Current through Register Vol. 56, No. 21, November 4, 2024
Section 5:15-3.5 - General supervision services(a) Supervision services shall include, but shall not be limited to: 2. Recording a daily census;3. Monitoring residents to identify abrupt or progressive changes in behavior or appearance which may signify the need for assessment and service;4. Surveillance of the grounds, facility, and activities of residents to prevent theft and resident harm;5. Handling individual emergencies including arranging for medical care or other services;6. Conduct and supervision of evacuation and monthly fire or evacuation drills;7. Investigation and recording of incidents involving resident endangerment;8. Guidance to assure residents attend meals if available and maintain appropriate nutritious intake;9. Guidance to assure that necessary personal hygiene and grooming activities are performed.(b) All staff shall be trained in the means of rapidly evacuating the building.(c) At least one staff person on each shift shall be designated as responsible for the conduct and supervision of any evacuation.(d) In the event that a resident develops a medical condition which requires immediate or continued medical or skilled nursing services which cannot be provided on an outpatient basis or which constitutes a danger to self or others, the licensee shall: 1. Make arrangements for transfer of such residents to an appropriate medical facility; and,2. Notify the resident's representative, or next of kin, if known.(e) In the event that a resident exhibits behavior which constitutes a danger to self or others, the licensee shall: 1. Refer the resident for appropriate professional evaluation of the resident's condition;2. Notify the resident's representative or next of kin, if known; and,3. If necessary, arrange for transfer of the individual to a facility providing the proper level of care.(f) Each licensee shall designate staff to perform supervision functions during all hours of operation.(g) The minimum number of supervision staff per adult facility required when being occupied shall be two, both of whom shall be paid staff.(h) For the purposes of calculated minimum staff requirements food service and transportation personnel are not counted.(i) Staff shall be immediately physically accessible at all times while on duty.(j) Staff may be assigned other duties in the facility which do not interfere with their physical accessibility, provided that such staff remain responsible for, and available for, the supervision of residents. N.J. Admin. Code § 5:15-3.5