reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.123 - Emergency evacuation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Exit
					 doors must be equipped so that they can be easily opened by residents from the
					 inside without the use of a key or other manual device that can be removed,
					 misplaced or lost.
(b) Copies of
					 the emergency procedures as specified in §
											2600.107 (relating to emergency
					 preparedness) shall be posted in a conspicuous and public place in the home and
					 a copy shall be kept.
(c) For a
					 home serving nine or more residents, an emergency evacuation diagram of each
					 floor showing corridors, line of travel to exit doors and location of the fire
					 extinguishers and pull signals shall be posted in a conspicuous and public
					 place on each floor.
(d) If the
					 home serves one or more residents with mobility needs above or below grade
					 level of the home, there shall be a fire-safe area, as specified in writing
					 within the past year by a fire safety expert, on the same floor as each
					 resident with mobility needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.124 - Notification of local fire officials

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall notify the local fire department in
						writing of the address of the home, location of the bedrooms and the assistance
						needed to evacuate in an emergency. Documentation of notification shall be
						kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.125 - Flammable and combustible materials

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Combustible and flammable materials may
					 not be located near heat sources or hot water heaters.
(b) Combustible materials shall be
					 inaccessible to residents.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.126 - Furnaces

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A professional
					 furnace cleaning company or trained maintenance staff person shall inspect
					 furnaces at least annually. Documentation of the inspection shall be
					 kept.
(b) Furnaces shall be cleaned
					 according to the manufacturer's instructions. Documentation of the cleaning
					 shall be kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.127 - Space heaters

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Portable space heaters are prohibited.
(b) Nonportable space heaters must be well
					 vented and installed with permanent connections and protectors.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.128 - Supplemental heating sources

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The use of kerosene burning heaters is prohibited.
(b) Wood and coal burning stoves shall be
					 used only if a local fire department or other municipal fire safety authority,
					 professional cleaning company or trained maintenance staff person inspects and
					 approves them annually. Wood and coal burning stoves that are used as a regular
					 heating source shall be cleaned every year according to the manufacturer's
					 instructions. Documentation of wood and coal burning stove inspections and
					 cleanings shall be kept.
(c) Wood
					 and coal burning stoves must be securely screened or equipped with protective
					 guards while in use.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.129 - Fireplaces

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A fireplace
					 must be securely screened or equipped with protective guards while in
					 use.
(b) A fireplace chimney and
					 flue shall be cleaned when there is an accumulation of creosote. Written
					 documentation of the cleaning shall be kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.130 - Smoke detectors and fire alarms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There shall be an operable automatic
					 smoke detector located within 15 feet of each bedroom door.
(b) The smoke detectors specified in
					 subsection (a) shall be located in hallways.
(c) Smoke detectors and fire alarms must be
					 of a type approved by the Department of Labor and Industry, the appropriate
					 local building authority or local fire safety expert, or listed by Underwriters
					 Laboratories.
(d) If the home
					 serves nine or more residents, there shall be at least one smoke detector on
					 each floor interconnected and audible throughout the home or an automatic fire
					 alarm system that is interconnected and audible throughout the home.
(e) If one or more residents or staff persons
					 are not able to hear the smoke detector or fire alarm system, a signaling
					 device approved by a fire safety expert shall be used and tested so that each
					 resident and staff person with a hearing impairment will be alerted in the
					 event of a fire.
(f) Smoke
					 detectors and fire alarms shall be tested for operability at least once per
					 month. A written record of the monthly testing shall be kept.
(g) If a smoke detector or fire alarm becomes
					 inoperative, repair shall be completed within 48 hours of the time the detector
					 or alarm was found to be inoperative.
(h) The home's emergency procedures shall
					 indicate the procedures that will be immediately implemented until the smoke
					 detector or fire alarms are operable.
(i) In homes housing five or more residents
					 with mobility needs, the fire alarm system shall be directly connected to the
					 local fire department or 24-hour monitoring service approved by the local fire
					 department, if this service is available in the community.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.131 - Fire extinguishers

