Current through August 31, 2023
01.
Governing Body. Each
facility must be organized and administered under one (1) authority which may
be a proprietorship, partnership, association, corporation, or governmental
unit. The following requirements must be met: (3-17-22)
a. That the true name and current address for
each person or business entity having a five percent (5%) or more direct, or
indirect, ownership interest in the facility is supplied to the Department at
the time of licensure application or preceding any change in ownership.
(3-17-22)
b. That the names,
addresses, and titles of offices held by all members of the facility's
governing authority are submitted to the Department. (3-17-22)
c. That a copy of the lease (if a building or
buildings are leased to a person or persons to operate as a facility) showing
clearly in the context which party to the agreement is to be held responsible
for the maintenance and upkeep of the property to meet minimum standards is
available for review by the Department. Terms of the financial arrangement may
be omitted from the copy of the lease available to the Department.
(3-17-22)
02.
Administrator. The governing body, owner, or partnership must
appoint a licensed nursing home administrator for each facility who is
responsible and accountable for carrying out the policies determined by the
governing body. In combined hospital and nursing home facilities, the
administrator may serve both the hospital and nursing home provided they are
currently licensed as a nursing home administrator. The following requirements
must be met: (3-17-22)
a. In the absence of
the administrator, an individual who is responsible and accountable and at
least twenty-one (21) years of age is to be authorized, in writing, to act in
their behalf to assure administrative direction of the facility.
(3-17-22)
b. The administrator is
responsible for establishing and assuring the implementation of written
policies and procedures for each service offered by the facility, or through
arrangements with an outside service. (3-17-22)
c. The administrator, their relatives, or
employees, are not to act as, the legal guardian of, or have power of attorney
for any residents unless specifically adjudicated as such by appropriate legal
order. (3-17-22)
d. The
administrator is to provide to the public and the resident an accurate
description of the facility services and care. Representation of the facility's
services to the public is not to be misleading. (3-17-22)
e. The administrator is responsible for
providing sufficient and qualified staff to carry out all of the basic services
offered by the facility. (3-17-22)
f. The administrator, owner, and employees of
a facility are governed by the provisions of Section
152-616, Idaho Code, concerning
the devise or bequest of a resident's property by a last will and testament.
(3-17-22)
03.
Admission Policies. The administrator must establish written
admission policies for all resident admissions and be available to residents,
their relatives, and to the general public. The following requirements must be
met: (3-17-22)
a. A history and physical
examination is recorded within forty-eight (48) hours after admission to the
facility, unless the resident is accompanied by a record of a physical
examination completed by a physician not more than five (5) days prior to
admission. (3-17-22)
b. Information
upon admission includes the results of a tuberculosis skin test, chest x-ray,
medical and/or psycho-social diagnosis, physician's plan of care, the
resident's activity limitation, and the rehabilitation potential, and are to be
dated and signed by the physician. (3-17-22)
c. No children other than residents are to
regularly occupy any portion of the resident living area. (3-17-22)
d. Reasonable precautions are taken in all
admissions for the safety of other residents. (3-17-22)
e. Nothing in these rules and minimum
standards should be construed as to require any facility to compel any person
to undergo any medical screening, examination, diagnosis, or treatment or to
accept any other health care or services provided under such plan for any
purpose (other than for the purpose of discovering and preventing the spread of
infection or other contagious disease or for the purpose of protecting
environmental health), if such person objects (or, in case such person is a
child, their parent or guardian objects), thereto on religious grounds.
(3-17-22)
04.
Use
of Restraints. The following types of restraints must not be used under
any conditions: canvas jackets, canvas sheets, canvas cuffs, leather belts,
leather cuffs, leather hand mitts or restraints requiring a lock and key.
(3-17-22)
05.
Record of
Resident's Personal Valuables. An inventory and proper accounting must
be kept for all valuables entrusted to the facility for safekeeping and the
status of the inventory is to be available to the resident, their conservator,
guardian, or representative for review upon request. (3-17-22)
06.
Accident or Injury. The
administrator must show evidence of written safety procedures for handling of
residents, equipment lifting, and the use of equipment. The following
requirements must be met: (3-17-22)
a. That an
incident-accident record be kept of all incidents or accidents sustained by
employees, residents, or visitors in the facility and include the following
information: (3-17-22)
i. Name and address of
employee, resident, or visitor; (3-17-22)
ii. A factual description of the incident or
accident; (3-17-22)
iii.
Description of the condition of the resident, employee, or visitor including
any injuries resulting from the accident; and (3-17-22)
iv. Time of notification of physician, if
necessary. (3-17-22)
b.
That the physician is immediately notified regarding any resident injury or
accident when there are significant changes requiring intervention or
assessment. (3-17-22)
c. That
immediate investigation of the cause of the incident or accident be instituted
by the facility administrator and any corrective measures indicated adopted.
(3-17-22)
