Ariz. Admin. Code § 9-10-815

Current through Register Vol. 30, No. 20, May 17, 2024

Section R9-10-815 - Directed Care Services

A. A manager shall ensure that a resident's representative is designated for a resident who is unable to direct self-care.

B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2):

1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or

2. Has a stage 3 or stage 4 pressure sore, as determined by a registered nurse or medical practitioner.

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

1. The requirements in R9-10-814(F)(1) through (3);

2. If applicable, the determination in R9-10-814(B)(2)(b)(iii);

3. Cognitive stimulation and activities to maximize functioning;

4. Strategies to ensure a resident's personal safety;

5. Encouragement to eat meals and snacks;

6. Documentation:

a. Of the resident's weight, or

b. From a medical practitioner stating that weighing the resident is contraindicated; and

7. Coordination of communications with the resident's representative, family members, and, if applicable, other individuals identified in the resident's service plan.

D. A manager shall ensure that an employee does not provide non-prescription medication to a resident receiving directed care services unless the resident has an order from a medical practitioner for the non-prescription medication.

E. A manager shall ensure that:

1. A bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or

2. An assisted living facility has implemented another means to alert a caregiver or assistant caregiver to a resident's needs or emergencies.

F. A manager of an assisted living facility authorized to provide directed care services shall ensure that:

1. Policies and procedures are established, documented, and implemented that ensure the safety of a resident who may wander;

2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following:

a. Provides access to an outside area that:

i. Allows the resident to be at least 30 feet away from the facility, and

ii. Controls or alerts employees of the egress of a resident from the facility;

b. Provides access to an outside area:

i. From which a resident may exit to a location at least 30 feet away from the facility, and

ii. Controls or alerts employees of the egress of a resident from the facility; or

c. Uses a mechanism that meets the Special Egress-Control Devices provisions in the International Building Code incorporated by reference in R9-10-104.01; and

3. A caregiver or an assistant caregiver complies with the requirements for incidents in R9-10-804 when a resident who is unable to direct self-care wanders into an area not designated by the governing authority for use by the resident.

Ariz. Admin. Code § R9-10-815

New Section made 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. Amended by final expedited rulemaking at 25 A.A.R. 3481, effective 11/5/2019.