reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 10 - PROGRAM ADMINISTRATION OF HOSPICE PROGRAMS › Section 10-15 - Incorporation by Reference

Current through July 13, 2024
(a) Any code, standard, rule, or regulation
				incorporated by reference does not include any later amendments or editions of
				the incorporated matter beyond the applicable date identified in subsection (b)
				of this section.
(b) Each rule
				incorporated by reference is further identified as follows:
(i) Chapter 2 - Uniform Rules for Contested
				Case Practice and Procedure, adopted by the Office of Administrative Hearings,
				effective on October 17, 2014, found at:
				http://soswy.state.wy.us/Rules/RULES/9644.pdf.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										9-2-1204 et seq. and the Wyoming
				  Administrative Procedures Act at W.S. §
									
										16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-5 - Organization and Administration

Current through July 13, 2024
(a) Governing Body. The Nursing Care Facility
				shall have a governing body which has the legal authority and responsibility to
				operate the Nursing Care Facility. The governing body shall:
(i) Appoint a full-time, on premise,
				administrator qualified by education, training and experience as established by
				the Wyoming Board of Nursing Home Administrators.
(A) The administrator shall have a current
				license as a Wyoming Licensed Nursing Home Administrator.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-6 - Physical Environment

Current through July 13, 2024
(a) The building(s) of the Nursing Care
				Facility shall be constructed, arranged and maintained to ensure the health and
				welfare of all residents.
(i) An employee
				shall be designated responsible for services and for the establishment of
				policies and procedures in each of the following areas:
(A) Plant maintenance;
(B) Laundry operations; and
(C) General housekeeping.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-7 - Housekeeping, Laundry, and Maintenance Services

Current through July 13, 2024
(a) Housekeeping and Maintenance Services.
				Sufficient numbers of adequately trained housekeeping and maintenance personnel
				shall be available to maintain the interior and exterior of the facility in a
				safe, clean, orderly and attractive manner.
(i) Personnel shall follow approved practices
				and procedures and use approved products.
(ii) The facility shall be free from
				offensive odors, accumulations of dirt, rubbish, and dust.
(iii) Janitor closets shall be kept
				locked.
(iv) Floors shall be
				cleaned regularly by approved methods.
(A)
				Polishes on floors shall provide a nonslip finish; throw or scatter rugs shall
				be prohibited, unless they have been tested by the facility and found to be
				non-skid, and are safe for resident use.
(B) Household straw brooms shall be used only
				at entrances and exits of the building.
(C) Cleaning procedures shall include
				frequent water changes and the use of an approved chemical disinfectant for
				medical facilities.
(v)
				Deodorizers or aerosol air fresheners shall not be used except in extraordinary
				circumstances. Routine usage of these items shall be prohibited to cover up
				poor cleaning practices.
(vi) The
				grounds shall be kept free from refuse and litter. Areas around buildings,
				sidewalks, gardens and patios shall be kept clear of dense
				undergrowth.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-8 - Physician Services

Current through July 13, 2024
(a) There shall be available to the facility,
				prior to or at the time of admission, resident information which includes
				current medical findings, diagnoses, and orders from a physician for the
				immediate care of the resident.
(i) If the
				resident information is not immediately available, the facility shall be
				responsible for contacting a physician to obtain temporary medical
				orders.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-9 - Nursing Services

Current through July 13, 2024
(a) The facility shall have sufficient
				nursing staff to meet the needs of the residents.
(i) Director of Nursing Services. The
				facility shall designate a Registered Nurse to be a full-time director of
				nursing services, and he/she shall have experience in areas such as nursing
				service administration, rehabilitation nursing, psychiatric or geriatric
				nursing. The director of nursing services shall be responsible for:
(A) Developing policies and procedures for
				the nursing department, participating in the implementation of resident care
				policies and bringing patient care problems requiring changes in policy to the
				attention of the administrator.
(B)
				Recommending to the administrator the number and levels of nursing personnel to
				be employed, participating in their recruitment and selection, and recommending
				termination of employment when necessary.
(C) Staffing, assigning, supervising and
				evaluating the performance of all levels of nursing personnel.
(D) Participating in planning and budgeting
				for nursing service.
(E)
				Establishing written procedures to ensure that nursing personnel, for whom
				licensure or certification is required, have a valid and current license or
				certification to practice in Wyoming. Documentation shall be by a photostatic
				copy of each license or certificate.
(F) Insuring daily nursing rounds are
				conducted to ensure each resident receives adequate care to meet his/her
				needs.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-10 - Discharge Planning

