Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING

A. For a transport of a patient, the administrator of a sending hospital shall ensure that: 1. Policies and procedures are established, documented, and implemented that: a. Specify the process by which the sending hospital personnel members coordinate the transport and the medica…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following applies in this Article unless otherwise specified: “Recovery care services” has the same meaning as in A.R.S. § 36-448.51. Historical Note New Section R9-10-2101 renumbered from R9-10-501 by exempt ru…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of a recovery care center; 2. Establish in writing: a. A recovery care center’s scope of services, and b. Qualifications for an administrator; 3. …

1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided to patients; c. A method to evaluate …

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided. Historical Note New Section R9…

A. An administrator shall ensure that: 1. The qualifications, skills, and knowledge required for each type of personnel member: a. Are based on: i. The type of physical health services or behavioral health services expected to be provided by the personnel member according to the …

A. A governing authority shall require that: 1. The organized medical staff is directly accountable to the governing authority for the quality of care provided by a medical staff member to a patient in a recovery care center; 2. The medical staff bylaws and medical staff regulati…

A. An administrator shall ensure that a physician only admits patients to the recovery care center who require recovery care services, as defined in A.R.S. § 36-448.51. B. An administrator shall ensure that the following documents are in a patient’s medical record at the time the…

A. For a patient, an administrator shall ensure that discharge planning: 1. Identifies the specific needs of the patient after discharge, if applicable; 2. If a discharge date has been determined, identifies the anticipated discharge date; 3. Includes the participation of the pat…

Except for a transfer of a patient due to an emergency, an administrator shall ensure that: 1. A personnel member coordinates the transfer and the services provided to the patient; 2. According to policies and procedures: a. An evaluation of the patient is conducted before the tr…

For a transfer of a patient, the administrator of a sending hospital shall ensure that: 1. Policies and procedures are established, documented, and implemented that: a. Specify the process by which the sending hospital personnel members coordinate the transfer and the medical ser…

A. An administrator shall ensure: 1. The requirements in subsection (B) and the patient rights in subsection (C) are conspicuously posted on the premises; 2. At the time of admission, a patient or the patient’s representative receives a written copy of the requirements in subsect…

A. An administrator shall ensure that: 1. A patient’s medical record is established and maintained for each patient according to A.R.S. Title 12, Chapter 13, Article 7.1; 2. An entry in a patient’s medical record is: a. Recorded only by an individual authorized by policies and pr…

A. An administrator shall appoint a registered nurse as the director of nursing who has the authority and responsibility to manage nursing services at a recovery care center. B. A director of nursing shall: 1. Ensure that policies and procedures are developed, documented, and imp…

A. An administrator shall ensure that policies and procedures for medication services: 1. Include: a. A process for providing information to a patient about medication prescribed for the patient including: i. The prescribed medication’s anticipated results, ii. The prescribed med…

An administrator shall ensure that: 1. Laboratory services are provided on the premises, or are available through contract, with a laboratory that holds a certificate of accreditation or certificate of compliance issued by the U.S. Department of Health and Human Services under th…

A. An administrator shall ensure that: 1. The recovery care center has a license or permit as a food establishment under 9 A.A.C. 8, Article 1; 2. A copy of the recovery care center’s food establishment license or permit is maintained; and 3. If a recovery care center contracts w…

A. An administrator shall ensure that policies and procedures for providing emergency treatment are established, documented, and implemented that protect the health and safety of patients and include: 1. Basic life support procedures, including the administration of oxygen and ca…

A. An administrator shall ensure the recovery care center’s infection control policies and procedures include: 1. Development and implementation of a written plan for preventing, detecting, reporting, and controlling communicable diseases and infection; 2. Handling and disposal o…

A. An administrator shall ensure that recovery care center’s patient rooms and service areas comply with the applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, in effect on the date the recovery care center submitted archit…

A. An administrator shall ensure that: 1. The requirements in subsection (B) and the patient rights in subsection (C) are conspicuously posted on the hospital’s premises; 2. At the time of admission, a patient or the patient’s representative receives a written copy of the require…

A. An administrator shall ensure that: 1. A medical record is established and maintained for each patient according to A.R.S. § Title 12, Chapter 13, Article 7.1; 2. An entry in a patient’s medical record is: a. Recorded only by a personnel member authorized by policies and proce…

A. An administrator shall ensure that: 1. Nursing services are provided 24 hours a day, and 2. A nurse executive is appointed who is qualified according to policies and procedures. B. A nurse executive shall designate a registered nurse who is present on the hospital’s premises t…

An administrator of a general hospital shall ensure that: 1. There is an organized service that provides surgical services under the direction of a medical staff member; 2. There is a designated area for providing surgical services as an organized service; 3. The area of the hosp…

An administrator shall ensure that: 1. Anesthesia services provided in conjunction with surgical services performed in the operating room are provided as an organized service under the direction of a medical staff member; 2. Documentation is available in the surgical services are…

A. An administrator of a general hospital or a rural general hospital shall ensure that: 1. Emergency services are provided 24 hours a day in a designated area of the hospital; 2. Emergency services are provided as an organized service under the direction of a medical staff membe…

