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

Historical Note Section R9-10-331, formerly numbered as R9-10-245, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Former Section R9-10-331 repealed, new Secti…

Historical Note Section R9-10-332, formerly numbered as R9-10-246, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Former Section R9-10-332 repealed, new Secti…

Historical Note Section R9-10-333, formerly numbered as R9-10-247, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Former Section R9-10-333 repealed, new Secti…

Historical Note Section R9-10-334, formerly numbered as R9-10-249, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Repealed effective February 4, 1981 (Supp. 8…

Historical Note Section R9-10-335, formerly numbered as R9-10-250, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Repealed effective February 4, 1981 (Supp. 8…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following definitions apply in this Article unless otherwise specified: 1. “Administrator” has the same meaning as in A.R.S. § 36-446. 2. “Care plan” means a documented description of physical health services an…

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 care institution shall include: 1. In a Department-provided format whether the applicant: a. Has: i. A secured area for a resident with Alzheimer’s diseas…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of a nursing care institution; 2. Establish, in writing, the nursing care institution’s scope of services; 3. Designate, in writing, a nursing car…

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 R9…

A. An administrator shall ensure that a behavioral health technician or 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 on: i.…

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 p…

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. Historical Note Adopted effective January 28, 1980 (Supp. 80-1). S…

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…

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 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 the applic…

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 …

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

Historical Note Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2).

ARTICLE 5. INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES Article 5, consisting of Sections R9-10-501 through R9-10-518, renumbered to New Article 21, R9-10-2101 through R9-10-2118; New Article 5, consisting of Sections R9-10-501 through R9-10-525 mad…

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 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 Adopted as an …

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…