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 There shall be at least one operable fire extinguisher with a minimum 2-A
					 rating for each floor, including the basement and attic.
(b) If the indoor floor area on a floor
					 including the basement or attic is more than 3,000 square feet, there shall be
					 an additional fire extinguisher with a minimum 2-A rating for each additional
					 3,000 square feet of indoor floor space.
(c) A fire extinguisher with a minimum
					 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher must
					 meet the requirements for one floor as required in subsection (a).
(d) Fire extinguishers must be listed by
					 Underwriters Laboratories or approved by Factory Mutual Systems.
(e) Fire extinguishers shall be accessible to
					 staff persons. Fire extinguishers shall be kept locked if access to the
					 extinguisher by a resident could cause a safety risk to the resident. If fire
					 extinguishers are kept locked, each staff person shall be able to immediately
					 unlock the fire extinguisher in the event of a fire emergency.
(f) Fire extinguishers shall be inspected and
					 approved annually by a fire safety expert. The date of the inspection shall be
					 on the extinguisher.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.132 - Fire drills

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 unannounced fire drill shall be held at least once a month.
(b) A fire safety inspection and fire drill
					 conducted by a fire safety expert shall be completed annually. Documentation of
					 this fire drill and fire safety inspection shall be kept.
(c) A written fire drill record must include
					 the date, time, the amount of time it took for evacuation, the exit route used,
					 the number of residents in the home at the time of the drill, the number of
					 residents evacuated, the number of staff persons participating, problems
					 encountered and whether the fire alarm or smoke detector was
					 operative.
(d) Residents shall be
					 able to evacuate the entire building to a public thoroughfare, or to a
					 fire-safe area designated in writing within the past year by a fire safety
					 expert within the period of time specified in writing within the past year by a
					 fire safety expert. For purposes of this subsection, the fire safety expert may
					 not be a staff person of the home.
(e) A fire drill shall be held during
					 sleeping hours once every 6 months.
(f) Alternate exit routes shall be used
					 during fire drills.
(g) Fire drills
					 shall be held on different days of the week, at different times of the day and
					 night, not routinely held when additional staff persons are present and not
					 routinely held at times when resident attendance is low.
(h) Residents shall evacuate to a designated
					 meeting place away from the building or within the fire-safe area during each
					 fire drill.
(i) A fire alarm or
					 smoke detector shall be set off during each fire drill.
(j) Elevators may not be used during a fire
					 drill or a fire.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › FIRE SAFETY › Section 2600.133 - Exit signs

Current through Register Vol. 54, No. 28, July 13, 2024
The following requirements apply for a home serving nine
						or more residents:
(1) Signs bearing
					 the word "EXIT" in plain legible letters shall be placed at all
					 exits.
(2) If the exit or way to
					 reach the exit is not immediately visible, access to exits shall be marked with
					 readily visible signs indicating the direction to travel.
(3) Exit sign letters must be at least 6
					 inches in height with the principal strokes of letters at least 3/4 inch
					 wide.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT HEALTH › Section 2600.141 - Resident medical evaluation and health care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A resident shall have a medical
					 evaluation by a physician, physician's assistant or certified registered nurse
					 practitioner documented on a form specified by the Department, within 60 days
					 prior to admission or within 30 days after admission. The evaluation must
					 include the following:
(1) A general physical
					 examination by a physician, physician's assistant or nurse
					 practitioner.
(2) Medical diagnosis
					 including physical or mental disabilities of the resident, if any.
(3) Medical information pertinent to
					 diagnosis and treatment in case of an emergency.
(4) Special health or dietary needs of the
					 resident.
(5) Allergies.
(6) Immunization history.
(7) Medication regimen, contraindicated
					 medications, medication side effects and the ability to self-administer
					 medications.
(8) Body positioning
					 and movement stimulation for residents, if appropriate.
(9) Health status.
(10) Mobility assessment, updated annually or
					 at the Department's request.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT HEALTH › Section 2600.142 - Assistance with health care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The home shall assist the resident to
					 secure medical care if a resident's health status declines. The home shall
					 document the resident's need for the medical care, including updating the
					 resident's assessment and support plan.
(b) If a resident refuses routine medical or
					 dental examination or treatment, the refusal and the continued attempts to
					 educate and inform the resident about the need for health care shall be
					 documented in the resident's record.
(c) If a resident has a serious medical or
					 dental condition, reasonable efforts shall be made to obtain consent for
					 treatment from the resident or the resident's designated person.
(d) The home shall assist the resident to
					 secure preventative medical, dental, vision and behavioral health care as
					 requested by a physician, physician's assistant or certified registered nurse
					 practitioner.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT HEALTH › Section 2600.143 - Emergency medical plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The home shall have a written emergency medical plan that includes the
					 following:
(1) The hospital or source of
					 health care that will be used in an emergency. This shall be the resident's
					 choice, if possible.
(2) Emergency
					 transportation to be used.
(3) An
					 emergency-staffing plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › RESIDENT HEALTH › Section 2600.144 - Use of tobacco

