Definitions

Ark. Code Ann. § 20-10-101 — under Long-Term Care Facilities and Services.

Ark. Code Ann. § 20-10-101

(1) As used in this chapter:(1) “Administrative remedy” means temporary management, denial of payment for all new admissions, transfer of residents, termination or suspension of license, termination of provider agreement, directed plan of correction, directed in-service training, and remedies established by Arkansas law;(2) “Administrator-in-training program” means a program for gaining supervised practical experience in long-term care administration;(3) “Assisted living facility” means the same as in § 20-10-1703;(4) “Clock hour” means a period of contact experience comprising the full sixty (60) minutes;(5) “Department” means the Department of Human Services;(6) “Division” means the appropriate division as determined by the Secretary of the Department of Human Services;(7) “Head injury” means a noncongenital injury to the brain or a neurological impairment caused by illness, accident, or nondegenerative etiology;(8) “Head injury retraining and rehabilitation” means an individualized program of instruction designed to assist an individual suffering disability as a result of head injury to reduce the adverse effects of the disability and improve functioning in activities of daily living and work-related activities, but which does not include inpatient diagnostic care, and which may be offered in a residential or day program;(9) (A) “Long-term care facility” means a nursing home, residential care facility, assisted living facility, psychiatric residential treatment facility, post-acute head injury retraining and residential care facility, or any other facility which provides long-term medical or personal care.(B) “Long-term care facility” does not include an adult daycare program that:(i) Provides care and supervision to meet the needs of twelve (12) or fewer functionally impaired adults at any time in a place other than the adult's home;(ii) Provides services to clients for periods of four (4) hours or less per day for no more than two (2) days per week;(iii) Designates an individual to act as the program director to have responsibility for the operation of the program;(iv) Posts a notice in 18-point type that: (a) Is located at or near the main entrance to the structure in which the program operates; (b) Lists the name and contact information of the program director; (c) Lists the name and the contact telephone number for the Adult Protective Services Unit of the Department of Human Services; and (d) Lists the name and the contact telephone number for the Office of Long-Term Care;(v) Operates in a building or structure that is at all times in compliance with safety code requirements as determined by the local fire authority; and(vi) Operates in accordance with the Alzheimer's Association Dementia Care Practice Recommendations or similarly nationally recognized standards for the treatment and care of individuals with Alzheimer's disease or related dementia, as in existence on January 1, 2009;(10) “Long-term care facility administrator” means a person who administers, manages, supervises, or is in general administrative charge of a long-term care facility whether or not the individual has an ownership interest in the long-term care facility and whether or not his or her functions and duties are shared with one (1) or more individuals;(11) “Post-acute head injury residential care” means a residential program offering assistance in activities of daily living for individuals who are disabled because of head injury and are therefore unable to live independently;(12) “Post-acute head injury residential care facility” means a residential care facility that is not a nursing home and which provides head injury retraining and rehabilitation for individuals who are disabled because of head injury and are not in present need of inpatient diagnostic care in a hospital or related institution;(13) (A) “Psychiatric residential treatment facility” means a standalone, nonhospital facility with a provider agreement with the Arkansas Medicaid Program to provide inpatient services benefits to individuals who are under twenty-one (21) years of age and that:(i) Is accredited by The Joint Commission or any other accrediting organization with comparable standards recognized by this state;(ii) Attests to meeting the conditions of participation found at 42 C.F.R. Part 483, Subpart G, as existing on January 1, 2025; and(iii) Attests that all of the residents in the facility meet the certification of need for services requirements as identified under 42 C.F.R. Part 441, Subpart D, as existing on January 1, 2025.(B) (i) A survey and certification review of a psychiatric residential treatment facility by the department shall apply to all residents being served by the entity regardless of residency or payment source.(ii) All residents of a psychiatric residential treatment facility shall require intensive inpatient services for psychiatric conditions under the direction of a physician and the services provided shall be reasonably expected to improve the resident's condition or prevent further regression until the services are no longer needed;(14) “Reciprocity licensing” means a method by which an individual licensed in good standing in one (1) state may apply for licensure status in another state, provided that the state from which the individual wishes to transfer has standards comparable to the state to which the individual wishes to transfer;(15) “Residential care facility” means a building or structure which is used or maintained to provide for pay on a twenty-four-hour basis a place of residence and board for three (3) or more individuals whose functional capabilities may have been impaired but who do not require hospital or nursing home care on a daily basis but who could require other assistance in activities of daily living; and(16) “Sponsor” means legal guardian.