An administrator shall ensure that: 1. Pharmaceutical services are provided under the direction of a pharmacist according to A.R.S. Title 36, Chapter 27; A.R.S. Title 32, Chapter 18; and 4 A.A.C. 23; 2. A copy of the pharmacy license is provided to the Department for review upon …

An administrator shall ensure that: 1. Clinical laboratory services and pathology services are provided by a hospital through a laboratory that holds a certificate of accreditation or certificate of compliance issued by the United States Department of Health and Human Services un…

A. An administrator shall ensure that: 1. Radiology services and diagnostic imaging services are provided in compliance with A.R.S. Title 30, Chapter 4 and 9 A.A.C. 7; 2. A copy of a certificate documenting compliance with subsection (A)(1) is provided to the Department for revie…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the definitions in A.R.S. § 36-551 apply in this Article unless otherwise specified. Historical Note New Section made by exempt rulemaking at 28 A.A.R. 927 (May 6, 2022), with an immediate effective date of April 15…

A. In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a license as a nursing-supported group home shall include: 1. In a Department-provided format, whether the applicant is requesting authorization: a. To admit residents who: i…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of a nursing-supported group home; 2. Establish, in writing, the nursing-supported group home’s scope of services; 3. Designate, in writing, an ad…

An administrator shall ensure that: 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided t…

An administrator shall ensure that: 1. Contracted services are provided according to the requirements in this Article, and 2. Documentation of current contracted services is maintained that includes a description of the contracted services provided. Historical Note New Section ma…

A. An administrator shall ensure that: 1. A personnel member is: a. At least 21 years old, or b. At least 18 years old and is licensed or certified under A.R.S. Title 32 and providing services within the personnel member’s scope of practice; 2. An employee is at least 18 years ol…

An administrator shall ensure that: 1. A resident is admitted only: a. On a physician’s order or based on a placement evaluation by the Division; b. If the resident has or is at risk for having a developmental disability or cognitive disability; c. If the resident’s placement eva…

A. An administrator, in coordination with the Division if applicable, shall ensure that: 1. A resident is transferred or discharged if: a. The nursing-supported group home is not authorized or not able to meet the needs of the resident, b. The resident no longer requires continuo…

A. Except as provided in subsections (B) and (C), an administrator shall ensure that: 1. A personnel member authorized by policies and procedures coordinates the transport and the services provided to the resident; 2. According to policies and procedures: a. An evaluation of the …

Except for a special hospital that provides only psychiatric services, an administrator of a hospital that provides intensive care services shall ensure that: 1. Intensive care services are provided as an organized service in a designated area under the direction of a medical sta…

A. An administrator of a nursing-supported group home that uses a vehicle owned or leased by the nursing-supported group home to provide transportation to a resident shall ensure that: 1. The vehicle: a. Is safe and in good repair, b. Contains a first aid kit, c. Contains drinkin…

A. An administrator shall ensure that: 1. The requirements in subsection (B) and the resident rights in subsection (C) are conspicuously posted on the premises; 2. At the time of admission, a resident or the resident’s representative receives a written copy of the requirements in…

A. An administrator shall ensure that: 1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1; 2. An entry in a resident’s medical record is: a. Recorded only by an individual authorized by policies and procedures…

A. An administrator shall ensure that: 1. Nursing services are provided 24 hours a day in a nursing-supported group home; 2. A director of nursing is appointed who: a. Is a registered nurse, and b. Is responsible for the direction of nursing services; 3. The director of nursing o…

A. An administrator shall ensure that: 1. A comprehensive assessment of a resident: a. Is conducted or coordinated by the director of nursing, in collaboration with an interdisciplinary team that includes: i. The resident’s designated medical practitioner or designee; ii. A regis…

A. An administrator shall ensure that: 1. A resident has a designated medical practitioner; 2. A physical examination is performed on a resident by the resident’s designated medical practitioner or by a physician, physician assistant, or registered nurse practitioner designated b…

A. An administrator shall ensure that: 1. A resident who receives behavioral care from the nursing-supported group home is evaluated by a behavioral health professional or medical practitioner: a. Within 30 calendar days before the resident is admitted to the nursing-supported gr…

If a nursing-supported group home is authorized to provide restraint, an administrator shall ensure that: 1. Policies and procedures for providing restraint are established, documented, and implemented to protect the health and safety of a resident that: a. Establish the process …

If rehabilitation services are provided on a nursing-supported group home’s premises, an administrator shall ensure that: 1. Rehabilitation services are provided: a. Under the direction of an individual qualified according to policies and procedures, b. By an individual licensed …

If clinical laboratory services are authorized to be provided on a nursing-supported group home’s premises, an administrator shall ensure that: 1. Clinical laboratory services and pathology services are provided through a laboratory that holds a certificate of accreditation, cert…

An administrator of a hospital that provides respiratory care services shall ensure that: 1. Respiratory care services are provided under the direction of a medical staff member; 2. Respiratory care services are provided according to an order that includes: a. The patient’s name;…