Current through July 13, 2024
(a) The facility shall maintain a
				centralized, coordinated program to ensure that each resident has a planned
				program of continuing care which meets the post discharge needs.
(i) The administrator shall delegate
				responsibility for discharge planning, in writing, to one (1) or more members
				of the facility's staff, with consultation, if necessary, or arrange for this
				service to be provided by a health, social or welfare agency.
(ii) The facility shall have in operation an
				organized discharge planning program.
(A)
				This program shall include the resident, physician(s), nurses, social services
				personnel, dietitian, and therapists to identify problems and goals thus
				preparing the resident for the next level of care and arranging for placement
				in the appropriate care environment.
(iii) The facility shall maintain written
				discharge planning procedures which describe:
(A) How the discharge coordinator will
				function, and his/her authority and relationship with the facility's
				staff.
(B) The time period in which
				each resident's need for discharge planning is determined (preferably within
				seven (7) days after the day of admission).
(C) The maximum time period after which a
				reevaluation of each resident's discharge plan is made.
(D) Local resources available to the
				facility, the resident, and the attending physician to assist in developing and
				implementing individual discharge plans.
(E) Provisions for periodic review and
				reevaluation of the facility's discharge planning program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-12 - Specialized Rehabilitative Services

Current through July 13, 2024
(a) Facilities admitting patients in need of
				specialized rehabilitative services shall provide such services by qualified
				personnel.
(i) Rehabilitative care initiated
				in the hospital shall be continued immediately upon admission to the
				facility.
(ii) The facility that
				does not employ qualified personnel to provide a specialized service shall have
				a written agreement with the outside resource.
(iii) Facilities that do not provide
				specialized rehabilitative services shall not admit or retain residents in need
				of specialized rehabilitative services.
(iv) A report on the resident's progress
				shall be communicated to the attending physician within two (2) weeks of the
				initiation of the specialized rehabilitative service.
(v) The resident's progress shall be reviewed
				regularly thereafter and the plan of rehabilitative care shall be reevaluated
				at least every thirty (30) days by the physician and therapist.
(vi) Safe and adequate space and equipment
				shall be available if the facility provides specialized rehabilitative
				services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-13 - Pharmaceutical Services

Current through July 13, 2024
(a) The Nursing Care Facility shall provide
				appropriate methods and procedures for the dispensing and administering of
				drugs and biologicals. Whether drugs and biologicals are obtained from
				community pharmacists or stocked by the facility, the facility shall be
				responsible for providing such drugs and biologicals for its residents and for
				ensuring that pharmaceutical services are provided in accordance with
				acceptable professional principles and appropriate federal, state and local
				laws.
(i) Supervision of Services. The
				pharmaceutical services shall be under the general supervision of a licensed
				pharmacist.
(A) The pharmacist, if not a
				full-time employee, shall devote a sufficient number of hours, based upon the
				needs of the facility, during regularly scheduled visits to carry out his/her
				responsibilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-14 - Dental Services

Current through July 13, 2024
(a) The facility shall have an advisory
				dentist who shall provide consultation, develop and participate in inservice
				education, and recommend policies concerning oral hygiene. Records of
				in-service education meetings shall be in writing.
(b) Nursing personnel shall assist the
				resident to carry out the dentist's recommendations.
(c) All dental examinations and dental
				treatments shall be entered on a dental record and made a part of the
				resident's medical record.
(d) Oral
				hygiene shall be a part of each resident's care daily.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-15 - Social Services

Current through July 13, 2024
(a) The medically related social and
				emotional needs of the resident shall be identified and services shall be
				provided to meet them, either by qualified staff (a social worker or social
				service associate), or through written procedures for referral to appropriate
				social agencies.
(i) Facilities shall offer
				social services regardless of the size of the facility.
(A) An individual on the facility staff shall
				be designated in writing to maintain liaison with social, health and community
				agencies.
(B) As appropriate, there
				shall be arrangements with qualified social workers or recognized social
				agencies for consultation and assistance on a regularly scheduled
				basis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-16 - Medical Records