(1) “Administrative remedy” means temporary management, denial of payment for all new admissions, transfer of residents, termination or suspension of license, termination of provider agreement, directed plan of correction, directed in-service training, and remedies established by Arkansas law;

(2) “Administrator-in-training program” means a program for gaining supervised practical experience in long-term care administration;

(3) “Assisted living facility” means the same as in § 20-10-1703;

(4) “Clock hour” means a period of contact experience comprising the full sixty (60) minutes;

(5) “Department” means the Department of Human Services;

(6) “Division” means the appropriate division as determined by the Secretary of the Department of Human Services;

(7) “Head injury” means a noncongenital injury to the brain or a neurological impairment caused by illness, accident, or nondegenerative etiology;

(8) “Head injury retraining and rehabilitation” means an individualized program of instruction designed to assist an individual suffering disability as a result of head injury to reduce the adverse effects of the disability and improve functioning in activities of daily living and work-related activities, but which does not include inpatient diagnostic care, and which may be offered in a residential or day program;

(9) (A) “Long-term care facility” means a nursing home, residential care facility, assisted living facility, psychiatric residential treatment facility, post-acute head injury retraining and residential care facility, or any other facility which provides long-term medical or personal care.(B) “Long-term care facility” does not include an adult daycare program that:(i) Provides care and supervision to meet the needs of twelve (12) or fewer functionally impaired adults at any time in a place other than the adult's home;(ii) Provides services to clients for periods of four (4) hours or less per day for no more than two (2) days per week;(iii) Designates an individual to act as the program director to have responsibility for the operation of the program;(iv) Posts a notice in 18-point type that: (a) Is located at or near the main entrance to the structure in which the program operates; (b) Lists the name and contact information of the program director; (c) Lists the name and the contact telephone number for the Adult Protective Services Unit of the Department of Human Services; and (d) Lists the name and the contact telephone number for the Office of Long-Term Care;(v) Operates in a building or structure that is at all times in compliance with safety code requirements as determined by the local fire authority; and(vi) Operates in accordance with the Alzheimer's Association Dementia Care Practice Recommendations or similarly nationally recognized standards for the treatment and care of individuals with Alzheimer's disease or related dementia, as in existence on January 1, 2009;

(A) “Long-term care facility” means a nursing home, residential care facility, assisted living facility, psychiatric residential treatment facility, post-acute head injury retraining and residential care facility, or any other facility which provides long-term medical or personal care.

(B) “Long-term care facility” does not include an adult daycare program that:(i) Provides care and supervision to meet the needs of twelve (12) or fewer functionally impaired adults at any time in a place other than the adult's home;(ii) Provides services to clients for periods of four (4) hours or less per day for no more than two (2) days per week;(iii) Designates an individual to act as the program director to have responsibility for the operation of the program;(iv) Posts a notice in 18-point type that: (a) Is located at or near the main entrance to the structure in which the program operates; (b) Lists the name and contact information of the program director; (c) Lists the name and the contact telephone number for the Adult Protective Services Unit of the Department of Human Services; and (d) Lists the name and the contact telephone number for the Office of Long-Term Care;(v) Operates in a building or structure that is at all times in compliance with safety code requirements as determined by the local fire authority; and(vi) Operates in accordance with the Alzheimer's Association Dementia Care Practice Recommendations or similarly nationally recognized standards for the treatment and care of individuals with Alzheimer's disease or related dementia, as in existence on January 1, 2009;

(i) Provides care and supervision to meet the needs of twelve (12) or fewer functionally impaired adults at any time in a place other than the adult's home;

(ii) Provides services to clients for periods of four (4) hours or less per day for no more than two (2) days per week;

(iii) Designates an individual to act as the program director to have responsibility for the operation of the program;

(iv) Posts a notice in 18-point type that: (a) Is located at or near the main entrance to the structure in which the program operates; (b) Lists the name and contact information of the program director; (c) Lists the name and the contact telephone number for the Adult Protective Services Unit of the Department of Human Services; and (d) Lists the name and the contact telephone number for the Office of Long-Term Care;

(a) Is located at or near the main entrance to the structure in which the program operates;

(b) Lists the name and contact information of the program director;