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home
					 may permit smoking tobacco in a designated smoking room of the home.
(b) The home rules shall specify whether the
					 home is designated as smoking or nonsmoking.
(c) A home that permits smoking inside or
					 outside of the home shall develop and implement written fire safety policy and
					 procedures that include the following:
(1)
					 Proper safeguards inside and outside of the home to prevent fire hazards
					 involved in smoking, including providing fireproof receptacles and ashtrays,
					 direct outside ventilation, no interior ventilation from the smoking room
					 through other parts of the home, extinguishing procedures, fire resistant
					 furniture both inside and outside the home and fire extinguishers in the
					 smoking rooms.
(2) Location of a
					 smoking room or outside smoking area a safe distance from heat sources, hot
					 water heaters, combustible or flammable materials and away from common walkways
					 and exits.
(3) Prohibition of the
					 use of tobacco during transportation by the home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › NUTRITION › Section 2600.161 - Nutritional adequacy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Meals
					 shall be offered that meet the recommended dietary allowances established by
					 the United States Department of Agriculture.
(b) At least three nutritionally
					 well-balanced meals shall be offered daily to the resident. Each meal shall
					 include an alternative food and drink item from which the resident may
					 choose.
(c) Additional portions of
					 meals and beverages at mealtimes shall be available for the resident.
(d) A resident's special dietary needs as
					 prescribed by a physician, physician's assistant, certified registered nurse
					 practitioner or dietitian shall be met. Documentation of the resident's special
					 dietary needs shall be kept in the resident's record.
(e) Dietary alternatives shall be available
					 for a resident who has special health needs or religious beliefs regarding
					 dietary restrictions.
(f) Drinking
					 water shall be available to the residents at all times.
This section cited in 55 Pa. Code § 2600.162
						  (relating to meals).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › NUTRITION › Section 2600.162 - Meals

Current through Register Vol. 54, No. 28, July 13, 2024
(a) There may not
					 be more than 15 hours between the evening meal and the first meal of the next
					 day. There may not be more than 6 hours between breakfast and lunch, and
					 between lunch and supper. This requirement does not apply if a resident's
					 physician has prescribed otherwise.
(b) When a resident misses a meal, food
					 adequate to meet daily nutritional requirements shall be available and offered
					 to the resident.
(c) Menus, stating
					 the specific food being served at each meal, shall be prepared for 1 week in
					 advance and shall be followed. Weekly menus shall be posted 1 week in advance
					 in a conspicuous and public place in the home.
(d) Past menus of meals that were served,
					 including changes, shall be kept for at least 1 month.
(e) A change to a menu shall be posted in a
					 conspicuous and public place in the home and shall be accessible to a resident
					 in advance of the meal. Meal substitutions shall be made in accordance with
					 §
											2600.161 (relating to nutritional
					 adequacy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › NUTRITION › Section 2600.163 - Personal hygiene for food service workers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Staff persons, volunteers and residents
					 involved in the storage, preparation, serving and distributing of food shall
					 wash their hands with hot water and soap prior to working in the kitchen areas
					 and after using the bathroom.
(b)
					 Staff persons, volunteers and residents shall follow sanitary practices while
					 working in the kitchen areas.
(c)
					 Staff persons, volunteers and residents involved with the storage, preparation,
					 serving and distributing of food shall be in good health.
(d) Staff persons, volunteers and residents
					 who have a discharging or infected wound, sore, lesion on hands, arms or any
					 exposed portion of their body may not work in the kitchen areas in any
					 capacity.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › NUTRITION › Section 2600.164 - Withholding or forcing of food prohibited

