B.
				Pets shall be permitted in resident dining areas only during times when food is
				not being served and shall not be allowed in the kitchen. If the dining area is
				adjacent to a food preparation or storage area, those areas shall be
				effectively separated by walls and closed doors while pets are
				present.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1710 - Clean and Soiled Linen and Clothing (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Clean Linen and Clothing.
1. Proper storage facilities shall be
				provided for keeping clean linen, restraints and resident clothes in sanitary
				condition prior to use. Clean linen not stored separately shall be covered.
				Clean linen and clothing storage rooms shall be used only for the storage of
				clean linen and clothing. Clean linen and clothing shall be separated from
				storage of other materials.
2. A
				supply of clean, sanitary linen and clothing shall be available at all
				times.
3. Clean linen and clothing
				shall be stored and transported in a sanitary manner, for example,
				covered.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1700 - INFECTION CONTROL AND ENVIRONMENT › Section 61-17.1700.1711 - Laundry (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Facility-based laundry services shall be conducted in a clean, safe, and
				well-ventilated area, divided into specific clean and soiled processing areas
				and properly insulated to prevent transmission of noise, heat, steam, and odors
				to resident care areas. The facility shall assure that nonfacility-based
				laundry services to the nursing home exercise every precaution to render all
				linen safe for reuse.
B. Laundry
				services shall not be conducted in resident rooms, dining rooms, or in
				locations where food is prepared, served, or stored. As an element of the
				resident's ICP, folding of clean personal laundry by residents is permitted in
				resident rooms.
C. Clean and soiled
				processing areas shall either be in separate rooms or be provided with
				ventilation to prevent cross-contamination.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1901 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall be planned, designed, and equipped to
				  provide and promote the health, safety, and well-being of each resident. A
				  facility shall be designed so all residents have access to required
				  services.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1902 - Codes and Standards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Facility design and construction shall comply with provisions of the codes
				officially adopted by the South Carolina Building Codes Council and the South
				Carolina State Fire Marshal.
B.
				Unless specifically required otherwise in writing by the Department, all
				existing facilities shall meet the construction codes and regulations for the
				building and its essential equipment and systems in effect at the time the
				accepted construction documents were professionally stamped and
				issued.
C. Any facility that
				closes, has its license revoked, or surrenders its license and applies for
				re-licensure at the same site shall be considered a new building and shall meet
				the current codes, regulations, and requirements for the building and its
				essential equipment and systems in effect at the time of application for
				re-licensing.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1903 - Submission of Plans (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				architect and/or engineer registered in South Carolina shall prepare the plans
				and specifications. Unless directed otherwise by the Department, plans shall be
				submitted at the schematic, design development, and final stages. All plans
				shall be drawn to scale. Any construction changes from the approved documents
				shall be approved by the Department. Construction work shall not commence until
				the Department receives a plan approval. During construction, the Owner shall
				employ a registered architect and/or engineer for observation. Upon approval of
				the Department, construction administration may be performed by an entity other
				than the architect. The Department shall conduct periodic inspections
				throughout each project.
B. Plans
				and specifications shall be submitted to the Department for new construction
				and for a project that has an effect on:
1.
				The function of a space;
2. The
				accessibility to or of an area;
3.
				The structural integrity of the facility;
4. The active and/or passive fire safety
				systems (including kitchen equipment such as exhaust hoods or equipment
				required to be under an exhaust hood);
5. Doors;
6. Walls;
7. Ceiling system assemblies;
8. Exit corridors;
9. Life safety systems; or
10. Increase in occupant load or licensed
				capacity 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 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1904 - Construction Permits (II)

Current through Register Vol. 48, No. 6, June 28, 2024
All projects shall obtain all required permits from the
				  locality having jurisdiction. Construction without proper permitting shall not
				  be inspected by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1905 - Utility Rooms

Current through Register Vol. 48, No. 6, June 28, 2024
A. Soiled
				Utility Room: A facility shall provide at least one (1) soiled utility room per
				work station which contains a clinical sink, work counter, hand wash sink,
				waste receptacle and soiled linen receptacle.
B. Clean Utility Room: A facility shall
				provide at least one (1) clean utility room per work station which contains a
				counter with hand wash sink and space for the storage and assembly of supplies
				for nursing procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.1900 - DESIGN AND CONSTRUCTION › Section 61-17.1900.1906 - Utility Rooms (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. At
				least one (1) soiled utility room per staff work area shall be provided that
				contains a clinical sink, work counter, and waste receptacle. As an exception,
				the clinical sink shall not be required if each resident toilet is equipped
				with bedpan cleaning lugs, spray hose and elevated vacuum breaker.
B. At least one (1) clean utility room per
				staff work area shall be provided that contains a work counter with handwashing
				sink and space for the storage and assembly of supplies for nursing
				procedures.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2000 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-17.2000.2001 - Fire Alarms and Sprinklers (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall include a partial,
				manual, automatic, and supervised fire alarm system. A facility shall arrange
				the fire alarm system to transmit an alarm automatically to a third party by an
				approved method. A facility shall provide a fire alarm system that notifies all
				areas and floors of the building by audible and visual alarm. A facility shall
				provide a fire alarm system that shuts down central recirculating systems and
				outside air units that serve the area(s) of alarm origination as a
				minimum.
B. A facility shall
				include all fire, smoke, heat, sprinkler flow, or manual fire alarming devices
				or systems that connect to the main fire alarm system and trigger the system
				when activated.
C. A facility shall
				include a sprinkler system.
D. A
				facility shall include a fire alarm pull station in or near each work
				station.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2000 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-17.2000.2002 - Emergency Generator Service