Current through July 13, 2024
(a) Maintenance of Clinical Records. The
				facility shall maintain a separate and complete medical record for each
				resident admitted with all entries kept current, dated and signed.
(i) The medical record shall include:
(A) Identification and summary sheet(s)
				including resident's name, social security number, marital status, age, sex,
				home address, and religion; name, address, and telephone number of referral
				agency (including hospital from which admitted), personal physician, dentist,
				and next of kin or other responsible person; admitting diagnoses, final
				diagnoses, category of care, condition on discharge and disposition, source of
				payment, and any other information needed to meet State requirements.
(B) Initial medical evaluation including
				medical history, physical examination and diagnosis.
(C) Authentication of hospital diagnoses, in
				the form of a hospital discharge summary, or a written report from the
				physician who attended the resident in the hospital, or a transfer form used
				under a transfer agreement.
(D)
				Physician's orders, including all medications, treatments, diet, rehabilitative
				and special medical procedures required for the safety and well-being of the
				resident.
(E) Physician's progress
				notes describing significant changes in the resident's condition, dictated or
				written at the time of each visit.
(F) Nurses' notes which shall include but not
				be limited to the following:
(I) Concise and
				accurate record of nursing care administered.
(II) Record of pertinent observation of the
				resident including psycho-social as well as physical manifestations.
(III) Name, dosage and time of administration
				of medications and treatments, route of administration except if by oral
				medication.
(IV) Record of type of
				restraint and time of application and removal. The time of application and
				removal shall be necessary for all restraints prescribed by the physician for
				the support and protection of the resident.
(G) Medication and treatment record including
				all medications, treatments and special procedures performed for the safety and
				well-being of the resident.
(I) Laboratory
				and x-ray reports.
(II)
				Consultation reports.
(III) Dental
				reports.
(IV) Social service
				notes.
(V) Resident care referral
				reports.
(VI) Activity
				reports.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-17 - Residents Activities

Current through July 13, 2024
(a) Resident Activity Program. An on-going
				program of meaningful activities appropriate to the needs and interests of
				residents shall be provided.
(i) The program
				shall be designed to promote opportunities for residents to engage in normal
				pursuits, including religious activities of their choice, if any.
(ii) Activities shall be designed to promote
				the physical, social and mental well-being of each resident.
(iii) The facility shall make available
				adequate space and a variety of sup- plies and equipment to satisfy the
				individual interests of residents.
(iv) Residents shall not be required to
				participate in activities if they do not desire.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-18 - Transfer Agreement

Current through July 13, 2024
(a) Resident Transfer. The transfer agreement
				shall provide reasonable assurance that the transfer of residents will be
				effected between the hospital and the facility whenever such transfer is
				medically appropriate as determined by the attending physician.
(i) The agreement shall be with hospitals
				close enough to the facility to make the transfer of residents
				feasible.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-19 - Grievances and Complaints

Current through July 13, 2024
(a) Every resident in a Nursing Care Facility
				shall have the right to:
(i) Upon admission,
				review the Nursing Care Facility grievances and complaint process and receive
				updated information at six (6) month intervals.
(ii) Voice grievances and complaints on
				behalf of themselves or others without discrimination or reprisal.
(iii) Have available in a conspicuous place
				telephone numbers and addresses of the Long-Term Care Ombudsman, Protection and
				Advocacy, the local Department of Family Services Adult Protection office, the
				Medicaid Fraud Control Unit, the Wyoming State Survey Agency, and the
				facility's grievance/complaint representative.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-20 - Grievance Investigations

Current through July 13, 2024
(a) Each Nursing Care Facility shall
				establish a system of reviewing allegations of violations of residents' rights
				and develop internal operating procedures for reporting and resolution.
(i) In order to ensure that residents
				continue to be aware of these rights and responsibilities, a written copy is to
				be prominently posted in a location that is available to all
				residents.
(ii) Prompt efforts must
				be demonstrated by the facility to resolve grievances the resident may have,
				including those with respect to the behavior of other residents and the
				services provided by the facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-21 - Complaint Investigations

