Ariz. Admin. Code § 9-10-513

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-10-513 - Rehabilitation Services and Habilitation Services

A. Except as provided in subsection (D), an administrator shall ensure that:

1. Personnel members are available to provide the following rehabilitation services:

a. Physical therapy, as defined in A.R.S. § 32-2001;

b. Occupational therapy, A.R.S. § 32-3401;

c. Psychological service, as defined in A.R.S. § 32-2061;

d. Speech-language pathology, as defined in A.R.S. § 36-1901; and

e. Audiology, as defined in A.R.S. § 36-1901;

2. Rehabilitation services are provided:

a. Under the direction of a qualified intellectual disabilities professional according to policies and procedures, and

b. According to an order;

3. A resident receives the rehabilitation services required in the resident's individual program plan;

4. Unless otherwise required in the resident's individual program plan:

a. A resident does not remain in bed or in the resident's bedroom;

b. If the resident is not able to independently move from place to place, even with the use of an assistive device, the resident is moved from place to place in the ICF/IID; and

c. A resident receiving rehabilitation services is encouraged to participate in activities that are planned according to subsection (C)(2) and are appropriate to objectives in the resident's individual program plan;

5. A qualified intellectual disabilities professional reviews the rehabilitation services provided to a resident and revises the frequency, duration, method, or type of rehabilitation services being provided in the resident's individual program plan:

a. As necessary, if the resident is losing skills or failing to progress; or

b. If a goal in the resident's individual program plan has been accomplished and a new objective is to be initiated; and

6. The medical record of a resident receiving rehabilitation services includes:

a. An order for rehabilitation services that includes the name of the ordering individual and a referring diagnosis;

b. The resident's individual program plan, including all updates;

c. The rehabilitation services provided;

d. The resident's response to the rehabilitation services; and

e. The authentication of the individual providing the rehabilitation services.

B. Except as provided in subsection (D), an administrator shall ensure that:

1. Personnel members are available to provide a resident with habilitation services required in the resident's individual program plan;

2. A personnel member is only assigned to provide the habilitation services the personnel member has the documented skills and knowledge to perform;

3. A resident receives the habilitation services in the resident's individual program plan;

4. If applicable, a personnel member:

a. Suggests techniques a resident may use to maintain or improve the resident's independence in performing activities of daily living; and

b. Provides assistance with, supervises, or directs a resident's personal hygiene according to the resident's individual program plan;

5. A resident receiving habilitation services is encouraged to participate in activities of the resident's choosing that are planned according to subsection (C)(2); and

6. The medical record of a resident receiving habilitation services includes:

a. The resident's individual program plan, including all updates;

b. The habilitation services provided;

c. The resident's response to the habilitation services; and

d. The authentication of the individual providing the habilitation services.

C. An administrator shall ensure that:

1. Multiple media sources, such as daily newspapers, current magazines, internet sources, and a variety of reading materials, are available and accessible to a resident to maintain the resident's continued awareness of current news, social events, and other noteworthy information;

2. Daily social or recreational activities are planned according to residents' preferences, needs, and abilities;

3. A calendar of planned activities is:

a. Prepared at least one week in advance of the date the activity is provided,

b. Posted in a location that is easily seen by residents,

c. Updated as necessary to reflect substitutions in the activities provided, and

d. Maintained for at least 12 months after the last scheduled activity;

4. Equipment and supplies are available and accessible to accommodate a resident who chooses to participate in a planned activity on the premises;

5. Outings are provided according to R9-10-510(B) and (C); and

6. If necessary and unless otherwise required in the resident's individual program plan, a resident is assisted to participate in outings and other opportunities to leave the premises of the ICF/IID.

D. An administrator is not required to ensure that personnel members providing rehabilitation services or habilitation services are on the premises if no resident of the ICF/IID is on the premises because the residents are:

1. Receiving rehabilitation services off the premises,

2. Receiving habilitation services off the premises,

3. Participating in an outing, or

4. Otherwise absent from the ICF/IID.

Ariz. Admin. Code § R9-10-513

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 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