West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-75 - Residential Care Communities › Section 64-75-12 - Requirements Related to the Provision of Limited and Intermittent Nursing

Current through Register Vol. XLI, No. 28, July 12, 2024
12.1. Standard
				Requirements.
12.1.a. The licensee of a
				residential care community which provides limited and intermittent nursing care
				shall arrange for a registered professional nurse to assume responsibility for
				the oversight of nursing care and services. The licensee shall enter into a
				written agreement with the registered professional nurse which specifies the
				responsibilities of the registered professional nurse and the licensee.
				Arrangements for nursing services may be made by contract with an individual or
				a nursing service with a management entity; or the residential care community
				may employ a registered nurse; or the administrator of the residential care
				community may act in this capacity, if he or she is a licensed registered
				professional nurse. Arrangements with a home care agency providing only direct
				care does not satisfy the requirements for nursing management over-sight of all
				residents. (Class I)
12.1.b.
				Nursing support staff shall be under the supervision of the registered
				professional nurse who has assumed the overall responsibility for the oversight
				and care provided to the residents. (Class I)
12.1.c. The licensee shall implement, within
				reasonable expectation, the recommendations of the registered nurse regarding
				care, services and staff training intended to protect the residents. (Class
				II)
12.1.d. The licensee shall
				provide written notice to each resident regarding the availability of nursing
				services at the time of admission, or, for current residents, within thirty
				(30) days of the effective date of this rule. (Class III)
12.1.e. All physician's orders shall be
				reviewed every thirty (30) days for accuracy by the registered professional
				nurse or other lawfully authorized professional, unless there is a medical
				condition requiring a more frequent review as determined by the resident's
				physician. (Class II)
12.1.f. A
				physician or a consultant pharmacist shall conduct quarterly pharmacy reviews
				on all residents receiving limited or intermittent nursing services. (Class
				III)
12.1.g. The licensee shall
				assure that the registered professional nurse maintains a general record with a
				complete signature for each entry which shall include at least the following:
12.1.g.1. The date, time in and time out for
				each visit (unless the registered professional nurse is employed by the
				residential care community at least thirty-five (35) hours per week); (Class
				III)
12.1.g.2. A list of duties
				performed by the registered nurse during each visit; (Class III) and
12.1.g.3. A brief statement regarding
				identified concerns and recommended actions taken to resolve them. (Class
				III)
12.1.h. The
				licensee shall develop a system that provides for twenty-four (24) hour
				accessibility between the residential care community, the registered
				professional nurse, and/or other emergency personnel. (Class I)