Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-4 - Definitions

Current through July 13, 2024
(a) Except as otherwise specified, the
				terminology used in these rules is the standard terminology and has the
				standard meaning used in healthcare, including nursing care
				facilities.
(b) The following
				definitions shall apply in the interpretation and enforcement of these Rules.
(i) "Certified Occupational Therapist
				Assistant (COTA)" means a person licensed in Wyoming to assist in the practice
				of occupational therapy, and who works under the supervision of a Registered
				Occupational Therapist.
(ii) "Chief
				Administrative Officer" means the Director, Department of Health per W.S.
				§
										
											9-2-101(e), or the
				designated licensure representative.
(iii) "CNA" means a person who is certified
				to practice as a Certified Nursing Assistant by the Wyoming Board of
				Nursing.
(iv) "Complaint" means a
				formal allegation of injustice or perceived harm referred to an outside party
				or agency.
(v) "Complaint
				Investigations" means those investigations required to be performed by the Long
				Term Care Ombudsman as established in W.S. §
										
											9-2-1301 through
				1309 or by the State Survey Agency as per the Agreement between the Secretary
				of the U.S. Department of Health and Human Services and the State of Wyoming
				dated June 18, 1985.
(vi)
				"Consultant Dietitian" means a dietitian who provides dietary consultation on a
				frequent and regularly scheduled basis.
(vii) "Dietitian" means a person who is
				registered by the American Dietetic Association and provides nutritional and
				dietary services.
(viii) "Dietetic
				Service Supervisor" means an individual who has at least a high school
				education or equivalent and has completed courses in food service supervision,
				but is not a Registered Dietitian.
(ix) "Facility" means a Nursing Care
				Facility.
(x) "Governing Body"
				means the individual(s), group, or corporation that has the ultimate authority
				and responsibility for establishing resident care policies, personnel policies,
				and shall designate a Wyoming licensed Nursing Home Administrator for the
				Nursing Care Facility.
(xi)
				"Grievance" means a concern of inequitable or inaccurate action that is handled
				through the facility's internal grievance procedure.
(xii) "Health Care Services" includes but is
				not limited to nursing, physical therapy, speech pathology, occupational
				therapy, respiratory therapy, social work, certified nurse assistant services,
				and dietary services. All staff shall be certified, licensed or registered in
				accordance with Wyoming State Statutes.
(xiii) "License" means the authority granted
				by the Licensing Division to operate a Nursing Care Facility.
(xiv) "Licensee" means any person,
				association, partnership, or corporation holding a Wyoming Nursing Care
				Facility license.
(xv) "Licensing
				Division" means the Department of Health, Office of Health Quality.
(xvi) "Licensed Practical Nurse (LPN)" means
				a person who is licensed to practice as a Licensed Practical Nurse by the
				Wyoming Board of Nursing pursuant to W.S. §
										
											33-21-120.
(xvii) "Nosocomial Infection" means an
				infection acquired in the Nursing Care Facility.
(xviii) "Nursing Care Facility" means an
				institution which is a skilled nursing facility (SNF) or a nursing facility
				(NF) which is currently licensed and meets the requirements of these rules and
				regulations.
(xix) "Nursing Home
				Administrator" means a person who operates, manages, supervises, or is in
				charge of a Nursing Care Facility; and is licensed by the Wyoming Board of
				Nursing Home Administrators.
(xx)
				"Occupational Therapist" means a person who is licensed by the Wyoming Board of
				Occupational Therapy to practice as a Registered Occupational Therapist
				pursuant to W.S. §
										
											33-40-102(a)(iv).
(xxi) "Ombudsman" means the Long Term Care
				Ombudsman as established in W .S. §
										
											9-2-1301 through
				9-2-1309.
(xxii) "Pharmacist" means a person who is
				licensed by the Wyoming Board of Pharmacy to practice pharmacy.
(xxiii) "Physical Therapy Assistant" means a
				person who is licensed by the Wyoming Board of Physical Therapy to practice as
				a Physical Therapy Assistant pursuant to W.S. §
										
											33-25-101(a)(ii).
(xxiv) "Physical Therapy" means the
				evaluation, instruction or treatment of a human being to prevent, correct,
				alleviate or limit physical disability due to injury, disease or any other
				physical or mental condition by the utilization of physical measures and
				rehabilitative procedures including training in functional activities and the
				performance and interpretation of tests and measurements of body functions as
				an aid in the examination, evaluation or treatment of any human condition for
				the purpose of correcting or alleviating an individual physical or mental
				disability. Physical therapy is provided by a Physical Therapist or by a
				Physical Therapy Assistant under the supervision of a Physical
				Therapist.
(xxv) "Physical
				Therapist" means a person who is licensed to practice physical therapy in the
				State of Wyoming pursuant to W.S. §
										
											33-25-101(a)(v).
(xxvi) "Program Administration" means the
				rules and regulations promulgated by the Department of Health as developed by
				the Program Division for the day-to-day operation of a nursing care
				facility.
(xxvii) "Program
				Division" means the Department of Health, Aging Division.
(xxviii) "Registered Nurse (RN)" means a
				person who is a graduate of an approved school of professional nursing, who is
				currently licensed to practice as a Registered Nurse by the Wyoming Board of
				Nursing pursuant to W.S.§
										
											33-21-120
				et. seq.
(xxix) "Respiratory Care"
				means the health specialty responsible for the treatment, management,
				diagnostic testing, control, and care of residents with deficiencies and
				abnormalities associated with the cardiopulmonary system.
(xxx) "Resident" means an individual residing
				in and receiving care in a Nursing Care Facility.
(xxxi) "Social Services" means those services
				provided according to the resident's plan of care by a Social Worker, or by a
				Social Service Associate with appropriate supervision as required by the
				Wyoming Mental Health Professions Licensing Board.
(A) "Social Worker" means a person who is
				licensed to practice as a Clinical Social Worker (LCSW) or certified to
				practice as a Social Worker (CSW) by the Wyoming Mental Health Professions
				Licensing Board.
(B) "Social
				Service Associate" means a person who has a degree in social work or closely
				related field and has at least one (1) year of social services experience in a
				health care setting; or,
(I) A person who has
				at least two (2) years of experience in social services in a health care
				setting and receives regular consultation from a social worker or recognized
				social service agency.
(xxxii) "Speech Language Pathologist" means a
				person who is licensed in the State of Wyoming to practice speech language
				pathology.
(xxxiii) "Speech
				Pathology" means the application of principles, methods, and procedures for the
				measurement, testing, evaluation, prediction, counseling, instruction,
				habilitation or rehabilitation related to the development and disorders of
				speech, voice, or language for the purpose of preventing, evaluating,
				modifying, or ameliorating such disorders and conditions in individuals or
				groups or individuals.
(xxxiv)
				"State Survey Agency" means the Department of Health, Office of Health Quality
				which has the primary responsibility to determine whether or not health care
				providers/suppliers meet federal certification standards to participate in the
				Medicaid and/or Medicare programs as per the Agreement between the Secretary of
				the U.S. Department of Health and Human Services and the State of Wyoming dated
				June 18, 1985.
(xxxv) "Survey"
				means an on-site evaluation conducted by the Survey Division or its designated
				representative to determine compliance with State rules and regulations for
				Nursing Care Facilities.
(xxxvi)
				"Survey Division" means the Department of Health, Office of Health
				Quality.
(xxxvii) "Therapy Service"
				includes physical therapy, occupational therapy, and speech language
				therapy.