Current through July 13, 2024
(a) Residents' unresolved grievances and/or
				complaints shall be referred to the Long-Term Care Ombudsman.
(b) The Office of the Ombudsman shall
				complete all complaint investigations within an appropriate time frame
				depending upon the seriousness of the allegations.
(c) Written reports of investigations and the
				status of resolutions completed by the Nursing Care Facility shall be provided
				by the Long-Term Care Ombudsman to the Licensing Division within thirty (30)
				days after the completion of the investigation.
Exception: Those complaints or problems reported directly to
				  the State Survey Agency or referred by the Long-Term Care Ombudsman to the
				  State Survey Agency shall be investigated 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.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 11 - PROGRAM ADMINISTRATION OF NURSING CARE FACILITIES › Section 11-22 - Hearings

Current through July 13, 2024
(a) The Program Division Administrator shall
				present the preliminary decisions and reasons to the parties concerned and
				provide an opportunity for resolution. Any request for a hearing by the
				facility shall adhere to the time frames of (b) below.
(b) Any Nursing Care Facility aggrieved by a
				decision of the Program Division may request a hearing by submitting a written
				request to the Program Division within ten (10) days of the date of the adverse
				action at 6101 Yellow stone Road, North Building, Room 259B, Cheyenne, WY
				82002.
(c) In matters concerned
				with the spread of communicable disease, the Wyoming State Health Officer shall
				present the preliminary decisions and reasons to the parties concerned and
				provide an opportunity for a hearing. Any request for a hearing by the facility
				shall adhere to the time frames of (b) above.
(d) Hearings requested under the terms of
				these rules and regulations shall be held by the Program Division in accordance
				with the provisions of the Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101 et. seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to WS
										9-2-1204 et seqand the Wyoming Administrative
				  Procedures Act at WS
										6-3-101 et seq
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted for the
				day-to-day operation of assisted living facilities.
(b) The Department may issue provider
				manuals, provider bulletins, or both, to interpret the provisions of these
				rules and regulations. Such provider manuals and provider bulletins shall be
				consistent with and reflect the policies contained in these rules and
				regulations. The provisions contained in provider manuals or provider bulletins
				shall be subordinate to the provisions of these rules and
				regulations.
(c) The incorporation
				by reference of any external standard is intended to be the incorporation of
				that standard as it is in effect on the effective date of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-5 - Philosophy

Current through July 13, 2024
(a) It is the philosophy of the Program
				Division to develop reasonable and enforceable rules for the placement of
				individuals with disabilities in community settings such as assisted living
				facilities in lieu of unnecessary institutionalization. This philosophy is
				mandated in the Supreme Court ruling on
Olmstead v.
				L.C
.
(b) These rules are
				designed not only to support the philosophy of community placement but to also
				protect the health, welfare, and safety of residents in assisted living
				facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-6 - Personnel and Staffing Requirements

Current through July 13, 2024
(a) Management. If the assisted living
				facility has a governing body, it must designate a manager. If there is no
				governing body, the owner shall appoint a manager.
(i) The Manager shall:
(A) Be at least twenty-one (21) years of
				age;
(B) Assume the overall
				responsibility for the day-to-day operation of the facility;
(C) Direct the work of others, including the
				training and development of staff;
(D) Be able to read, write, and speak
				English;
(E) Maintain financial and
				other records;
(F) Have a telephone
				with a listed number in the phone directory under the name of the assisted
				living facility;
(G) Be familiar
				with and follow the State's promulgated Assisted Living Facility Licensure and
				Program Administration Rules;
(H)
				Pass an open book test on the same. The open book test shall be administered by
				the Program Division. The passing score will be 85% or greater. Those
				individuals who successfully completed the examination administered by the
				Licensing Division shall have their test scores honored;
(I) The manager shall provide an acceptable
				plan of correction to the Licensing Division within ten (10) days of the date
				when a statement of deficiencies is received by the assisted living
				facility;
(J) The manager shall not
				act as, or become the legal guardian or conservator of, or have power of
				attorney for any resident of the facility; and
(K) The manager shall meet one or more of the
				following requirements:
(I) The manager shall
				have completed at least forty-eight (48) semester hours or seventy-two (72)
				quarter hours of post-secondary education in healthcare, elderly care, health
				case management, facility management, or other related field from an accredited
				college or institution; or
(II)
				Have completed at least two (2) years' experience working with elderly or
				disabled individuals. This experience may have been paid, full-time employment,
				or time equivalent in part-time employment or volunteer work that is directly
				involved with the elderly or disabled.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-7 - Assisted Living Facility (ALF) Core Services

