Ariz. Admin. Code § 9-10-507

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

Section R9-10-507 - Admission

An administrator shall ensure that:

1. A resident is admitted only:

a. On a physician's order;

b. If the resident has a developmental disability or cognitive disability, as defined in A.R.S. § 36-551;

c. If the resident's placement evaluation indicates that the resident's needs can be met by the ICF/IID; and

d. 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, developmental levels, or social needs, if the resident can be assigned to a room or unit within the ICF/IID with other residents of similar ages, developmental levels, or social needs;

2. The physician's admitting order or placement evaluation documentation includes the active treatment or other physical health services or behavioral care required to meet the immediate needs of a resident, such as habilitation services, 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. A resident's needs do not exceed the medical services, rehabilitation services, and nursing services available at the ICF/IID as established in the ICF/IID's scope of services;

5. A resident is assigned to a unit in the ICF/IID 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;

6. 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;

7. 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 physician, or

b. A physician assistant or a registered nurse practitioner designated by the attending physician;

8. Compliance with the requirements in subsection (7) is documented in the resident's medical record;

9. Except as specified in subsection (10), 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

10. A resident who transfers from an ICF/IID or nursing care institution to the ICF/IID 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 (9) accompanies the resident at the time of transfer.

Ariz. Admin. Code § R9-10-507

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Adopted by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019. Amended by final expedited rulemaking at 28 A.A.R. 1113, effective 5/4/2022.