Ariz. Admin. Code § 9-10-814

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

Section R9-10-814 - Personal Care Services

A. A manager of an assisted living facility authorized to provide personal care services shall not accept or retain a resident who:

1. Is unable to direct self-care;

2. Except as specified in subsection (B), is confined to a bed or chair because of an inability to ambulate even with assistance; or

3. Except as specified in subsection (C), has a stage 3 or stage 4 pressure sore, as determined by a registered nurse or medical practitioner.

B. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if:

1. The condition is a result of a short-term illness or injury; or

2. The following requirements are met at the onset of the condition or when the resident is accepted by the assisted living facility:

a. The resident or resident's representative requests that the resident be accepted by or remain in the assisted living facility;

b. The resident's primary care provider or other medical practitioner:

i. Examines the resident at the onset of the condition, or within 30 calendar days before acceptance, and at least once every six months throughout the duration of the resident's condition;

ii. Reviews the assisted living facility's scope of services; and

iii. Signs and dates a determination stating that the resident's needs can be met by the assisted living facility within the assisted living facility's scope of services and, for retention of a resident, are being met by the assisted living facility; and

c. The resident's service plan includes the resident's increased need for personal care services.

C. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who has a stage 3 or stage 4 pressure sore, as determined by a registered nurse or medical practitioner, if the requirements in subsection (B)(2) are met.

D. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who:

1. Is receiving nursing services from a home health agency or a hospice service agency; or

2. Requires intermittent nursing services if:

a. The resident's condition for which nursing services are required is a result of a short-term illness or injury, and

b. The requirements of subsection (B)(2) are met.

E. A manager shall ensure that a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available and accessible in a bedroom or residential unit being used by a resident receiving personal care services.

F. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving personal care services includes:

1. Skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections;

2. Offering sufficient fluids to maintain hydration;

3. Incontinence care that ensures that a resident maintains the highest practicable level of independence when toileting; and

4. If applicable, the determination in subsection (B)(2)(b)(iii).

G. A manager shall ensure that an employee does not provide non-prescription medication to a resident receiving personal care services unless the resident has an order from the resident's primary care provider or another medical practitioner for the non-prescription medication.

Ariz. Admin. Code § R9-10-814

New Section renumbered from R9-10-811 and amended by final rulemaking at 9 A.A.R. 319, effective March 14, 2003 (Supp. 03-1). 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. Amended by final rulemaking at 25 A.A.R. 1583, effective 10/1/2019.