Arkansas Administrative Code

20 CAR § 414-709. Wasting of controlled drugs. (a) When a dose of a controlled drug is dropped or broken, two (2) people should make a statement in the bound ledger as to what occurred, and both must sign their names. (b) These two (2) people shall be licensed nursing personnel w…

20 CAR § 414-710. Cycle-fill, pharmacy notification, and disposition of unused drugs. (a)(1) Schedule II, III, IV, and V drugs dispensed by prescription for a patient and no longer needed by the patient must be delivered in person or by registered mail to: Division of Pharmacy Se…

20 CAR § 414-801. Hygiene of staff. (a)(1) All food service employees shall wear appropriate, light colored clothing including hairnet and shall keep themselves and their clothing clean. (2) Males may wear caps. (b) All persons working as food handlers in nursing homes shall have…

20 CAR § 414-802. Frequency of meals. (a) At least three (3) meals are served daily. (b) The meals shall be served at approximately the same hours each day. (c)(1) There shall not be more than fourteen (14) hours between the availability of a substantial supper and breakfast. (2)…

20 CAR § 414-803. Menus. (a)(1) Menus shall be planned and written two (2) weeks in advance and posted at least one (1) week in advance. (2) Menus for each level shall be written. (3) Arrows, etc., are not acceptable. (b)(1) Weekly menus shall not be repeated more often than a th…

20 CAR § 414-804. Therapeutic diets. (a)(1) There shall be a system of written communications between dietetic service and nursing services, i.e., diet order forms. (2) Nursing services should send a written patient diet list monthly and diet change slips as diets are changed by …

20 CAR § 414-805. Preparation and storage of food. (a)(1) An adequately sized storage room shall be provided with adequate shelving. (2)(A) Seamless containers with tight fitting lids, clearly labeled, shall be provided for bulk storage of dry foods. (B) It is recommended that th…

20 CAR § 414-806. Sanitary conditions. (a) Food shall be procured from sources approved or considered satisfactory by federal, state, and local authorities. (b) Floors shall be cleaned after each meal. (c)(1) Dishes, silverware, and glasses shall be free of: (A) Breaks; (B) Tarni…

20 CAR § 414-807. Dietetic services staffing. (a)(1) Staffing will be correlated to the size of the facility and the total patient meals served. (2) Facilities with fifty-nine (59) beds or less shall be staffed at ten (10) minutes for each meal served. (3) Facilities with sixty (…

20 CAR § 414-901. Generally. (a)(1) When a long-term care facility does not agree with deficiencies cited on a statement of deficiencies, the facility may request an informal dispute resolution (IDR) meeting of the deficiencies in lieu of, or in addition to, a formal appeal. (2) …

20 CAR § 414-902. Requesting an informal dispute resolution. (a) A written request for an informal dispute resolution must be made to the Department of Health, Health Facility Services, 5800 West 10th, Suite 400, Little Rock, AR 72204 within ten (10) calendar days of the receipt …

20 CAR § 414-903. Matters which may be heard at IDR. (a) The IDR is limited to deficiencies cited on a statement of deficiencies. (b) Issues that may not be heard at an IDR include, but are not limited to: (1) The scope and severity assigned the deficiency by the Office of Long-T…

20 CAR § 414-904. Appeals. (a) If a Medicaid certified facility is not satisfied with the results of the informal dispute resolution, it may request a hearing before the Long-Term Care Facility Advisory Board [abolished] within the sixty-day time frame for appeal. (b) If the faci…

20 CAR § 415-101. Purpose. (a) This part sets forth the standards and criteria used in the certification of residential community reintegration program providers by the Department of Human Services. (b) The rules regarding the certification processes including, but not necessaril…

20 CAR § 415-102. Meaning of verbs in rules. The attention of the facility is drawn to the distinction between the use of the words "shall", "should", and "may" in this part: (1) "Shall" is the term used to indicate a mandatory statement, the only acceptable method under the pres…

20 CAR § 415-103. Applicability. The standards and criteria for services as subsequently set forth in this part are applicable to residential community reintegration program providers as stated in each section.

20 CAR § 415-201. Service definition. (a)(1)(A) The Residential Community Reintegration Program is designed to serve as an intermediate level of care between inpatient psychiatric facilities and outpatient behavioral health services. (B) The program provides twenty-four-hour-per-…

20 CAR § 415-202. Residential community reintegration provider certification. (a)(1) A residential community reintegration provider shall be certified by the Department of Human Services as a behavioral health agency. (2) A residential community reintegration site shall be certif…

20 CAR § 415-203. Organizational structure. (a) The residential community reintegration program shall be a separate, identifiable organizational unit with its own director or supervisor and staffing pattern. (b)(1) When the program is a portion of a larger organizational structur…

20 CAR § 415-204. Treatment planning and records. (a)(1) An individualized treatment plan shall be formulated for patients in residential community reintegration programs by the patient’s treatment team. (2) A treatment team shall consist of: (A) A treatment team leader; (B) A ps…

20 CAR § 415-205. Linkage services to higher or lower levels of care or longer term placement. (a) Persons needing behavioral health services shall be treated with the least restrictive clinically appropriate methods. (b)(1) The residential community reintegration program require…

20 CAR § 415-206. Treatment policies and procedures. (a) Each facility shall have a written plan describing the policies and procedures of the residential community reintegration program. (b) The plan shall provide for: (1) The services to be provided and the scope of such servic…

20 CAR § 415-301. Medical recordkeeping system. (a) Each residential community reintegration program shall maintain an organized medical recordkeeping system to collect and document information appropriate to the treatment processes. (b) This system shall be organized; easily ret…