Current through July 13, 2024
(a) The assisted living facility core
				services include the following:
(i) Meals,
				housekeeping, personal and other laundry services;
(A) Provision of mechanically altered diets
				and dietary supplements, if required.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-8 - Services Which Cannot Be Provided By The Level 1 Assisted Living Facility Staff

Current through July 13, 2024
(a) The following services cannot be
				provided:
(i) Continuous assistance with
				transfer and mobility;
(ii) Care of
				the resident who is unable to feed himself independently and/or; monitoring of
				diet is required;
(iii) Total
				assistance with bathing and dressing;
(iv) Invasive catheter or ostomy care, such
				as changing of catheter or irrigation of ostomy;
(v) Care of resident who is on continuous
				oxygen, if;
(A) Continuous monitoring is
				required; or
(B) Oxygen is ordered
				by the physician or physician extender to be titrated based on oxygen
				saturation levels;
(vi)
				Care of resident whose wandering jeopardizes the health and safety of the
				resident;
(vii) Incontinence care
				by facility staff;
(viii) Wound
				care requiring sterile dressing changes;
(ix) Stage II skin care and beyond;
(x) Care of the resident with inappropriate
				social behavior; e.g., frequent aggressive, abusive, or disruptive behavior;
				and
(xi) Care of resident
				demonstrating chemical abuse that puts him and/or others at risk;
(xii) Monitoring of acute medical
				conditions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-9 - Contractual Services Provided Outside Assisted Living Facility Authority

Current through July 13, 2024
(a) Residents in an assisted living facility
				may receive services from an outside entity for care beyond that provided for
				or specified in the Assisted Living Program Administration Rules. These
				services must be arranged by the appropriate professional and be incorporated
				into the resident's assistance plan. The resident's choice of providers must be
				honored.
(i) Components of the outside
				service(s) contract:
(A) Who will provide
				service(s);
(B) What service(s)
				will be provided;
(C) When the
				service(s) will be provided;
(D)
				Where the service(s) will be provided;
(E) How the service(s) will be provided;
				and
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-10 - Secure Dementia Units

Current through July 13, 2024
(a) Level 2 assisted living facilities
				require adherence to all Level 1 requirements with the following additional
				criteria for a Level 2 Assisted Living Facility License.
(i) Level 2 Core Management requirements.
(A) The facility manager shall have at least
				three (3) years experience in working in the field of geriatrics or caring for
				disabled residents in a licensed facility;
(B) Certified as a residential care/assisted
				living facility administrator or have equivalent training.
(I) Certification requirements include a
				training program covering topics referenced in the regulations. The course work
				must take place in a college, vocational training, state or national
				certification program, which is approved by the Department of Health. Licensed
				nursing home administrators, for the purpose of these rules, meet the
				qualifications.
(II) Administrators
				must complete at least sixteen (16) hours of continuing education annually. At
				least eight (8) of the 16 hours of annual continuing education shall pertain to
				caring persons with severe cognitive impairments.
(III) A full time manager with the above
				qualifications must be on duty, on the premises.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 12 - PROGRAM ADMINISTRATION OF ASSISTED LIVING FACILITIES › Section 12-11 - Licensing

Current through July 13, 2024
(a) Licensing shall be in accordance with the
				current Licensure rules and regulations, Chapter 4, for assisted living
				facilities as promulgated by the Department of Health.
(b) Copies of the Licensure rules can be
				obtained from the Licensing Division.
Healthcare Licensing and Survey
Hathaway Building, Suite 510
2300 Capitol Avenue
Cheyenne, WY 82002
Telephone:307-777-7123
Fax: 307-777-7127
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-1 - Authority

