Current through Register Vol. 63, No. 3, March 1, 2024
(1) PRE-ADMISSION
SCREENING AND ASSESSMENT.
(a) Before
admission, the licensee or administrator must conduct and document a screening
using the Department's current Adult Foster Home Screening and Assessment and
General Information form (SDS 0902) to determine if a prospective resident's
care needs exceed the license classification of the home. The screening must:
(A) Evaluate the ability of the prospective
resident to evacuate the home within three minutes along with all the occupants
of the home.
(B) Determine if the
licensee and caregivers can meet the prospective resident's needs in addition
to meeting the needs of the other residents of the home.
(C) Include medical diagnoses, medications,
personal care needs, nursing care needs, cognitive needs, communication needs,
night care needs, nutritional needs, activities, lifestyle preferences, and
other information, as needed, to assure the prospective resident's care needs
shall be met.
(b) The
screening process must include interviews with the prospective resident and the
prospective resident's family, prior care providers, and case manager, as
appropriate. The licensee or administrator must also interview, as necessary,
any physician, nurse practitioner, physician assistant, registered nurse,
pharmacist, therapist, or mental health or other licensed health care
professional involved in the care of the prospective resident. A copy of the
screening document must be:
(A) Given to the
prospective resident or their representative.
(B) Placed in the resident's record if
admitted to the home; or
(C)
Maintained for a minimum of three years if the prospective resident is not
admitted to the home.
(c) If the Department or AAA knows a person
who is on probation, parole, or post-prison supervision after being convicted
of a sex crime as defined in ORS
163A.005
is applying for admission to an AFH, the Department or AAA shall notify the
home of the person's status as a sex offender.
(d) The licensee or administrator may refuse
to admit a person who is on probation, parole, or post-prison supervision after
being convicted of a sex crime as defined in 163A.005.
(e) REQUIRED DISCLOSURES.
(A) The licensee or administrator must
disclose the home's policies to a prospective resident or the prospective
resident's representative, as applicable. A copy of the home's current
Residency Agreement identifying the home's policies shall be provided to the
prospective resident and their representative. (See OAR
411-050-0705).
(B) LONG-TERM CARE
ASSESSMENT. The licensee or administrator must inform a prospective private-pay
resident or the prospective resident's representative, if appropriate, of the
availability of long-term care assessment services provided through the
Department or a certified assessment program. The licensee or administrator
must document on the Department's form (SDS 913) that the prospective
private-pay resident has been advised of the right to receive a long-term care
assessment. The licensee or administrator must maintain a copy of the form in
the resident's record upon admission and make a copy available to the
Department upon request.
(2) BEFORE ADMISSION.
(a) The licensee or administrator must obtain
and document general information regarding a resident before the resident's
admission. The information must include the names, addresses, and telephone
numbers of the resident's relatives, significant persons, case managers, and
medical or mental health providers. The information must also include the date
of admission and, if available, the resident's medical insurance information,
birth date, prior living facility, and mortuary.
(b) Before admission, the licensee or
administrator must obtain and place in the resident's record:
(A) Prescribing practitioner's written or
verbal orders for medications, treatments, therapies, and special diets, as
applicable. Any verbal orders must be followed by written orders within seven
calendar days of the resident's admission. Attempts to obtain written orders
must be documented in the resident's record.
(B) Prescribing practitioner or pharmacist
review of the resident's preferences for over-the-counter medications and home
remedies.
(C) Any medical
information available, including the resident's history of accidents,
illnesses, impairments, or mental status that may be pertinent to the
resident's care.
(c) The
licensee or administrator must ask for copies of the resident's Advance
Directive, Physician's Order for Life Sustaining Treatment (POLST), and proof
of court-appointed guardianship or conservatorship, if applicable. Copies of
these documents must be placed in a prominent place in the resident's record
and sent with the resident if the resident is transferred for medical
care.
(d) The licensee or
administrator must review the home's current Residency Agreement with the
resident and the resident's representative, as appropriate. These reviews must
be documented by having the resident, or the resident's representative, sign
and date a copy of the Residency Agreement. A copy of the signed and dated
Residency Agreement must be maintained in the resident's record.
(e) Upon admission of a resident, the
licensee or administrator shall provide the resident or the resident's
representative with information developed by the Long-Term Care Ombudsman
describing the availability and services of the ombudsman. The facility shall
document that the facility provided this information as required.
(3) SCREENING BEFORE RE-ADMISSION.
When a resident temporarily leaves the home including, but not limited to, a
resident's hospitalization, the licensee or administrator shall conduct the
necessary elements of the pre-admission and screening assessment requirements,
and document those findings to:
(a) Determine
whether readmission to the home is appropriate for the classification of the
home.
(b) Determine whether the
licensee or administrator can continue to meet the resident's care and safety
needs in addition to those of the other residents.
(c) Demonstrate compliance with these
rules.
(d) If applicable,
demonstrate the basis for refusing the resident's re-admission to the home
according to reasons identified in OAR 411-050-0760(3).
Statutory/Other Authority: ORS
127.520,
409.050,
410.070,
413.085,
441.373,
443.001,
443.004
& 443.725, 443.730, 443.735, 443.738, 443.742, 443.760, 443.767, 443.775,
443.790
Statutes/Other Implemented: ORS
409.050,
410.070,
413.085,
441.373,
443.001
- 443.004, 443.705 - 443.825 & 443.875,
443.991