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home may not withhold meals, beverages,
					 snacks or desserts as punishment. Food and beverages may be withheld in
					 accordance with prescribed medical or dental procedures.
(b) A resident may not be forced to eat
					 food.
(c) If a resident refuses to
					 eat or drink continuously during a 24-hour period, the resident's primary care
					 physician and the resident's designated person shall be immediately
					 notified.
(d) If a resident has a
					 cognitive impairment that affects the resident's ability to consume adequate
					 amounts of food and water, a staff person shall encourage and remind the
					 resident to eat and drink.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › TRANSPORTATION › Section 2600.171 - Transportation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home may not
					 be required to provide transportation.
(b) The following requirements apply whenever
					 staff persons or volunteers of the home provide transportation for the
					 resident:
(1) The occupants of the vehicle
					 shall be in an appropriate safety restraint at all times the vehicle is in
					 motion.
(2) The driver of a vehicle
					 shall be 18 years of age or older and possess a valid driver's
					 license.
(3) The driver of the home
					 vehicle cannot be a resident.
(4)
					 At least one staff member transporting or accompanying the residents shall have
					 completed the initial new hire direct care staff person training as specified
					 in §
												2600.65 (relating to direct care
					 staff training and orientation).
(5) The vehicle must have a first aid kit
					 with the contents as specified in §
												2600.96 (relating to first aid
					 kit).
(6) During vehicle
					 operations, the driver may only use a hands-free cellular telephone.
(7) Transportation shall include, when
					 necessary, an assistant to the driver who assists the driver to escort
					 residents in and out of the home and provides assistance during the
					 trip.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.181 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A home shall
					 provide residents with assistance, as needed, with medication prescribed for
					 the resident's self-administration. This assistance includes helping the
					 resident to remember the schedule for taking the medication, storing the
					 medication in a secure place and offering the resident the medication at the
					 prescribed times.
(b) If assistance
					 includes helping the resident to remember the schedule for taking the
					 medication, the resident shall be reminded of the prescribed
					 schedule.
(c) The resident's
					 assessment shall identify if the resident is able to self-administer
					 medications as specified in §
											2600.227(e)
					 (relating to development of the support plan). A resident who desires to
					 self-administer medications shall be assessed by a physician, physician's
					 assistant or certified registered nurse practitioner regarding the ability to
					 self-administer and the need for medication reminders.
(d) If the resident does not need assistance
					 with medication, medication may be stored in a resident's room for
					 self-administration. Medications stored in the resident's room shall be kept
					 locked in a safe and secure location to protect against contamination, spillage
					 and theft.
(e) To be considered
					 capable to self-administer medications, a resident shall:
(1) Be able to recognize and distinguish his
					 medication.
(2) Know how much
					 medication is to be taken.
(3) Know
					 when medication is to be taken.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.182 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 home may provide medication administration services for a resident who is
					 assessed to need medication administration services in accordance with §
											2600.181 (relating to
					 self-administration) and for a resident who chooses not to self-administer
					 medications. If a home does not provide medication administration services, the
					 resident shall be referred to an appropriate assessment agency.
(b) Prescription medication that is not
					 self-administered by a resident shall be administered by one of the following:
(1) A physician, licensed dentist, licensed
					 physician's assistant, registered nurse, certified registered nurse
					 practitioner, licensed practical nurse or licensed paramedic.
(2) A graduate of an approved nursing program
					 functioning under the direct supervision of a professional nurse who is present
					 in the home.
(3) A student nurse of
					 an approved nursing program functioning under the direct supervision of a
					 member of the nursing school faculty who is present in the home.
(4) A staff person who has completed the
					 medication administration training as specified in §
												2600.190 (relating to medication
					 administration training) for the administration of oral; topical; eye, nose and
					 ear drop prescription medications; insulin injections and epinephrine
					 injections for insect bites or other allergies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.183 - Storage and disposal of medications and medical supplies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription medications, OTC medications
					 and CAM shall be kept in their original labeled containers and may not be
					 removed more than 2 hours in advance of the scheduled administration.
					 Assistance with insulin and epinephrine injections and sterile liquids shall be
					 provided immediately upon removal of the medication from its
					 container.
(b) Prescription
					 medications, OTC medications, CAM and syringes shall be kept in an area or
					 container that is locked. This includes medications and syringes kept in the
					 resident's room.
(c) Prescription
					 medications, OTC medications and CAM stored in a refrigerator shall be kept in
					 an area or container that is locked.
(d) Only current prescription, OTC, sample
					 and CAM for individuals living in the home may be kept in the home.
(e) Prescription medications, OTC medications
					 and CAM shall be stored in an organized manner under proper conditions of
					 sanitation, temperature, moisture and light and in accordance with the
					 manufacturer's instructions.
(f)
					 Prescription medications, OTC medications and CAM that are discontinued,
					 expired or for residents who are no longer served at the home shall be
					 destroyed in a safe manner according to the Department of Environmental
					 Protection and Federal and State regulations. When a resident permanently
					 leaves the home, the resident's medications shall be given to the resident, the
					 designated person, if any, or the person or entity taking responsibility for
					 the new placement on the day of departure from the home.
(g) Subsections (a) and (e) do not apply to a
					 resident who self-administers medication and stores the medication in his
					 room.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.184 - Labeling of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 original container for prescription medications shall be labeled with a
					 pharmacy label that includes the following:
(1) The resident's name.
(2) The name of the medication.
(3) The date the prescription was
					 issued.
(4) The prescribed dosage
					 and instructions for administration.
(5) The name and title of the
					 prescriber.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.185 - Accountability of medication and controlled substances