Current through July 13, 2024
This rule is being promulgated by the Department of Health
				  pursuant to SEA 89, Chapter 219, enacted during the 2007 General Legislative
				  session, to be codified at
				  W.S.
				  42-6-105 and the Wyoming Administrative
				  Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-2 - Purpose and Applicability

Current through July 13, 2024
These rules have been adopted to initiate and provide the
				  process for licensure of no more than five (5) adult foster care home pilot
				  projects.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-3 - General Provision

Current through July 13, 2024
(a) The Wyoming
				Department of Health may issue materials to providers and/or other affected
				parties to interpret the provisions of this Chapter. Such materials shall be
				consistent with and reflect the rules and regulations contained with this
				Chapter. The provisions contained in the materials shall be subordinate to the
				provisions of this Chapter.
(b) The
				incorporation by reference of any external standard is intended to be the
				incorporation of that standard as it is in effect on the effective date of this
				Chapter.
(c) If any portion of
				these rules is found to be invalid or unenforceable, the remainder shall
				continue in full force and effect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules, gender
				  pronouns are used interchangeably. The drafters have attempted to utilize each
				  gender pronoun in equal numbers, in random distribution. Words in each gender
				  shall include individuals of the other gender.
For the purpose of these rules, the following shall
				  apply:
(a) "Adult" shall mean any
				person who is eighteen (18) years of age or older.
(b) "Adult Foster Home" shall mean a home
				where care is provided for up to five (5) adults who are not related to the
				provider by blood, marriage or adoption in need of long term care in a home
				like atmosphere. Resident clients in the home shall have private rooms which
				may be shared with spouses and shall have individual handicapped accessible
				bathrooms. "Adult foster homes" does not include any residential facility
				otherwise licensed or funded by the state of Wyoming.
(c) "Aging Division" shall mean the Wyoming
				Department of Health, Aging Division.
(d) "Department" shall mean the Wyoming
				Department of Health.
(e) "License"
				shall mean the authority granted by the Office of Healthcare Licensing and
				Surveys to operate an adult foster home.
(f) "Licensee" shall mean any person or
				persons to whom an adult foster care home license is issued.
(g) "Licensing Division" shall mean the
				Wyoming Department of Health, Office of Healthcare Licensing and
				Surveys.
(h) "Resident client"
				shall mean a person eighteen (18) years of age or older, unrelated to the owner
				by blood, marriage or adoption, who resides and receives services in the adult
				foster care home.
(i) "Supervisory
				care" shall mean general supervision of resident clients with responsibility
				for awareness and assistance with resident client function and continuing
				needs. This type of care presupposes the ability to intervene or assist
				resident clients in the event of a crisis or an emergency, and assistance with
				self-administration of prescribed medications, per the Nurse Practice
				Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-5 - Philosophy

Current through July 13, 2024
It is the philosophy of the Department to develop reasonable
				  and enforceable rules with regard to the application for awarding a license to
				  an adult foster care home pilot project to ensure the health, welfare and
				  safety of resident clients in adult foster care homes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-6 - Application Requirements

Current through July 13, 2024
(a) An applicant
				for licensure as an adult foster care home must complete an application and
				provide verification of the following before it can be considered for a
				provisional license under this pilot project:
(b) It shall complete the appropriate
				application, available from the Licensing Division. In the event that a change
				of ownership occurs, the license will not be automatically transferred. The
				potential new owner must be approved under these requirements in order for the
				home to continue to function as an adult foster care home. If the new owner is
				not approved, or if the new owner is not interested in continuing to operate
				the home as an adult foster care home, the current licensee must arrange for an
				orderly, safe transfer of each resident client, must notify the Licensing
				Division as to the transfer disposition of each resident client, and must
				deliver or mail the original license back to the Licensing Division.
(c) It shall submit with the application an
				evacuation plan outlining the proposed adult foster care home's plan to
				evacuate all resident clients within three (3) minutes in case of an
				emergency.
(d) It shall submit with
				the application a floor plan of the home for review and approval.
(e) It shall pay a one-time fee of one
				hundred dollars ($100.00) to the Department.
(f) It shall successfully pass all required
				inspections of the proposed home by the Department, by a public health nurse,
				or by such other employee of the local department of health as is available,
				subject to the prior approval of the Department, as follows:
(i) It shall pass an inspection for
				construction requirements and Life Safety Code prior to admitting any resident
				clients. In addition, required policies and procedures will be submitted to the
				Licensing Division for approval prior to the admission of resident clients.
				Once these preliminary reviews are successfully completed, a provisional
				license will be issued, and resident clients may be admitted.
(ii) An initial inspection of care and
				quality of life will be unannounced, and will occur following the admission of
				clients, and annually thereafter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-7 - Priority of Applicants

