Current through Register Vol. 50, No. 9, September 20, 2024
A. Scope and Purpose. The ARCP may establish
a separate and distinct program to meet the needs of residents with Alzheimers
disease or a related disorder. The ARCP shall provide a program of
individualized care based upon an assessment of the cognitive and functional
abilities of residents who have been included in the program.
B. Any ARCP that offers such a program shall
disclose this program to the department upon establishing the program or upon
its discontinuance.
C. Policies and
Procedures
1. An ARCP that advertises,
promotes or markets itself as offering a specialized dementia care program
shall have written policies and procedures for the program that are retained by
the administrative staff and available to all staff, to members of the public,
and to residents, including those participating in the program.
2. The ARCP shall have established criteria
for inclusion in the specialized dementia care program.
3. Guidelines for inclusion shall be provided
to the resident, his/her family, and his/her legal representative.
4. Door locking arrangements to create
secured areas may be permitted where the clinical needs of the residents
require specialized protective measures for their safety, provided that such
locking arrangements are approved by the OSFM and satisfy the requirements
established by the OSFM and in accordance with
R.S.
40:1300.121 et seq.
a. If the services are provided in a secured
area where special door locking arrangements are used, the ARCP shall comply
with the requirements established for limited health care occupancies in
accordance with the laws, rules and codes adopted by the OSFM.
b. The secured areas shall be designed and
staffed to provide the care and services necessary for the resident's needs to
be met.
c. There shall be
sufficient staff to respond to emergency situations in the locked unit at all
times.
d. PCSPs shall address the
reasons for the resident being in the unit and how the ARCP is meeting the
resident's needs.
e. There must be
documentation in the resident's record to indicate the unit is the least
restrictive environment possible, and placement in the unit is needed to
facilitate meeting the residents needs.
f. Inclusion in a program on the unit must be
in compliance with
R.S.
40:1299.53.
D. Staff Training. Training in the
specialized care of residents who are diagnosed by a physician as having
Alzheimers disease, or a related disorder, shall be provided to all persons
employed by the ARCP in accordance with the provisions established in
§6867 of this Chapter.
E. Disclosure of Services. An ARCP that
advertises or markets itself as offering a specialized dementia care program
shall provide in writing the following to any member of the public seeking
information about the program:
1. the form of
care or treatment provided that distinguishes it as being especially applicable
to or suitable for such persons;
2.
the philosophy and mission reflecting the needs of residents living with
dementia;
3. the criteria for
inclusion in the program and for discontinuance of participation should that
become appropriate;
4. the
assessment, care planning and the processes for ensuring the care plans
responsiveness to the changes in the residents condition;
5. the staffing patterns, training and
continuing education;
6. the
physical environment and design features appropriate to support the functioning
of residents living with dementia;
7. the involvement of families and the
availability of family support programs;
8. the activities that are specifically
directed toward residents diagnosed with Alzheimers or a related disorder
including, but not limited to, those designed to maintain the residents dignity
and personal identity, enhance socialization and success, and accommodate the
cognitive and functional ability of the resident;
9. the frequency of the activities that will
be provided to such residents;
10.
the safety policies and procedures and any security monitoring system that is
specific to residents diagnosed with Alzheimers or a related disorder
including, but not limited to safety and supervision within the secured unit
and within the secured exterior area; and
11. the program fees.
F. An ARCP that advertises or markets itself
as having a specialized dementia care program shall provide a secured exterior
area for residents to enjoy the outdoors in a safe and secure manner.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2166.1-2166.8 and
R.S.
40:1300.121-125.
