Utah Admin. Code 432-150-5

Current through Bulletin No. 2024-21, November 1, 2024

Section R432-150-5 - Scope of Services

(1) For an immediate care facility, the licensee:

(a) shall provide 24-hour licensed nursing services;

(b) shall ensure nursing staff are present on the premises 24 hours a day to meet the needs of residents;

(c) shall provide at least one registered nurse either by direct employ or by contract to provide direction to nursing services;

(d) may employ a licensed practical nurse to act as the health services supervisor instead of a director of nursing if a registered nurse consultant meets regularly with the health services supervisor; and

(e) shall provide at least the following:

(i) medical supervision;

(ii) dietary services;

(iii) social services; and

(iv) recreational therapy.

(2) The licensee shall provide the following services as required in the resident care plan:

(a) physical therapy;

(b) occupational therapy;

(c) speech therapy;

(d) respiratory therapy; and

(e) other therapies as ordered by the licensed practitioner.

(3) For a skilled level of care nursing facility, the licensee shall:

(a) provide 24-hour licensed nursing services;

(b) ensure nursing staff are present on the premises 24 hours a day to meet the needs of residents;

(c) ensure a licensed charge nurse is present on each shift;

(d) employ a registered nurse for at least eight consecutive hours a day, seven days a week;

(e) designate a registered nurse to serve as the director of nursing on a full-time basis;

(f) not permit a person to concurrently serve as the director of nursing and as a charge nurse; and

(g) provide services to the residents that preserve current capabilities and prevent further deterioration including the following:

(i) medical supervision;

(ii) dietary services;

(iii) physical therapy;

(iv) social services;

(v) recreation therapy;

(vi) dental services; and

(vii) pharmacy services.

(4) The licensee shall provide the following services as required by the resident care plan:

(a) respiratory;

(b) occupational therapy; and

(c) speech therapy.

(5)

(a) The licensee shall ensure any respite services comply with this subsection.

(b) The licensee may provide respite services at an hourly rate or daily rate, but may not exceed 14 days for any single respite stay. A respite stay that exceeds 14 days is considered a nursing facility admission and is subject to the requirements of this rule applicable to non-respite residents.

(c) The licensee shall coordinate the delivery of respite services with the recipient, the case manager, if applicable, and the family member, or primary caretaker.

(d) The licensee shall document and coordinate with each provider agency to ensure uninterrupted service delivery.

(6) The licensee shall complete:

(a) a Level 1 Pre-admission Screening upon the persons admission for respite services;

(b) a record for each person receiving respite services;

(c) a service agreement to serve as the plan of care, that identifies the prescribed medications, physician treatment orders, need for assistance with activities of daily living, and diet orders; and

(d) written respite care policies and procedures that are available to staff.

(7) The licensee shall ensure respite care policies and procedures address the following:

(a) medication administration;

(b) notification of a responsible person in the case of an emergency;

(c) service agreement and admission criteria;

(d) behavior management interventions;

(e) philosophy of respite services;

(f) post-service summary;

(g) training and in-service requirement for employees; and (h) handling personal funds.

(8) The licensee shall ensure the individual receiving respite services receives a copy of the resident rights documents upon admission.

(9) The licensee shall ensure respite records contain the following:

(a) the service agreement;

(b) resident demographic information;

(c) nursing notes;

(d) physician treatment orders;

(e) daily staff notes;

(f) accident and injury reports;

(g) a post-service summary; and

(h) an advanced directive, if available.

(10) The licensee shall ensure retention and storage of respite records complies with Subsection R432-150-25(3).

(11) The licensee shall ensure confidentiality and release of information complies with Subsection R432-150-25(4).

(12) Hospice care may only be arranged and provided by a licensed hospice agency in accordance with Rule R432-750.

(13) A nursing care facility may provide terminal care.

Utah Admin. Code R432-150-5

Amended by Utah State Bulletin Number 2024-01, effective 12/12/2023