Current through Register Vol. 30, No. 38, September 20, 2024
A. An administrator
shall ensure that a participant provides evidence of freedom from infectious
tuberculosis:
1. Before or within seven
calendar days after the participant's enrollment, and
2. As specified in R9-10-113.
B. Before or at the time of
enrollment, an administrator shall ensure that a participant or the
participant's representative signs a written agreement with the adult day
health care facility that includes:
1. The
participant's name and date of birth,
2. Enrollment requirements,
3. A list of the customary services that the
adult day health care facility provides,
4. A list of services that are available at
an additional cost,
5. A list of
fees and charges,
6. Procedures for
termination of the agreement,
7. The requirements of
the adult day health care facility,
8. The names and
telephone numbers of individuals designated by the participant to be notified
in the event of an emergency, and
9. A copy of the adult
day health care facility's procedure on health care directives.
C. An administrator shall give a
copy of the agreement in subsection (B) to the participant or the participant's
representative and keep the original in the participant's medical
record.
D. An administrator shall
ensure that a participant has a signed written medical assessment that:
1. Was completed by the participant's medical
practitioner within 60 calendar days before enrollment; and
2. Includes:
a. Information that addresses the
participant's:
i. Physical health;
ii. Cognitive awareness of self, location,
and time; and
iii. Deficits in
cognitive awareness;
b.
Physical, mental, and emotional problems experienced by the
participant;
c. A schedule of the
participant's medications;
d. A
list of treatments the participant is receiving;
e. The participant's special dietary needs;
and
f. The participant's known
allergies.
E.
At the time of enrollment, an administrator shall ensure that the participant
or participant's representative:
1. Documents
whether the participant may sign in and out of the adult day health care
facility; and
2. Provides the
following:
a. The name and telephone number
of the:
i. Participant's
representative;
ii. Family member
to be contacted in an emergency;
iii. Participant's medical practitioner;
and
iv. Adult who provides the
participant with supervision and assistance in the preparation of meals,
housework, and personal grooming, if applicable; and
b. If applicable, a copy of the participant's
health care directive.
F. An administrator shall ensure that a
comprehensive assessment of the participant:
1. Is completed by a registered nurse before
the participant's tenth visit or within 30 calendar days after enrollment,
whichever comes first;
2. Documents
the participant's:
a. Physical
health,
b. Mental and emotional
status, and
c. Social history;
and
3. Includes:
a. Medical practitioner orders,
b. Adult day health care services recommended
for the participant's care plan, and
c. The signature of the registered nurse
conducting the comprehensive assessment and date signed.
