55 Pa. Code § 2800.4
The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:
ADL-Activities of daily living-The term includes eating, drinking, ambulating, transferring in and out of a bed or chair, toileting, bladder and bowel management, personal hygiene, securing health care, managing health care, self-administering medication and proper turning and positioning in a bed or chair.
Abuse-The occurrence of one or more of the following acts:
Adult-An individual who is 18 years of age or older.
Age in place or aging in place-Receiving care and services at a licensed assisted living residence to accommodate changing needs and preferences in order to remain in the assisted living residence.
Agent-An individual authorized by the Department to enter, visit, inspect or conduct an investigation of an assisted living residence.
Ancillary staff person-An individual who provides services for the residents other than direct assistance with activities of daily living. Ancillary staff may include staff who do not provide direct care but who conduct assessment, care planning or care management activities, and who meet the direct care staff qualifications and training requirements. Ancillary staff may also include RNs, LPNs, dieticians, or skilled professionals who meet the requirements of their professional licensure and the direct care staff requirements, if they also provide direct assistance with activities of daily living. Other ancillary staff may include activities planners, housekeepers, cooking staff or facilities staff.
Appropriate assessment agency- An organization serving adults who are older or adults with disabilities, such as a county mental health/intellectual disability agency, a drug and alcohol agency, an area agency on aging or another human service agency, or an individual in an occupation maintaining contact with adults who are older and adults with disabilities, such as medicine, nursing or rehabilitative therapies.
Area agency on aging-The local agency designated by the Department of Aging as defined in section 2202-A of The Administrative Code of 1929 (71 P. S. § 581-2).
Assessment-An instrument that includes screening of a resident or potential resident to determine whether the resident or potential resident requires the services of an assisted living residence.
Assisted living residence administrator-An individual who is charged with the general administration of an assisted living residence, whether or not the individual has an ownership interest in the residence or his function and duties are shared with other individuals.
Assisted living residence or residence-Any premises in which food, shelter, assisted living services, assistance or supervision and supplemental health care services are provided for a period exceeding 24-hours for four or more adults who are not relatives of the operator, who require assistance or supervision in matters such as dressing, bathing, diet, financial management, evacuation from the residence in the event of an emergency or medication prescribed for self-administration.
Assisted living services-Services as defined in § 2800.220(b) (relating to service provision).
Basic cognitive support services-These services include the following:
CAM-Complementary and alternative medications-Practices, substances and ideas used to prevent or treat illness or promote health and well-being outside the realm of modern conventional medicine. Alternative medicine is used alone or instead of conventional medicine. Complementary medicine is used along with or in addition to conventional medicine.
CPB-Cognitive, physical, behavioral.
CPR-Cardiopulmonary resuscitation.
Cognitive support services-
Commercial boarding home-A type of residential living facility providing only food and shelter, or other services normally provided by a hotel, for payment, for individuals who require no services beyond food, shelter and other services usually found in hotel or apartment rental.
Common living area-Includes any of the following:
Complaint-A written or oral criticism, dispute or objection presented by or on behalf of a resident to the Department regarding the care, operations or management of an assisted living residence.
Day-Calendar day.
Dementia-A clinical syndrome characterized by a decline of long duration in mental function in an alert individual. Symptoms of dementia may include memory loss, personality change, chronic wandering and the loss or diminishing of other cognitive abilities, such as learning ability, judgment, comprehension, attention and orientation to time and place and to oneself.
Department-The Department of Public Welfare of the Commonwealth.
Designated person-An individual who may be chosen by the resident and documented in the resident's record, to be notified in case of an emergency, termination of service, assisted living residence closure or other situations as indicated by the resident or as required by this chapter. A designated person may be the resident's legal representative or an advocate.
Designee-A staff person authorized in writing to act in the administrator's absence.
Direct care staff person-A staff person who directly assists residents with activities of daily living, and instrumental activities of daily living and provides services or is otherwise responsible for the health, safety and well-being of the residents.
Discharge-Termination of an individual's residency in an assisted living residence.
Distinct part-A portion of a building that is visually separated such as a wing or floor, or sections or parts of floors.
Emergency medical plan-A plan that ensures immediate and direct access to medical care and treatment for serious injury or illness, or both.
Financial management-
Fire safety expert-A member of a local fire department, fire protection engineer, Commonwealth-certified fire protection instructor, college instructor in fire science, county or Commonwealth fire school, volunteer trained and certified by a county or Commonwealth fire school, an insurance company loss control representative, Department of Labor and Industry building code inspector or construction code official.