20 CAR § 415-302. Basic requirements. The residential community reintegration program’s policies and procedures shall: (1) Define the content of the beneficiary’s medical record; (2) Define storage, retention, and destruction requirements for beneficiary medical records; (3) Requ…

20 CAR § 415-303. Record access for clinical staff. (a) The residential community reintegration program shall ensure beneficiary records are readily accessible to the residential community reintegration staff directly caring for the beneficiary. (b) Such access shall be limited t…

20 CAR § 415-304. Progress notes. (a) The residential community reintegration program shall have a policy and procedure mandating the chronological documentation of progress notes for beneficiaries admitted to the residential community reintegration program. (b) Progress notes sh…

20 CAR § 415-305. Medication record. (a) The residential community reintegration program shall maintain a medication record on all beneficiaries who receive medications or prescriptions in order to provide a concise and accurate record of the medications the beneficiary is receiv…

20 CAR § 415-306. Aftercare and discharge planning. (a)(1) Aftercare and discharge planning is to be initiated for the beneficiary at the earliest possible point in the residential community reintegration service delivery process. (2) Discharge planning must be: (A) Matched to th…

20 CAR § 415-307. Other records content. (a) The beneficiary record shall contain copies of all consultation reports concerning the beneficiary. (b) When psychometric or psychological testing is done, the beneficiary record shall contain a copy of a written report describing the …

20 CAR § 415-401. Department investigations. The Department of Human Services in any investigation or program monitoring regarding beneficiary rights shall have access to: (1) Beneficiaries; (2) Residential community reintegration program records; and (3) Residential community re…

20 CAR § 415-501. Organizational description. (a) The residential community reintegration program shall have a written organizational description which is reviewed annually by both the residential community reintegration program, behavioral health agency, and Department of Human …

20 CAR § 415-502. Information analysis and planning. (a) The residential community reintegration program shall have a defined plan for conducting an organizational needs assessment that specifies the methods and data to be collected, which shall include but not be limited to info…

20 CAR § 415-601. Performance improvement program. (a) The residential community reintegration program shall have an ongoing performance improvement program designed to objectively and systematically monitor, evaluate, and improve the quality of beneficiary care. (b) The performa…

20 CAR § 415-602. Incident reporting. (a) The residential community reintegration program shall have written policies and procedures requiring documentation and reporting of critical incidents. (b) The documentation for critical incidents shall contain, minimally: (1) The facilit…

20 CAR § 415-701. Personnel policies and procedures. (a) The residential community reintegration program shall have written personnel policies and procedures approved by the governing authority. (b) All employees shall have access to personnel policies and procedures as well as o…

20 CAR § 415-702. Job descriptions. (a) The residential community reintegration program shall have written job descriptions for all positions setting forth minimum qualifications and duties of each position. (b) All job descriptions shall include an expectation of core competenci…

20 CAR § 415-801. Staff qualifications. (a) The residential community reintegration program shall document the qualifications and training of staff providing crisis stabilization services which shall be in compliance with the residential community reintegration program’s clinical…

20 CAR § 415-802. Staff development. (a) The residential community reintegration program shall have a written plan for the professional growth and development of all administrative, professional, clinical, and support staff. (b) This plan shall include but not be limited to: (1) …

20 CAR § 415-803. In-service. (a) Trainings are required annually for all employees who provide clinical services within the residential community reintegration program on the following topics: (1) Fire and safety; (2) Infection control and universal precautions; (3) Beneficiary'…

20 CAR § 415-901. Standards. (a) Residential community reintegration programs shall apply these standards to all sites operated. (b) The primary concern of the residential community reintegration program should always be the safety and well-being of the beneficiaries and staff. (…

20 CAR § 415-902. Facility environment generally. (a)(1) Adequate space, equipment, and supplies shall be provided in order that the residential community reintegration program services can be provided effectively and efficiently. (2) Functional surroundings shall be readily acce…

20 CAR § 415-903. Medication clinic — Medication monitoring. (a) Medication administration, storage, and control and beneficiary reactions shall be continuously monitored. (b) Residential community reintegration programs shall ensure proper storage and control of medications, imm…

20 CAR § 415-904. Medication — Error rates. The residential community reintegration program shall have an ongoing performance improvement program that specifically, objectively, and systematically monitors medication administration or dispensing or medication orders and prescript…

20 CAR § 415-905. Food and nutrition. (a) If the residential community reintegration program prepares meals onsite, the residential community reintegration program shall have a current food establishment health inspection as required by the Department of Health. (b) When meals ar…

20 CAR § 416-101. Purpose. (a) This part sets forth the standards and criteria used in the certification of therapeutic communities by the Division of Behavioral Health Services of the Department of Human Services. (b) The rules regarding the certification processes including, bu…

20 CAR § 416-102. Definitions. The following words or terms, when used in this part, shall have the defined meaning, unless the context clearly indicates otherwise: (1) "Abuse" means the causing or permitting of harm or threatened harm to the health, safety, or welfare of a resid…

20 CAR § 416-103. Meaning of verbs in rules. The attention of the facility is drawn to the distinction between the use of the words "shall", "should", and "may" in this part: (1) "Shall" is the term used to indicate a mandatory statement, the only acceptable method under the pres…

20 CAR § 416-104. Applicability. The standards and criteria for services as subsequently set forth in this part are applicable to therapeutic communities as stated in each section.

20 CAR § 416-201. Required services. (a)(1) Therapeutic communities are highly structured residential environments or continuums of care in which the primary goals are the: (A) Treatment of behavioral health needs; and (B) Fostering of personal growth leading to personal accounta…

20 CAR § 416-202. Minimum service requirements. (a) At a minimum, therapeutic communities shall provide the following amount, duration, and scope of services for any client eligible and approved for therapeutic communities. (b)(1) Therapeutic community services shall be provided …