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The home shall develop and implement
					 procedures for the safe storage, access, security, distribution and use of
					 medications and medical equipment by trained staff persons.
(b) At a minimum, the procedures must
					 include:
(1) Documentation of the receipt of
					 controlled substances and prescription medications.
(2) A process to investigate and account for
					 missing medications and medication errors.
(3) Limited access to medication storage
					 areas.
(4) Documentation of the
					 administration of prescription medications, OTC medications and CAM for
					 residents who receive medication administration services or assistance with
					 self-administration. This requirement does not apply to a resident who
					 self-administers medication without the assistance of a staff person and stores
					 the medication in his room.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.186 - Prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each
					 prescription medication must be prescribed in writing by an authorized
					 prescriber. Prescription orders shall be kept current.
(b) Prescription medications shall be used
					 only by the resident for whom the prescription was prescribed.
(c) Changes in medication may only be made in
					 writing by the prescriber, or in the case of an emergency, an alternate
					 prescriber, except for circumstances in which oral orders may be accepted by
					 nurses in accordance with regulations of the Department of State. The
					 resident's medication record shall be updated as soon as the home receives
					 written notice of the change.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.187 - Medication records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 medication record shall be kept to include the following for each resident for
					 whom medications are administered:
(1)
					 Resident's name.
(2) Drug
					 allergies.
(3) Name of
					 medication.
(4) Strength.
(5) Dosage form.
(6) Dose.
(7) Route of administration.
(8) Frequency of administration.
(9) Administration times.
(10) Duration of therapy, if
					 applicable.
(11) Special
					 precautions, if applicable.
(12)
					 Diagnosis or purpose for the medication, including pro re nata (PRN).
(13) Date and time of medication
					 administration.
(14) Name and
					 initials of the staff person administering the medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.188 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medication errors include the following:
(1)
					 Failure to administer a medication.
(2) Administration of the wrong
					 medication.
(3) Administration of
					 the wrong amount of medication.
(4)
					 Failure to administer a medication at the prescribed time.
(5) Administration to the wrong
					 resident.
(6) Administration
					 through the wrong route.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.189 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If a
					 resident has a suspected adverse reaction to a medication, the home shall
					 immediately consult a physician or seek emergency medical treatment. The
					 resident's designated person shall be notified, if applicable.
(b) The home shall document adverse
					 reactions, the prescriber's response and any action taken in the resident's
					 record.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.190 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A staff person who has successfully
					 completed a Department-approved medications administration course that includes
					 the passing of the Department's performance-based competency test within the
					 past 2 years may administer oral; topical; eye, nose and ear drop prescription
					 medications and epinephrine injections for insect bites or other
					 allergies.
(b) A staff person is
					 permitted to administer insulin injections following successful completion of a
					 Department-approved medications administration course that includes the passing
					 of a written performance-based competency test within the past 2 years, as well
					 as successful completion of a Department-approved diabetes patient education
					 program within the past 12 months.
(c) A record of the training shall be kept
					 including the staff person trained, the date, source, name of trainer and
					 documentation that the course was successfully completed.
This section cited in 55 Pa. Code 2600.182 (relating to
						  medication administration).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › MEDICATIONS › Section 2600.191 - Resident education

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall educate the resident of the right to
						question or refuse a medication if the resident believes there may be a
						medication error. Documentation of this resident education shall be
						kept.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SAFE MANAGEMENT TECHNIQUES › Section 2600.201 - Safe management techniques

