Ohio Administrative Code
Title 173 - Department of Aging
Chapter 173-45 - Long Term Care Consumer Guide
Section 173-45-06.1 - Long-term care consumer guide: information on services provided by facilities
Universal Citation: OH Admin Code 173-45-06.1
Current through all regulations passed and filed through September 16, 2024
(A) Checklist items: ODA shall include a checklist in the guide that describes the services provided by, or in affiliation with, each facility listed in the guide.
(1) Services for nursing facility residents:
A nursing facility may check any of the following boxes that describes a
specialized service the nursing facility offers:
(a) Alzheimer's disease/dementia care
(secured or unsecured): A nursing facility may check the "Alzheimer's
disease/dementia care (secured or unsecured)" box if it specializes in
providing specialized care for residents with Alzheimer's disease/dementia such
as environmental features; dining and activities designed and delivered for
those with dementia; care planning and delivery and staffing supports
appropriate for memory impairments; staff trained in symptoms, symptom
management, interventions, person-centered care, and emotional
support.
(b) Bariatric care: A
nursing facility may check the "bariatric care" box if it specializes in
bariatric care that includes dietetic and counseling services; equipment,
including wheelchairs, beds, commodes, and lifts; exercise and therapy services
to treat residents' obesity.
(c)
Behavioral health care, non-dementia related: A nursing facility may check the
"behavioral health care, non-dementia related" box if it provides for, or
contracts for, mental health supports for those who need mental health care and
have a mental illness such as schizophrenia and need nursing home level of
care.
(d) Dialysis on site:
(i) A nursing facility may check the
"dialysis on site" box if it specializes in providing dialysis to residents of
the nursing facility on site with minimal travel on the nursing facility's
campus.
(ii) A nursing facility may
check an additional box if it specializes in peritoneal dialysis.
(e) Hospice care:
(i) A facility may check the "hospice" box if
it specializes in providing hospice care, whether the facility provides the
hospice care or contracts with a hospice provider to provide the hospice
care.
(ii) A facility may check an
additional box if it offers additional end-of-life care so long as it describes
the end-of-life care if offers.
(f) Intensive rehabilitation services:
(i) A nursing facility may check the
"intensive rehabilitation services" box if it specializes in providing services
by occupational therapists, physical therapists, and speech therapists to
assist in recovery from an accident, surgery, stroke, or other medical incident
and if the service is provided by or coordinated by occupational therapists,
physical therapists, or speech therapists.
(ii) A nursing facility may check an
additional box if its therapists who provide its intensive rehabilitation
services are available seven days per week.
(iii) A nursing facility may check an
additional box if it consistently assigns residents to the same
therapist.
(g)
Respiratory care, including ventilator care:
(i) A nursing facility may check the
"respiratory care, including ventilator care" box if it specializes in
providing chronic ventilator care, tracheal suctioning, and ventilator weaning.
"Respiratory care, including ventilator care" may also include use of
respirators/ ventilators, oxygen, intermittent positive pressure breathing
(IPPB), or other inhalation therapy, pulmonary care, humidifiers, and other
methods to treat conditions of the respiratory tract.
(ii) A nursing facility may check an
additional box if it has a respiratory therapist on staff.
(h) Respiratory care, not including
ventilator care:
(i) A nursing facility may
check the "respiratory care, not including ventilator care" box if it
specializes in providing tracheal weaning and tracheal suctioning. "Respiratory
care, not including ventilator care" may also include use of respirators,
oxygen, intermittent positive pressure breathing (IPPB), or other inhalation
therapy, pulmonary care, humidifiers, and other methods to treat conditions of
the respiratory tract.
(ii) A
nursing facility may check an additional box if it has a respiratory therapist
on staff.
(i) Short-term
stay for respite: A nursing facility may check the "short-term stay for
respite" box if it specializes in providing respite services on short-term
bases to individuals who are unable to care for themselves on short-term bases
because of absences, needs, or relief of those persons who normally provide
care to the individuals.
(j) Skin
and wound care:
(i) A nursing facility may
check the "skin and wound care" box if it specializes in care for clinically
complex or multiple wounds. The care may include negative pressure ("wound
vac"), debridement, and care by wound specialists on staff or under
contract.
(ii) A nursing facility
may check an additional box if it has wound-management staff certified by the
american board of wound management.
