Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-151 - Mental Disease Facility
Section R432-151-20 - Nursing Services
Current through Bulletin 2024-06, March 15, 2024
(1) Nursing services shall be available to residents who require such services.
(2) There shall be nursing staff available according to Table 1 to meet medical needs.
(3) All prescribed medications shall be administered by licensed personnel.
(4) In an intermediate care facility, if the health services supervisor is a licensed practical nurse, the registered nurse consultant shall be contacted within three days of a new admission to review the resident care plan.
(5) Schedules shall be maintained to indicate hours worked in the treatment program by regularly assigned and relief registered nurses, licensed practical nurses, and aides. The facility shall retain staff schedules and payroll records for at least a 12-month period.
(6) Aides performing housekeeping, dietary, or other functions shall maintain time records reflecting actual time spent in nursing care and time spent in other tasks. Time spent in other tasks will not be included in nursing care staffing ratios.
(7) Table 1 represents the minimum acceptable standards for hours of nursing care; additional staffing time may be necessary to accommodate variables such as staff illness or vacation, resident census, or status and behavior of residents.
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TABLE 1 HOURS OF NURSING CARE PER SKILLED AND INTERMEDIATE LEVEL RESIDENT |
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Type of Resident |
Total Nursing Hours per Resident per 24 hrs. (RN + LPN + Aide) |
Licensed Nursing Hours per resident per 24 hrs. (RN + LPN only) |
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SKILLED |
2.5 (150 minutes) |
30% (45 minutes)(a) |
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INTERMEDIATE |
2.0 (120 minutes) |
30% (36 minutes)(a) |
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(a) Shall not include director of nursing or health services supervisor in a facility with a resident census over 60. |
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