Current through Register Vol. 54, No. 28, July 13, 2024
The home shall use positive interventions to modify or
						eliminate a behavior that endangers the resident himself or others. Positive
						interventions include improving communications, reinforcing appropriate
						behavior, redirection, conflict resolution, violence prevention, praise,
						deescalation techniques and alternative techniques or methods to identify and
						defuse potential emergency situations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SAFE MANAGEMENT TECHNIQUES › Section 2600.202 - Prohibitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following procedures are prohibited:
(1) Seclusion, defined as involuntary
					 confinement of a resident in a room from which the resident is physically
					 prevented from leaving, is prohibited. This does not include the admission of a
					 resident in a secured dementia care unit in accordance with §
											2600.231 (relating to
					 admission).
(2) Aversive
					 conditioning, defined as the application of startling, painful or noxious
					 stimuli, is prohibited.
(3)
					 Pressure point techniques, defined as the application of pain for the purpose
					 of achieving compliance, is prohibited.
(4) A chemical restraint, defined as use of
					 drugs or chemicals for the specific and exclusive purpose of controlling acute
					 or episodic aggressive behavior, is prohibited. A chemical restraint does not
					 include a drug ordered by a physician or dentist to treat the symptoms of a
					 specific mental, emotional or behavioral condition, or as pretreatment prior to
					 a medical or dental examination or treatment.
(5) A mechanical restraint, defined as a
					 device that restricts the movement or function of a resident or portion of a
					 resident's body, is prohibited. Mechanical restraints include geriatric chairs,
					 handcuffs, anklets, wristlets, camisoles, helmet with fasteners, muffs and
					 mitts with fasteners, poseys, waist straps, head straps, papoose boards,
					 restraining sheets, chest restraints and other types of locked restraints. A
					 mechanical restraint does not include a device used to provide support for the
					 achievement of functional body position or proper balance that has been
					 prescribed by a medical professional as long as the resident can easily remove
					 the device.
(6) A manual restraint,
					 defined as a hands-on physical means that restricts, immobilizes or reduces a
					 resident's ability to move his arms, legs, head or other body parts freely, is
					 prohibited. A manual restraint does not include prompting, escorting or guiding
					 a resident to assist in the ADLs or IADLs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.221 - Activities program

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 administrator shall develop a program of activities designed to promote each
					 resident's active involvement with other residents, the resident's family and
					 the community.
(b) The program must
					 provide social, physical, intellectual and recreational activities in a
					 planned, coordinated and structured manner.
(c) A current weekly activity calendar shall
					 be posted in a conspicuous and public place in the home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.222 - Community social services

Current through Register Vol. 54, No. 28, July 13, 2024
Residents shall be encouraged and assisted in the access
						to and use of social services in the community which may benefit the resident,
						including a county mental health and intellectual disability program, a drug
						and alcohol program, a senior citizens center, an area agency on aging or a
						home health care agency.
The provisions of this §
													2600.222 amended under sections
						  211 and 213 and Articles IX and X of the Human Services Code (62 P.S.
						  §§
														211,
						  213,
						  901-922 and
						  1001-1088).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.223 - Description of services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 home shall have a current written description of services and activities that
					 the home provides including the following:
(1)
					 The scope and general description of the services and activities that the home
					 provides.
(2) The criteria for
					 admission and discharge.
(3)
					 Specific services that the home does not provide, but will arrange or
					 coordinate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.224 - Preadmission screening

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 determination shall be made within 30 days prior to admission and documented on
					 the Department's preadmission screening form that the needs of the resident can
					 be met by the services provided by the home.
(b) An applicant whose personal care service
					 needs cannot be met by the home shall be referred to a local appropriate
					 assessment agency.
(c) The
					 preadmission screening shall be completed by the administrator or designee. If
					 the resident is referred by a State-operated facility, a county mental health
					 and intellectual disability program, a drug and alcohol program or an area
					 agency on aging, a representative of the referral agent may complete the
					 preadmission screening.
The provisions of this §
													2600.224 amended under sections
						  211 and 213 and Articles IX and X of the Human Services Code (62 P.S.
						  §§
														211,
						  213,
						  901-922 and
						  1001-1088).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.225 - Initial and annual assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A resident shall have a written initial
					 assessment that is documented on the Department's assessment form within 15
					 days of admission. The administrator or designee, or a human service agency may
					 complete the initial assessment.
(b) A home may use its own assessment form if
					 it includes the same information as the Department's assessment form.
(c) The resident shall have additional
					 assessments as follows:
(1)
					 Annually.
(2) If the condition of
					 the resident significantly changes prior to the annual assessment.
(3) At the request of the Department upon
					 cause to believe that an update is required.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.226 - Mobility criteria