(k) Spinal cord injury care: A nursing
facility may check the "spinal cord injury care" box if it provides a special
program for those with spinal cord injuries, including physical, speech,
occupational, and vocational therapy; skin integrity management; pain
management; and environmental accessibility.
(l) Traumatic brain injury care: A nursing
facility may check the "traumatic brain injury care" box if it specializes in
evaluating and treating brain injuries by providing care that includes
physical, speech, occupational, and vocational therapy; behavioral and
cognitive rehabilitation; pain management; and substance-abuse
treatment.
(2) Services
for residential care facility residents: A residential care facility may check
any of the following boxes that describes a specialized service the residential
facility offers that is beyond personal care:
(a) Twenty-four hour licensed
nursing.
(b) Advanced skin
care.
(c) Alzheimer's
disease/dementia care (secured or unsecured).
(d) Assistance with self-administration of
medication.
(e) Formalized wellness
programs.
(f) Hospice
care.
(g) Medication
administration.
(h) Rehabilitative
therapy (occupational, physical, speech).
(i) Short-term stay for respite.
(j) Special diets.
(k) Total incontinence care.
(l) Transfer assistance (e.g., bed to
chair).
(m) Transportation (e.g.,
to appointments, outings).
(3) Services for nursing facility
non-residents: A nursing facility may check any of the following boxes that
describe a specialized service the residential care facility makes available to
non-residents in affiliation with the nursing facility:
(a) Adult day care.
(b) Assisted living on site.
(c) Home-delivered meals.
(d) Home health care.
(e) Hospice services.
(f) Independent living housing on
site.
(g) Outpatient
therapy.
(h) Short-term stay for
respite.
(i) Transportation (e.g.,
from homes to appointments).
(j)
Any other community service the facility provides to non-residents that it
specifically identifies.
(4) Services for residential care facility
non-residents: A residential care facility may check any of the following boxes
that describe a specialized service the residential care facility makes
available to non-residents in affiliation with the residential care facility:
(a) Adult day care.
(b) Home health care.
(c) Hospice care.
(d) Independent living housing on
site.
(e) Outpatient therapies
(occupational, physical, speech).
(f) Short-term stay for respite.
(g) Skilled nursing facility on
site.
(h) Transportation (e.g.,
from homes to appointments).
(i)
Any other community service the facility provides to non-residents that it
specifically identifies.
(B) Check boxes, attestations, and disclaimer:
(1) Check boxes: For the facility
services specified in paragraphs (A)(1) and (A)(2) of this rule, ODA shall
include check boxes to indicate if a facility provides specific services, and
if the facility provides the services within a specific unit of the facility.
(2) Attestations:
(a) A nursing facility shall attest that any
box it checks to indicate that it provides the specific service accurately
represents a service that it provides by checking the box on the electronic
guide below the following statement: "This facility asserts that it offers the
service in the manner described, as certified/attested/confirmed by [insert
name, title] on [insert date]." The facility shall make this attestation as
part of the update procedures provided by paragraph (B)(2) of rule
173-45-06 of the Administrative
Code.
(b) Upon request from
consumers, ombudsmen, or surveyors, a nursing facility shall provide
documentation to demonstrate how any specialized service that it attested that
it provides meets the description of the specialized service under paragraph
(A)(1) of this rule. If the nursing facility does not demonstrate how it
provides a specialized service, ODA may remove the specialized service from the
facility's listing in the guide.
(3) Disclaimer: ODA shall publish this
disclaimer in the guide: "This form is intended for consumers, ombudsmen, and
other interested persons to use in comparing services offered at Ohio
facilities listed on the "Ohio Long-Term Care Consumer Guide." The state does
not offer any guarantee that the described services are available to residents
because they are listed here. Residents and interested persons may use this
information to compare facilities' services and capabilities. This information
is not intended to take the place of visiting the facility, talking with
residents, family members, or meeting one-on-one with facility
staff."
(C) Updating content: ODA shall obtain information regarding the services listed in paragraph (A) of this rule from the facilities themselves and may also obtain information from publicly-available sources, in accordance with paragraph (B) of rule 173-45-06 of the Administrative Code. Each facility may supplement the information required under paragraphs (A)(1) and (A)(2) of this rule in order to ensure an accurate description of services provided through the special care unit.
(D) Definition: As used in this rule, "affiliation" means a connection between a facility and a provider that are operated by the same entity, or that have entered into a contract whereby the provider provides services on the property of the facility or in close proximity to the facility.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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