N.J. Admin. Code § 8:37-4.1

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:37-4.1 - Admission and retention; health care monitoring

(a) Prior to a prospective resident's admission to a dementia care home, the prospective resident shall receive a medical assessment from a physician and obtain a certification from that physician stating that a dementia care home is appropriate to meet the needs of the prospective resident.

1. Each resident shall be reassessed and recertified by a physician on a quarterly basis in compliance with N.J.S.A. 26:2H-152.n(6).

(b) The facility shall place a copy of the physician's certification and each recertification obtained thereafter in the resident's file.

(c) The facility shall take each resident's weight at least monthly at the facility and record it appropriately.

1. The facility shall provide the resident's weight information to the resident's assessing physician for each quarterly review, in accordance with (a) above.

2. If a resident loses more than five percent of his or her weight in a one-month period (and is not on a prescribed weight reduction plan), the facility must immediately notify the resident's attending physician.

(d) Absent an emergency, physical or chemical restraints that are being used for the purpose of restricting a person's mobility within the facility are not permitted. Whenever a physical or chemical restraint is being considered for use in a facility, it must be approved in writing by the resident's attending physician with an accompanying rationale for use of same.

(e) Even if a resident has a "Do Not Resuscitate" (DNR) order, staff must call 911 for appropriate assistance in the event of an emergency, so that appropriate medical staff can assist the resident and act, if appropriate.

(f) Prior to admission, and at least annually thereafter, the licensee shall notify the resident and the resident's responsible person in writing of the discharge criteria in N.J.A.C. 8:37-4.2.

(g) In the event the recertification required pursuant to (a)1 above determines that the resident requires a transfer to a facility providing a higher level of care, the dementia care home shall:

1. Verbally notify the resident, the resident's family and any responsible person of the assessment results within 24 hours of completion, with written notification to follow within 72 hours of assessment completion;

2. In consultation with the resident, the resident's family, and any responsible person, arrange for and/or assist in the orderly transfer of the resident within 15 days; this shall include licensee assistance in seeking out and securing an appropriate placement for the resident; and

3. Arrange for the provision of all necessary services for the appropriate care of the resident until the resident is discharged.

N.J. Admin. Code § 8:37-4.1

Adopted by 49 N.J.R. 461(a), effective 2/7/2017