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Facilities shall provide certification that construction and installation of
				the emergency generator service comply with provisions of the codes officially
				adopted by the South Carolina Building Codes Council and the South Carolina
				State Fire Marshal.
B. An emergency
				generator shall deliver emergency electrical service during interruption of the
				normal electrical service to the distribution system as follows:
1. Exit lights and exit directional
				signs;
2. Exit access corridor
				lighting;
3. Lighting of means of
				egress and staff work areas;
4.
				Fire detection and alarm systems;
5. In resident care areas, such as sleeping
				areas and personal care areas;
6.
				Signal system;
7. Equipment
				necessary for maintaining telephone service and all life safety
				systems.
8. Elevator service that
				will reach every resident floor when rooms are located on other than the ground
				floor;
9. Fire pump;
10. Equipment for heating resident
				rooms;
11. Public
				restrooms;
12. Essential mechanical
				equipment rooms;
13.
				Battery-operated lighting and a receptacle in the vicinity of the emergency
				generator;
14. Alarm systems, water
				flow alarm devices, and alarms required for medical gas systems; and
15. Resident records when solely
				electronically based.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2000 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-17.2000.2003 - Renumbered

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 61-17.2000 - FIRE PROTECTION EQUIPMENT AND SYSTEMS › Section 61-17.2000.2004 - Renumbered

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 61-17.2200 - EQUIPMENT AND SYSTEMS › Section 61-17.2200.2201 - Gases (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Gases, flammable
				and nonflammable, shall be handled and stored in compliance with provisions of
				the codes officially adopted by the South Carolina Building Codes Council and
				the South Carolina State Fire Marshal.
B. Safety precautions shall be taken against
				fire and other hazards when oxygen is dispensed, administered, or stored. "No
				Smoking" signs shall be posted conspicuously, and cylinders shall be properly
				secured in place. In "Smoke-Free" facilities, "No Smoking" signs shall not be
				required in and in the vicinity of resident rooms where oxygen is being
				administered provided all 4 of the following conditions are met:
1. Smoking is prohibited;
2. The facility nonsmoking policy is strictly
				enforced;
3. "Smoke-Free" signs are
				strategically placed at all major entrances; and
4. A facility shall have "No Smoking" signs
				in, and in the vicinity of, resident rooms where oxygen is stored as well as
				all other required areas.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2200 - EQUIPMENT AND SYSTEMS › Section 61-17.2200.2202 - Furnishings and Equipment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				A facility shall maintain the physical plant free of fire hazards or
				impediments to fire prevention.
B.
				A facility shall not permit portable electric or unvented fuel
				heaters.
C. Fireplaces and
				fossil-fuel stoves, such as, wood-burning, shall have partitions or screens or
				other means to prevent burns. Fireplaces shall be vented to the outside. A
				facility shall not use unvented gas logs. Gas fireplaces shall have a remote
				gas shutoff within the room and not inside the fireplace.
D. A facility shall require all wastebaskets,
				window dressings, portable partitions, cubicle curtains, mattresses, and
				pillows to be noncombustible, inherently flame-resistant, or treated or
				maintained flame-resistant.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2300 - WATER SUPPLY, HYGIENE, AND TEMPERATURE CONTROL › Section 61-17.2300.2301 - Renumbered

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 61-17.2400 - ELECTRICAL › Section 61-17.2400.2401 - General

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall maintain all electrical installations and
				  equipment in a safe, operable condition in accordance with the applicable codes
				  and shall be inspected at least annually by a licensed electrician, registered
				  engineer, or certified building inspector.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2400 - ELECTRICAL › Section 61-17.2400.2402 - Panelboards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A facility shall label the panelboard directory to conform to
				  the room numbers and/or designations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-17 - STANDARDS FOR LICENSING NURSING HOMES › Sec2 61-17.2400 - ELECTRICAL › Section 61-17.2400.2403 - Lighting

Current through Register Vol. 48, No. 6, June 28, 2024
A. A facility shall
				provide adequate lighting in spaces occupied by persons, machinery, and
				equipment within buildings, approaches to buildings, and parking lots.
				(II)
B. A facility shall provide
				adequate artificial light and sufficient illumination for reading, observation,
				and activities. A facility shall provide general lighting in all parts of every
				resident room and at least one (1) light fixture for night lighting in every
				resident room. A facility shall provide a reading light for each
				client.
C. A facility shall provide
				lighting in hallways, stairs, and other means of egress at all times.