Health care or human services field- Includes the following:
Housekeeping-The cleaning of the living unit and common living areas. Cleaning of the living unit includes at least weekly dusting, sweeping, vacuuming, mopping, emptying trash, and cleaning of bathroom, counters, refrigerator and microwave oven, if these appliances are in the resident's living area. Housekeeping for common living areas means keeping them in clean sanitary condition.
IADL-Instrumental activities of daily living-The term includes the following activities when done on behalf of a resident:
INRBI-Intense neurobehavioral rehabilitation after brain injury.
Informed consent agreement-A formal, mutually agreed upon, written understanding which:
LPN-Licensed practical nurse.
Legal entity-A person, society, corporation, governing authority or partnership legally responsible for the administration and operation of an assisted living residence.
Legal representative-An individual who holds a power of attorney, a court-appointed guardian or other person legally authorized to act for the resident.
License-A certificate of compliance issued by the Department permitting the operation of an assisted living residence, at a given location, for a specific period of time, for a specified capacity, according to Chapter 20 (relating to licensure or approval of facilities and agencies).
Licensee-A person legally responsible for the operations of an assisted living residence licensed in accordance with this chapter.
Long-term care ombudsman-A representative of the Office of the State Long-Term Care Ombudsman in the Department of Aging who investigates and seeks to resolve complaints made by or on behalf of individuals who are 60 years of age or older who are consumers of long-term care services. These complaints may relate to action, inaction or decisions of providers of long-term care services, of public agencies, of social service agencies or their representatives, which may adversely affect the health, safety, well-being or rights of these consumers.
Mobile resident-
Neglect-The failure of an assisted living residence or its staff persons to provide goods or services essential to avoid a clear and serious threat to the physical or mental health of a resident. The failure or omission to provide the care, supervision and services that the assisted living residence has voluntarily, or by contract, agreed to provide and that are necessary to maintain the resident's health, safety and well-being, including assisted living services, food, clothing, medicine, shelter, supervision and medical services. Neglect may be repeated conduct or a single incident.
OTC-Over-the-counter or nonprescription.
Premises-The grounds and buildings on the same grounds, used for providing services required by residents.
Protective services unit-The local area agency on aging unit designated by the Department of Aging to investigate allegations of abuse of adults who are 60 years of age or older and assess the need for protective interventions.
RN-Registered nurse.
Referral agent-An agency or individual who arranges for or assists, or both, with placement of a resident into an assisted living residence.
Relative-A spouse, parent, child, stepparent, stepchild, grandparent, grandchild, brother, sister, half-brother, half-sister, aunt, uncle, niece or nephew.
Resident-An adult, unrelated to the legal entity, who resides in an assisted living residence, and who may require assisted living services or supplemental health care services, or both.
Resident with mobility needs-An adult who is unable to move from one location to another, has difficulty in understanding and carrying out instructions without the continued full assistance of other individuals or is incapable of independently operating an ambulation device, such as a wheelchair, prosthesis, walker or cane to exit a building.
Restraint-A manual, chemical or mechanical device used to limit or restrict the movement or normal function of an individual or a portion of the individual's body.
SSI-Supplemental Security Income.
Secretary-The Secretary of the Department.
Special care designation-A licensed assisted living residence or a distinct part of the residence which is specifically designated by the Department as capable of providing cognitive support services to residents with severe cognitive impairments, including dementia or Alzheimer's disease, in the least restrictive manner to ensure the safety of the resident and others in the residence while maintaining the resident's ability to age in place.
Specialized cognitive support services-These services include the following:
Staff person-An individual who works for the assisted living residence for compensation either on payroll or under contract.
Supplemental health care services-The provision by an assisted living residence of any type of health care service, either directly or through contractors, subcontractors, agents or designated providers, except for any service that is required by law to be provided by a health care facility under the Health Care Facilities Act (35 P. S. §§ 448.101-448.901).
Support plan-A written document that describes for each resident the resident's care, service or treatment needs based on the assessment of the resident, and when the care, service or treatment will be provided, and by whom.
Third-party provider-Any contractor, subcontractor, agents or designated providers under contract with the resident or residence to provide services to any resident.
Transfer-Movement of a resident within the assisted living residence or to a temporary placement outside the assisted living residence.
Volunteer-
55 Pa. Code § 2800.4
The provisions of this §2800.4 amended under sections 211 and 213 and Articles IX and X of the Human Services Code (62 P.S. §§ 211, 213, 901-922 and 1001-1088).
This section cited in 55 Pa. Code § 2800.220 (relating to service provision).