Ariz. Admin. Code § 9-10-2207

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-2207 - Admissions

An administrator shall ensure that:

1. A resident is admitted only:

a. On a physician's order or based on a placement evaluation by the Division;

b. If the resident has or is at risk for having a developmental disability or cognitive disability;

c. If the resident's placement evaluation indicates that the resident requires continuous nursing services;

d. If the resident's placement evaluation indicates that the resident's needs can be met by the nursing-supported group home; and

e. Except when the resident's placement evaluation states that the resident would benefit from being part of a group that includes residents of different ages or social needs, if the resident can be assigned to a room within the nursing-supported group home with other residents of similar ages or social needs;

2. The physician's admitting order or placement evaluation documentation in subsection (1)(a) includes the physical health services, habilitation services, and behavioral care required to meet the immediate needs of a resident, including medication and food services;

3. At the time of a resident's admission, a registered nurse conducts or coordinates an initial assessment on a resident to determine the resident's acuity and ensure the resident's immediate needs are met;

4. The resident's individual service and program plan, as required by A.A.C. R6-6-602, accompanies the resident;

5. A resident's needs do not exceed the medical services, rehabilitation services, and nursing services available at the nursing-supported group home as established in the nursing-supported group home's scope of services;

6. A resident is assigned to the nursing-supported group home based, as applicable, on the patient's:

a. Documented diagnosis,

b. Treatment needs,

c. Developmental level,

d. Social skills,

e. Verbal skills, and

f. Acuity;

7. A resident does not share any space, participate in any activity or treatment, or verbally or physically interact with any other resident that, based on the other resident's documented diagnosis, treatment needs, developmental level, social skills, verbal skills, and personal history, may present a threat to the resident's health and safety;

8. Within 30 calendar days before admission or 10 working days after admission, a medical history and physical examination is completed on a resident by:

a. A medical practitioner designated for the resident, or

b. A physician assistant or a registered nurse practitioner designated by the resident's designated medical practitioner;

9. Compliance with the requirements in subsection (8) is documented in the resident's medical record;

10. Except as specified in subsection (11), a resident provides evidence of freedom from infectious tuberculosis:

a. Before or within seven calendar days after the resident's admission, and

b. As specified in R9-10-113; and

11. A resident who transfers from a nursing care institution or another nursing-supported group home to the nursing-supported group home is not required to be rescreened for tuberculosis as specified in R9-10-113 if:

a. Fewer than 12 months have passed since the resident was screened for tuberculosis, and

b. The documentation of freedom from infectious tuberculosis required in subsection (10) accompanies the resident at the time of transfer.

Ariz. Admin. Code § R9-10-2207

New Section made by final exempt rulemaking at 28 A.A.R. 927, effective 4/15/2022.