Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0003 - Aging Division
Chapter 8 - PROGRAM ADMINISTRATION FOR BOARDING HOMES
Section 8-5 - Management
Universal Citation: WY Code of Rules 8-5
Current through September 21, 2024
(a) Manager shall:
(i) Be a responsible adult at least 21 years
of age or a couple, each of whom is at least 21 years of
age;
(ii)
Be familiar with and follow these rules;
(iii) Be responsible for the daily operation
of the boarding home and for the safety and well-being of residents. In the
manager's absence, there shall be a responsible designee at least 21 years of
age (who is not a resident of the facility) to assume the responsibility of the
boarding home;
(iv) Provide
orientation to all new employees which shall include resident rights,
evacuation and emergency procedures, training in policies and procedures, and
competent supervision designed to improve resident care;
(v) Have a current tuberculin skin testing
prior to licensure. The staff shall have tuberculin skin testing prior to
employment and annually thereafter;
(vi) Provide verification of a Department of
Family Services central registry check on self and/or manager, and all
employees hired at the time or after the filing of these rules. The manager is
responsible for initiating and following this process to completion.
(vii) Not act as, or become, the legal
guardian of or have power of attorney for any resident.
(b) Staffing.
(i) There shall be an adequate number of
personnel on duty to maintain order, safety, and cleanliness of the premises,
to prepare and serve meals, to keep an adequate supply of clean linens, to
assist the residents in personal needs, recreational activities, and to meet
the operational needs of the home.
(ii) No person with a reportable
communicable, contagious or infectious disease shall be employed.
(iii) A file for each employee shall be
maintained and available to the surveyor containing at least the following
information:
(A) Name, current address and
telephone number;
(B) Social
Security Number;
(C)
Education;
(D) Work
experience;
(E) Date of
employment;
(F) Job
description;
(G) Documentation of
tuberculin testing; and
(H)
Employee training, orientation, and emergency procedure checklist.
(c) Policies and Procedures.
(i) There shall be written
policies and procedures available to residents, their families or legal
representatives, staff, and the public. The policies and procedures shall
include, but not be limited to:
(A)
Resident's Rights;
(B) Admission,
transfer, and discharge of residents;
(C) Medications and administration;
(D) Departure from and return to
facility;
(E) House rules, to
include freedom permitted and limitations necessary to protect the rights of
others;
(F) Visiting
hours;
(G) Religious
services;
(H) Notifications in
change in resident status;
(I)
Resident records;
(J) Emergency
care, disaster plans;
(K) Smoking
policy;
(L) Fire plan;
(M) Personnel policies;
(N) Reporting of all complaints to the Long
Term Care Ombudsman;
(O) Grievance
policy; and
(P) Quality Assurance
Plan.
(d) Admission, Transfer, and Discharge.
(i) The
written admission policy shall include restrictions to admission to a boarding
home.
(ii) Residents shall not be
accepted, nor retained, if:
(A) Their
condition indicates the need for assisted or skilled nursing care;
(B) They have reportable communicable
diseases or infectious conditions;
(C) They have physical limitations preventing
ambulation. Persons requiring wheelchairs or walkers shall be able to exit the
building without staff assistance;
(D) They require assistance in transferring
to and from a wheelchair;
(E) They
have mental defects which interfere with their ability to understand and follow
instructions relating to rules of the boarding home;
(F) They require intravenous
therapy;
(G) They are incapable of
self-administration of medications; or
(H) They are wanderers, or have destructive,
aggressive or violent behavior toward self or others.
(iii) Each resident shall designate a
personal physician and dentist to be called in case of an emergency. The
boarding home shall make necessary arrangements to secure the services of a
licensed physician if the resident's own physician is not available.
(iv) In the event of illness or injury of a
resident, the resident's personal physician and the resident's designated
representative shall be called.
(e) Transfer and Discharge.
(i) A resident may not be moved, transferred,
discharged or asked to leave without fourteen (14) days written notice to the
resident, or the resident's legal representative, guardian or conservator,
stating the reasons for the request. Residents shall have the right to object
to the request, except where undue delay might jeopardize the health, safety or
well-being of the resident or others.
(ii) The written notice shall include the
name, address, and telephone number of the person giving the notice; the date
of the notice; the resident's name; the reason for the transfer or discharge;
the effective date; the location to which the resident is being transferred or
discharged; and the name and telephone number of the State Long Term Care
Ombudsman.
(f) Resident Records and Reports.
(i) Resident's records
shall be current, organized and maintained in individual folders which shall be
available on the premises. Resident records shall be made available to the
resident and the Long Term Care Ombudsman, Program Division and the Licensing
Division upon request and include the following:
(A) The resident's history and physical and
the current physician's statement or certificate of resident's health and
suitable placement. The physicians statement or certificate of resident's
health shall be updated annually.
(B) Individual admission form shall contain,
but not necessarily be limited to, the following information:
(I) Full name of resident and former
address;
(II) Date of
admission;
(III) If applicable,
name, home address, telephone number of interested family member, designated
representative, power of attorney, or guardian;
(IV) Medicare number or other medical
insurance; and
(V) Sex, race, date
of birth, social security number, and former occupation.
(ii) Written records of all
accidents, injuries and illnesses, and subsequent treatment occurring after
admission.
(iii) The boarding home
shall notify the Program Division within Seventy-Two (72) hours of an unusual
death, serious injury or accident, fire or other emergency situations. All such
occurrences shall be documented.
(iv) A written account of all personal
possessions and funds deposited with the boarding home.
(v) A signed copy of the resident's
rights.
(vi) The resident shall be
assured of confidential treatment of all information in his/her records, and
his/her written consent (or consent of family or guardian) shall be required
for the release of information to persons not otherwise authorized to receive
it.
(vii) All resident's records
shall be retained for a minimum of six (6) years after the resident has left
the home and may be disposed of after that time, unless litigation is
pending.
(viii) All records shall
be protected from damage by fire, water and other hazards.
Disclaimer: These regulations may not be the most recent version. Wyoming 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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