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

A. An administrator shall ensure that 1. a behavioral health technician or 2. behavioral health paraprofessional is at least 18 years old. B. An administrator shall ensure that: 1. The qualifications, skills, and knowledge required for each type of personnel member: a. Are based …

An administrator shall ensure that: 1. A resident is admitted only on a physician's order; 2. The physician's admitting order includes the nursing care institution services required to meet the immediate needs of a resident, such as medication and food services; 3. At the time of…

A. An administrator shall ensure that: 1. A resident is transferred or discharged if: a. The nursing care institution is not authorized or not able to meet the needs of the resident, or b. The resident's behavior is a threat to the health or safety of the resident or other indivi…

A. Except as provided in subsection (B), an administrator shall ensure that: 1. A personnel member coordinates the transport and the services provided to the resident; 2. According to policies and procedures: a. An evaluation of the resident is conducted before and after the tran…

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 care institution; 2. A director of nursing is appointed who: a. Is a registered nurse, b. Works full-time at the nursing care institution, and c. Is responsible for the direction o…

A. An administrator shall appoint a medical director. B. A medical director shall ensure that: 1. A resident has an attending physician; 2. An attending physician is available 24 hours a day; 3. An attending physician designates a physician who is available when the attending phy…

A. A director of nursing shall ensure that: 1. A comprehensive assessment of a resident: a. Is conducted or coordinated by a registered nurse in collaboration with an interdisciplinary team; b. Is completed for the resident within 14 calendar days after the resident's admission t…

Except for behavioral care, if a nursing care institution is authorized to provide behavioral health services, an administrator shall ensure that: 1. The behavioral health services are provided:a. Under the direction of a behavioral health professional licensed or certified to pr…

If clinical laboratory services are authorized to be provided on a nursing care institution'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, certific…

If dialysis services are authorized to be provided on a nursing care institution's premises, an administrator shall ensure that the dialysis services are provided in compliance with the requirements in R9-10-1018. Notes Ariz. Admin. Code § R9-10-417 Adopted effective January 28, …

If radiology services or diagnostic imaging services are authorized to be provided on a nursing care institution's premises, 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 …

If respiratory care services are provided on a nursing care institution's premises, an administrator shall ensure that: 1. Respiratory care services are provided under the direction of a medical director or attending physician; 2. Respiratory care services are provided according …

If rehabilitation services are provided on a nursing care institution'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 to p…

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

A. An administrator shall ensure that: 1. An infection control program is established, under the direction of an individual qualified according to policies and procedures, to prevent the development and transmission of infections and communicable diseases including: a. A method t…

A. An administrator shall ensure that: 1. The nursing care institution has a license or permit as a food establishment under 9 A.A.C. 8, Article 1; 2. A copy of the nursing care institution's food establishment license or permit is maintained; 3. If a nursing care institution con…

A. An administrator shall ensure that: 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes: a. When, how, and where residents will be relocated, including: i. Instr…

A. An administrator shall ensure that: 1. A nursing care institution's premises and equipment are: a. Cleaned and disinfected according to policies and procedures or manufacturer's instructions to prevent, minimize, and control illness and infection; and b. Free from a condition …

A. An administrator shall ensure that: 1. A nursing care institution complies with: a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the date the nursing care institution submitted architectu…

A. As required in A.R.S. § 36-425.02(A), the Department shall issue a quality rating to each licensed nursing care institution based on the results of a compliance inspection. B. The following quality ratings are established:1. A quality rating of "A" for excellent is issued if t…

In addition to the definitions in A.R.S. §§ 36-401 and 36-551 and R9-10-101, the following definitions apply in this Article unless otherwise specified: 1. "Active treatment" means rehabilitative services and habilitation services provided to a resident to address the resident's …

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

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of an ICF/IID; 2. Establish, in writing, the ICF/IID's scope of services; 3. Designate, in writing, an administrator for the ICF/IID who: a. Is at…

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 to…

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. Notes Ariz. Admin. Code § R9-1…

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; b. If the resident has a developmental disability or cognitive disability, as defined in A.R.S. § 36-551; c. If the resident's placement evaluation indicates that the resident's needs c…

A. An administrator, in coordination with the Arizona Department of Economic Security, Division of Developmental Disabilities, shall ensure that: 1. A resident is transferred or discharged if:a. The ICF/IID is not authorized or not able to meet the needs of the resident, or b. Th…

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 …

A. An administrator of an ICF/IID that uses a vehicle owned or leased by the ICF/IID 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 drinking water sufficient to meet the needs of e…

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. Except as provided in subsection (D), an administrator shall ensure that:1. Personnel members are available to provide the following rehabilitation services: a. Physical therapy, as defined in A.R.S. § 32-2001; b. Occupational therapy, A.R.S. § 32-3401; c. Psychological servic…

A. An administrator shall ensure that:1. A comprehensive assessment of a resident:a. Is conducted or coordinated by a qualified intellectual disabilities professional, in collaboration with an interdisciplinary team that includes: i. The resident's attending physician or designee…

A. An administrator shall ensure that:1. An ICF/IID's policies and procedures for managing a resident's inappropriate behavior, as described in R9-10-503(C)(2)(g) are reviewed, approved, and monitored through the quality management process in R9-10-504; and 2. Restraint is provid…

A. An administrator shall ensure that: 1. A resident has an attending physician; 2. An attending physician is available 24 hours a day; 3. An attending physician designates a physician who is available when the attending physician is not available; 4. A physical examination is pe…

A. An administrator shall ensure that:1. A resident who receives behavioral care from the ICF/IID is evaluated by a behavioral health professional or medical practitioner: a. Within 30 calendar days before the resident is admitted to the ICF/IID or before the resident begins rece…

If clinical laboratory services are authorized to be provided on an ICF/IID'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, certificate of complianc…

If respiratory care services are authorized to be provided on an ICF/IID's premises, an administrator shall ensure that: 1. Respiratory care services are provided under the direction of an attending physician; 2. Respiratory care services are provided according to an order that i…

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

An administrator shall ensure that: 1. An infection control program is established, under the direction of an individual qualified according to policies and procedures, to prevent the development and transmission of infections and communicable diseases including: a. A method to i…

A. An administrator shall ensure that:1. The ICF/IID has a license or permit as a food establishment under 9 A.A.C. 8, Article 1; 2. A copy of the ICF/IID's food establishment license or permit is maintained; 3. If the ICF/IID contracts with a food establishment, as established i…

A. An administrator shall ensure that: 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes: a. A floor plan of the facility showing emergency protection equipment, …

A. An administrator shall ensure that:1. An ICF/IID's premises and equipment are:a. Cleaned and disinfected according to policies and procedures or manufacturer's instructions to prevent, minimize, and control illness and infection; and b. Free from a condition or situation that …

A. An administrator shall ensure that, if an ICF/IID has: 1. More than 16 residents, the ICF/IID complies with: a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the earlier of:i. The date the…