Current through Register Vol. 63, No. 3, March 1, 2024
(1)
Activity Program. The facility shall have an activity program available to all
residents which encourages each resident to maintain normal activity and to
return to self-care. The program shall address the intellectual, social,
spiritual, creative, and physical need(s), capabilities, and interests of each
resident, and shall encourage resident self-direction:
(a) The program shall encourage involvement
and allow each resident to attain and maintain function at his/her highest
practical level, and shall include both group and individual
activities;
(b) Residents and staff
will be informed of scheduled activities;
(c) The program shall include activities
meaningful to the residents at least six days per week including:
(A) Gross motor activities (e.g., exercise,
dancing, gardening, crafts);
(B)
Individual self-care activities designed to enhance personal responsibility and
choice (e.g., dressing, personal hygiene);
(C) Social activities (e.g., games, outside
activities, field trips); and
(D)
Sensory enhancement activities (e.g., pictures, music, olfactory and tactile
stimulation, reminiscing, pet therapy).
(d) The facility shall provide equipment,
supplies and space to meet individual and group activity needs.
(2) Activity Director. The
facility shall employ an Activity Director. He/she shall have a written job
description which identifies the duties and responsibilities of the position,
including the requirements set forth by this rule:
(a) Qualifications. The Director shall meet
one of the following:
(A) Have two years
experience in a social or recreational program within the past five years, one
of which was full-time in a patient activities program in a health care
setting; or
(B) Be eligible for
certification as a therapeutic recreation specialist by a recognized
accrediting body; or
(C) Be a
qualified occupational therapist or occupational therapy assistant;
or
(D) Have completed a 36-hour
activities workshop. The workshop must be conducted by an individual with a
master's or bachelor's degree in recreation therapy or a closely related field,
or by a registered occupational therapist. Such individual must have at least
one year of experience in long-term care services. The course must cover the
subject matters identified in Exhibit 1, which is attached to and made a part
of these rules.
(b)
Responsibilities. The Director shall:
(A)
Ensure the provision of an activities program as required by this rule and
adherence to facility policy (OAR 411-085-0210);
(B) Plan and participate in activities
inservice required by OAR 411-086-0310.
(3) Staffing. The facility shall have
adequate staffing to carry out the activity program.
(4) Activities Plan. Each resident shall have
an activities plan for independent and group activities which is incorporated
into the comprehensive care plan. The plan shall include, but not be limited
to, past and current interests and activities, skills, medical limitations, and
cognitive and emotional functioning:
(a)
Activity services shall be available to the resident in accordance with the
preliminary resident care plan not later than 24 hours after
admission;
(b) The activities plan
shall be reviewed and updated as frequently as the resident's condition or
needs change, but no less often than quarterly;
(c) The clinical record shall contain written
instructions or orders from the resident's attending physician stating the
level of activity allowed and any activity restrictions.
(5) Documentation:
(a) The involvement of each resident shall be
documented in the resident's clinical record, including the type of activity
and the degree of participation;
(b) Progress notes relevant to the activities
plan shall be documented in the resident's clinical record as frequently as the
resident's condition changes, but no less often than quarterly.
Exhibits referenced are available from the
agency.
Stat. Auth.: ORS
410.070,
410.090 &
441.055
Stats. Implemented: ORS
441.055 &
441.615
