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

A. An administrator shall ensure that a treatment plan is developed and implemented for each resident that: 1. Is based on the medical history and physical examination or nursing assessment required in R9-10-707(A)(6) or (E)(1)(a) and the behavioral health assessment required in …

A. An administrator shall ensure that a discharge plan for a resident is: 1. Developed that: a. Identifies any specific needs of the resident after discharge, b. Is completed before discharge occurs, and c. Includes a description of the level of care that may meet the resident’s …

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 (E) 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 a personnel member authorized by policies and proce…

A. An administrator of a behavioral health residential facility that uses a vehicle owned or leased by the behavioral health residential facility 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,…

An administrator shall ensure that a time-out: 1. Is provided to a resident who voluntarily decides to go in a time-out; 2. Takes place in an area that is unlocked, lighted, quiet, and private; 3. Is time-limited and does not exceed the amount of time as determined by the residen…

An administrator of a behavioral health residential facility that is authorized to provide personal care services shall ensure that: 1. Personnel members who provide personal care services have documentation of completion of a caregiver training program that complies with A.A.C. …

A. An administrator shall ensure that: 1. If a behavioral health residential facility is authorized to provide court-ordered evaluation or court-ordered treatment: a. Court-ordered evaluation is provided in compliance with the requirements in A.R.S. Title 36, Chapter 5, Article 4…

A. An administrator of a behavioral health residential facility authorized to provide an outdoor behavioral health care program shall ensure that: 1. Behavioral health services are provided to a resident participating in the outdoor behavioral health care program consistent with …

An administrator of a behavioral health residential facility that is an adult residential care institution and is authorized to provide recidivism reduction services shall ensure that: 1. A personnel member who is recidivism reduction staff at the adult residential care instituti…

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. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that: 1. For a behavioral health residential facility that has a licensed capacity of more than 10 residents: a. The behavioral health resid…

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that a behavioral health residential facility has: 1. A fire alarm system installed according to the National Fire Protection Association 72…

A. Except for an outdoor behavioral health care program provided by a behavioral health residential facility, an administrator shall ensure that: 1. The premises and equipment are: a. Maintained in a condition that allows the premises and equipment to be used for the original pur…

A. Except for a behavioral health outdoor program, an administrator shall ensure that the premises and equipment are sufficient to accommodate: 1. The services in the behavioral health residential facility’s scope of services, and 2. An individual admitted as a resident by the be…

Historical Note Adopted effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). Repealed by exempt rulemaking at 19 A…

ARTICLE 8. ASSISTED LIVING FACILITIES Article 8 (Sections R9-10-801 through R9-10-812) adopted as permanent rules effective October 30, 1989. Article 8, consisting of Sections R9-10-801 through R9-10-812, readopted as an emergency effective July 31, 1989 pursuant to A.R.S. § 41-1…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following definitions apply in this Article, unless the context otherwise requires: 1. “Accept” or “acceptance” means: a. An individual begins living in and receiving assisted living services from an assisted li…

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 assisted living facility shall include in a Department-provided format: 1. Which of the following levels of assisted living services the applicant is requesti…

A. A governing authority shall: 1. Consist of one or more individuals responsible for the organization, operation, and administration of an assisted living facility; 2. Establish, in writing, an assisted living facility’s scope of services; 3. Designate, in writing, a manager who…

A manager 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 resid…

A manager 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 emergen…

A. A manager shall ensure that: 1. A caregiver: a. Is 18 years of age or older; and b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Fac…

A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident’s date of occupancy, and 2. As specified in R9-10-113. B. A manager shall ensure …

A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 1. Is completed no later than 14 calendar days after the resident’s date of acceptance; 2. Is developed with assistance and re…

A. Except as provided in subsection (B), a manager shall ensure that: 1. A caregiver or employee 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 transp…

A. A manager shall ensure that, at the time of acceptance, a resident or the resident’s representative receives a written copy of the requirements in subsection (B) and the resident rights in subsection (C). B. A manager shall ensure that: 1. A resident is treated with dignity, r…

A. A manager 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. Only recorded by an individual authorized by policies and procedures to mak…

A manager shall ensure that for a resident who requests or receives behavioral care from the assisted living facility, a behavioral health professional or medical practitioner: 1. Evaluates the resident: a. Within 30 calendar days before acceptance of the resident or before the r…

If an assisted living facility is authorized to provide behavioral health services other than behavioral care, a manager shall ensure that: 1. Policies and procedures are established, documented, and implemented that cover when general consent and informed consent are required an…

A. A manager of an assisted living facility authorized to provide personal care services shall not accept or retain a resident who: 1. Is unable to direct self-care; 2. Except as specified in subsection (B), is confined to a bed or chair because of an inability to ambulate even w…

A. A manager shall ensure that a resident’s representative is designated for a resident who is unable to direct self-care. B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-…

A. If an assisted living facility is authorized to provide directed care services, a manager shall ensure that: 1. Policies and procedures for memory care services are established, documented, and implemented to cover the following: a. Skills and knowledge necessary for the perso…

A. A manager shall ensure that: 1. Policies and procedures for medication services include: a. Procedures for preventing, responding to, and reporting a medication error; b. Procedures for responding to and reporting an unexpected reaction to a medication; c. Procedures to ensure…

A. A manager shall ensure that: 1. A food menu: a. Is prepared at least one week in advance, b. Includes the foods to be served each day, c. Is conspicuously posted at least one calendar day before the first meal on the food menu is served, d. Includes any food substitution no la…

A. A manager shall ensure that: 1. A disaster plan is developed, documented, maintained in a location accessible to caregivers and assistant caregivers, and, if necessary, implemented that includes: a. When, how, and where residents will be relocated; b. How a resident’s medical …

A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: a. Cleaned and, if applicable, disinfected according to policies and procedures designed to prevent, minimize, and control illness or infection; and b. Free from a condition or…

A. A manager shall ensure that an assisted living center complies with the applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that: 1. Are applicable to the level of services planned to be provided or being provided; and 2.…

In addition to the definitions in A.R.S. § 36-401 and R9-10-101, the following apply in this Article, unless otherwise specified: 1. “Inpatient care” means postsurgical services provided in a hospital. 2. “Outpatient surgical services” means anesthesia and surgical services provi…

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

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 effect…

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 governing authority shall ensure that: 1. The medical staff approve bylaws for the conduct of medical staff activities according to medical staff bylaws and governing authority requirements; 2. The medical staff physicians conduct medical peer review according to A.R.S. Title 3…

A. A medical staff member shall only admit patients to the outpatient surgical center who: 1. Do not require planned inpatient care, and 2. Are discharged from the outpatient surgical center within 24 hours. B. Within 30 calendar days before a patient is admitted to an outpatient…

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…

A. An administrator shall ensure that: 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 su…

A. An administrator shall ensure that: 1. A medical record is established and maintained for a 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 procedures to m…

A. An administrator shall ensure that: 1. A current listing of surgical procedures offered by an outpatient surgical center is maintained on the outpatient surgical center’s premises, and 2. A chronological register of surgical procedures performed in the outpatient surgical cent…