(c) Lists the name and the contact telephone number for the Adult Protective Services Unit of the Department of Human Services; and

(d) Lists the name and the contact telephone number for the Office of Long-Term Care;

(v) Operates in a building or structure that is at all times in compliance with safety code requirements as determined by the local fire authority; and

(vi) Operates in accordance with the Alzheimer's Association Dementia Care Practice Recommendations or similarly nationally recognized standards for the treatment and care of individuals with Alzheimer's disease or related dementia, as in existence on January 1, 2009;

(10) “Long-term care facility administrator” means a person who administers, manages, supervises, or is in general administrative charge of a long-term care facility whether or not the individual has an ownership interest in the long-term care facility and whether or not his or her functions and duties are shared with one (1) or more individuals;

(11) “Post-acute head injury residential care” means a residential program offering assistance in activities of daily living for individuals who are disabled because of head injury and are therefore unable to live independently;

(12) “Post-acute head injury residential care facility” means a residential care facility that is not a nursing home and which provides head injury retraining and rehabilitation for individuals who are disabled because of head injury and are not in present need of inpatient diagnostic care in a hospital or related institution;

(13) (A) “Psychiatric residential treatment facility” means a standalone, nonhospital facility with a provider agreement with the Arkansas Medicaid Program to provide inpatient services benefits to individuals who are under twenty-one (21) years of age and that:(i) Is accredited by The Joint Commission or any other accrediting organization with comparable standards recognized by this state;(ii) Attests to meeting the conditions of participation found at 42 C.F.R. Part 483, Subpart G, as existing on January 1, 2025; and(iii) Attests that all of the residents in the facility meet the certification of need for services requirements as identified under 42 C.F.R. Part 441, Subpart D, as existing on January 1, 2025.(B) (i) A survey and certification review of a psychiatric residential treatment facility by the department shall apply to all residents being served by the entity regardless of residency or payment source.(ii) All residents of a psychiatric residential treatment facility shall require intensive inpatient services for psychiatric conditions under the direction of a physician and the services provided shall be reasonably expected to improve the resident's condition or prevent further regression until the services are no longer needed;

(A) “Psychiatric residential treatment facility” means a standalone, nonhospital facility with a provider agreement with the Arkansas Medicaid Program to provide inpatient services benefits to individuals who are under twenty-one (21) years of age and that:(i) Is accredited by The Joint Commission or any other accrediting organization with comparable standards recognized by this state;(ii) Attests to meeting the conditions of participation found at 42 C.F.R. Part 483, Subpart G, as existing on January 1, 2025; and(iii) Attests that all of the residents in the facility meet the certification of need for services requirements as identified under 42 C.F.R. Part 441, Subpart D, as existing on January 1, 2025.

(i) Is accredited by The Joint Commission or any other accrediting organization with comparable standards recognized by this state;

(ii) Attests to meeting the conditions of participation found at 42 C.F.R. Part 483, Subpart G, as existing on January 1, 2025; and

(iii) Attests that all of the residents in the facility meet the certification of need for services requirements as identified under 42 C.F.R. Part 441, Subpart D, as existing on January 1, 2025.

(B) (i) A survey and certification review of a psychiatric residential treatment facility by the department shall apply to all residents being served by the entity regardless of residency or payment source.(ii) All residents of a psychiatric residential treatment facility shall require intensive inpatient services for psychiatric conditions under the direction of a physician and the services provided shall be reasonably expected to improve the resident's condition or prevent further regression until the services are no longer needed;

(i) A survey and certification review of a psychiatric residential treatment facility by the department shall apply to all residents being served by the entity regardless of residency or payment source.

(ii) All residents of a psychiatric residential treatment facility shall require intensive inpatient services for psychiatric conditions under the direction of a physician and the services provided shall be reasonably expected to improve the resident's condition or prevent further regression until the services are no longer needed;

(14) “Reciprocity licensing” means a method by which an individual licensed in good standing in one (1) state may apply for licensure status in another state, provided that the state from which the individual wishes to transfer has standards comparable to the state to which the individual wishes to transfer;

(15) “Residential care facility” means a building or structure which is used or maintained to provide for pay on a twenty-four-hour basis a place of residence and board for three (3) or more individuals whose functional capabilities may have been impaired but who do not require hospital or nursing home care on a daily basis but who could require other assistance in activities of daily living; and

(16) “Sponsor” means legal guardian.