Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 4 - NURSING CARE INSTITUTIONS
Section R9-10-412 - Nursing Services

1. Nursing services are provided 24 hours a day in a nursing care institution;

2. A director of nursing is appointed who:

3. The director of nursing or an individual designated by the administrator participates in the quality management program; and

4. If the daily census of the nursing care institution is 60 or more, the director of nursing does not provide direct care to residents on a regular basis.

1. A method is established and documented that identifies the types and numbers of nursing personnel that are necessary to provide nursing services to residents based on the residents' comprehensive assessments, orders for physical health services and behavioral health services, and care plans and the nursing care institution's scope of services;

2. Sufficient nursing personnel, as determined by the method in subsection (B)(1), are on the nursing care institution premises to meet the needs of a resident for nursing services;

3. At least one nurse is present on the nursing care institution's premises and responsible for providing direct care to not more than 64 residents;

4. Documentation of nursing personnel present on the nursing care institution's premises each day is maintained and includes:

5. The documentation of nursing personnel required in subsection (B)(4) is maintained for at least 12 months after the date of the documentation;

6. As soon as possible but not more than 24 hours after one of the following events occur, a nurse notifies a resident's attending physician and, if applicable, the resident's representative, if the resident:

7. An unnecessary drug is not administered to a resident.