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 resident shall be assessed for mobility needs as part of the resident's
					 assessment.
(b) If a resident is
					 determined to have mobility needs as part of the initial or annual assessment,
					 specific requirements relating to the care, health and safety of the resident
					 shall be met immediately.
(c) The
					 administrator shall notify the Department's personal care home regional office
					 within 30 days after a resident with mobility needs is admitted to the home or
					 the date when a resident develops mobility needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SERVICES › Section 2600.227 - Development of the support plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A resident requiring personal care
					 services shall have a written support plan developed and implemented within 30
					 days of admission to the home. The support plan shall be documented on the
					 Department's support plan form.
(b)
					 A home may use its own support plan form if it includes the same information as
					 the Department's support plan form.
(c) The support plan shall be revised within
					 30 days upon completion of the annual assessment or upon changes in the
					 resident's needs as indicated on the current assessment.
(d) Each home shall document in the
					 resident's support plan the medical, dental, vision, hearing, mental health or
					 other behavioral care services that will be made available to the resident, or
					 referrals for the resident to outside services if the resident's physician,
					 physician's assistant or certified registered nurse practitioner, determine the
					 necessity of these services. This requirement does not require a home to pay
					 for the cost of these medical and behavioral care services.
(e) The resident's support plan must document
					 the ability of the resident to self-administer medications or the need for
					 medication reminders or medication administration.
(f) A resident may participate in the
					 development and implementation of the support plan. A resident may include a
					 designated person in making decisions about services.
(g) Individuals who participate in the
					 development of the support plan shall sign and date the support plan.
(h) If a resident or designated person is
					 unable or chooses not to sign the support plan, a notation of inability or
					 refusal to sign shall be documented.
(i) The support plan shall be accessible by
					 direct care staff persons at all times.
(j) The home shall give a copy of the support
					 plan to the resident and the resident's designated person upon
					 request.
This section cited in 55 Pa. Code §
													2600.181 (relating to
						  self-administration).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2600 - PERSONAL CARE HOMES › SECURED DEMENTIA CARE UNITS › Section 2600.231 - Admission

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This section
					 and §§
											2600.232-2600.239 apply to secured dementia
					 care units. These provisions are in addition to the other provisions of this
					 chapter. A secured dementia care unit is a home or portion of a home that
					 provides specialized care and services for residents with Alzheimer's disease
					 or other dementia.
(b) A resident
					 shall have a medical evaluation by a physician, physician's assistant or
					 certified registered nurse practitioner, documented on a form provided by the
					 Department, within 60 days prior to admission. Documentation shall include the
					 resident's diagnosis of Alzheimer's disease or other dementia and the need for
					 the resident to be served in a secured dementia care unit.
(c) A written cognitive preadmission
					 screening completed in collaboration with a physician or a geriatric assessment
					 team and documented on the Department's preadmission screening form shall be
					 completed for each resident within 72 hours prior to admission to a secured
					 dementia care unit.
(d) A geriatric
					 assessment team is a group of multidisciplinary specialists in the care of
					 adults who are older that conducts a multidimensional evaluation of a resident
					 and assists in developing a support plan by working with the resident's
					 physician, designated person and family to coordinate the resident's
					 care.
(e) Each resident record must
					 have documentation that the resident and the resident's designated person have
					 not objected to the resident's admission or transfer to the secured dementia
					 care unit.
(f) In addition to the
					 requirements in §
											2600.225 (relating to initial and
					 annual assessment), the resident shall also be assessed annually for the
					 continuing need for the secured dementia care unit.
(g) An individual who does not have a primary
					 diagnosis of Alzheimer's disease or other dementia may reside in the secured
					 dementia care unit if desired by the resident.
(1) The individual shall have a medical
					 evaluation by a physician, physician's assistant or certified registered nurse
					 practitioner, documented on a form provided by the Department, within 60 days
					 prior to residence or 30 days after residence.
(2) If the medical evaluation shows that
					 personal care services are needed, the requirements of this chapter
					 apply.
(3) The individual shall
					 have access to and be able to follow directions for the operation of the key
					 pads or other lock-releasing devices to exit the secured dementia care
					 unit.