Current through July 13, 2024
Because this pilot project may consist of no more than five
				  (5) adult foster care homes, the following criteria shall be used to prioritize
				  applications and applicants for licensure:
(a) The application and all application
				requirements found in Section
				6
				above have been met.
(b) No more
				than two (2) of the Adult Foster Homes in the pilot project can be in counties
				with a population base greater than 30,000, based on population data from the
				U.S. Census Bureau on the date the complete application is received.
(c) Complete applications will be reviewed
				and qualified in order of receipt by the Licensing Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-8 - Licensure

Current through July 13, 2024
(a) A successful adult foster home applicant
				who is granted a provisional license shall follow all applicable existing
				Assisted Living Facility Rules and Regulations, excepting the following
				subsections:
(i) Program Administration of
				Assisted Living Facility Rules:
(A) Section
				6.
				Personnel and Staffing Requirements.
(B) Section
				7.
				Assisted Living Facility Core Services (the following sections only):
(I) (a)(vi) Maintenance of a personal fund
				account.
(II) (b)(i) Completion of
				the ALF 102.
(III) (e)(i)(E) An
				accounting of all personal funds.
(IV) (e)(i)(J) Copy of all ALF
				102s.
(V) (j)(iii)(A) Food
				production management.
(VI)
				(j)(iv)(A) Menu planning.
(VII) (n)
				Furnishings, Building, Physical Plant.
(VIII) (o) Evacuation Capability, Emergency
				Procedures and Fire Safety.
(C) Section
				9.
				Contractual Services Provided Outside Assisted Living Facility Authority (the
				following section only):
(I) (d) Long Term
				Care Home and Community Based Waiver.
(D) Section
				10.
				Secure Dementia Units.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 13 - RULES FOR PILOT PROJECT - ADULT FOSTER CARE HOMES › Section 13-9 - Denying, Revoking, or Placing Conditions on a License

Current through July 13, 2024
(a)
				The Licensing Division may refuse to license a home if any employee of the
				home, or anyone living in the home, has been convicted of a felony which may
				indicate, that he may abuse a resident client or that he may steal from a
				resident client.
(b) The Licensing
				Office will provide fifteen (15) days notice prior to revoking a license unless
				it finds that conditions in an Adult Foster Home pose a substantial and
				immediate threat to the health or safety of resident clients and require
				immediate action and suspension of the license in order to protect the resident
				clients. In such a case, the licensee shall be afforded an opportunity for a
				hearing within ten (10) days after the suspension.
(c) The Department may, after notice and an
				opportunity for a hearing, revoke or suspend any license issued pursuant to
				these rules and the enabling legislation; it may prohibit an adult foster home
				from accepting new resident clients; it may place conditions on the
				continuation of a license; or it may require a home to take specified remedial
				actions within a specified time, if any of the following have occurred or are
				occurring:
(i) There is a threat to the
				health, safety or welfare of any resident client.
(ii) There is credible evidence of abuse,
				neglect or exploitation of any resident client, per
				W.S.
				35-20-102 through
				35-20-116.
(iii) The home is not operated in compliance
				with these rules and regulations or with the enabling legislation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to SEA89, enacted during the 2007 General Legislative Session, which
				  will be codified at
				  W.S.
				  42-6-101
et seq
.,
				  and the Wyoming Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101,
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-2 - Purpose

Current through July 13, 2024
These rules are adopted to provide a method of selecting
				  recipients for three (3) pilot project grants to study the feasibility of
				  innovation in alternative long term care facilities by instituting the
				  alternative long term care home pilot projects as authorized by W.
				  S.
										42-6-104.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-3 - Special Provisions

Current through July 13, 2024
(a) Severability.
				If any portion of these rules is found to be invalid or unenforceable, the
				remainder shall continue in effect.
(b) The incorporation by reference of any
				external standard is intended to be the incorporation of that standard as it is
				in effect on the effective date of this chapter.
(c) Unless otherwise specified, the
				incorporation by reference of any external standard is intended to be the
				incorporation of that standard as it is in effect on the effective date of this
				Chapter, including any applicable amendments, corrections, or revisions, but
				excluding any subsequent amendments or changes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules. Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and vice versa. Throughout these rules gender pronouns
				  are used interchangeably except where the context dictates otherwise. The
				  drafters have attempted to utilize each gender pronoun in equal numbers, in
				  random distribution. Words in each gender shall include individuals of the
				  other gender.
(a) "Advisory Council"
				shall mean the Wyoming Advisory Council on Aging.
(b) "Department" shall mean the Wyoming
				Department of Health.
(c) "Eligible
				recipient" shall include cities, counties, and any entity planning for long
				term care needs or providing long term care, including private nonprofit and
				private for profit entities.
(d)
				"Project" shall mean those projects outlined in
				W.S.
				42-6-104(a)(ii), (iii) and
				(iv).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-5 - Authority to Award and Administer Grant Funds

Current through July 13, 2024
(a) The
				Department shall have the following responsibilities with regard to
				administering the pilot project grant awards:
(i) It shall develop a Request for Proposal
				(RFP), in consultation with the Advisory Council, for funding for up to three
				(3) pilot program grants. The RFP developed by the Department and the Advisory
				Council shall comply with all Department of Administration and Information's
				RFP requirements. The RFP shall prioritize grant recipient
				requirements;
(ii) It shall provide
				technical assistance to eligible recipients making an application through the
				RFP for the grant funds for the pilot program;
(iii) It shall collect and analyze the RFP
				applicant information and shall, in consultation with the Council, select grant
				recipients pursuant to the priorities outlined in the RFP;
(iv) It shall enter into a contract with the
				grant recipient that further outlines the project requirements, detailing how
				measurable outcomes will be achieved, and ensuring that the grant funds are
				used to effectuate the goals of the pilot project;
(v) It shall consider the extent to which the
				proposal moves the staff of the facility to a more patient centered
				culture;
(vi) It shall consider one
				(1) project to reconfigure an existing nursing home to achieve a
				resident-centered cultural change;
(vii) It shall fund one (1) study relating to
				the creation of an alternative eldercare home, as defined in
				W.S.
				42-6-102(a)(iii), provided
				that an acceptable project proposal is received in response to the request for
				proposals;
(viii) It shall fund one
				(1) study relating to the creation of an alternative eldercare home, as defined
				in W.S. W.S.
				W.S.
				42-6-104(a)(iv);
(ix) It shall inform the Joint Labor, Health
				and Social Services Interim Committee if legislation is needed to authorize any
				additional rules and regulations to effectuate the goals of the pilot
				projects.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-6 - Criteria for and Priorities Given to Pilot Project Grant Awards

Current through July 13, 2024
The following criteria and priorities shall be considered in
				  awarding funds under this pilot project:
(a) Demonstrated community need and community
				support. Priority shall be given to those applicants demonstrating significant
				community resources and community financial support. If such support is not
				currently available, a plan must be submitted to develop such
				support;
(b) Existing licensure or
				a demonstrated ability to obtain licensure from the Office of Healthcare
				Licensing and Surveys for any existing or planned facility involved in the
				pilot project;
(c) Financial
				sustainability;
(d) Demonstrated
				financial and organizational management capabilities by management/owner to
				ensure grant funds are used in a manner that is appropriate to the
				project;
(e) Ability to meet the
				required match of twenty-five percent (25%) of the grant amount;
(f) Demonstrated ability to create a culture
				change or innovative approach to long term care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 14 - ALTERNATIVE LONG TERM CARE PILOT PROJECT GRANTS › Section 14-8 - Conflict of Interest

Current through July 13, 2024
(a) Applicability.
				This section applies to any person involved in:
(i) The review of completed
				applications;
(ii) Making
				recommendations to the Department and/or Advisory Council regarding an entity
				that may receive a pilot project grant and the amount of said grant.