4658 NURSING HOMES

4658.1005 SOCIAL SERVICES. Subpart 1. General requirements. A nursing home must have an organized social services department or program to provide medically related social services to each resident. A nursing home must make referrals to or collaborate with outside resources for a…

4658.1090 PENALTIES FOR SOCIAL SERVICES RULE VIOLATIONS. Penalty assessments will be assessed on a daily basis for violations of parts 4658.1000 to 4658.1005 and are as follows: A. part 4658.1005, subparts 1, 3, and 4, $300; and B. part 4658.1005, subparts 2 and 5, $350. Statutor…

4658.1100 BARBER AND BEAUTY SHOP SERVICES. A nursing home must provide or arrange for the provision of barber and beauty shop services. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.1190 PENALTIES FOR BARBER AND BEAUTY SHOP SERVICES RULE VIOLATIONS. A $100 penalty assessment will be assessed on a daily basis for violations of part 4658.1100. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.1200 SPECIALIZED REHABILITATIVE SERVICES. Subpart 1. Definitions. For purposes of this part, the following terms have the meanings given them. A. "Qualified personnel" means professional staff who are licensed, certified, or registered in accordance with applicable state law…

4658.1290 PENALTIES FOR SPECIALIZED REHABILITATIVE SERVICES RULE VIOLATIONS. Penalty assessments will be assessed on a daily basis for violations of part 4658.1200 and are as follows: A. part 4658.1200, subpart 2, $350; and B. part 4658.1200, subpart 3, $300. Statutory Authority:…

4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. Subpart 1. Controlled substances. "Controlled substances" has the meaning given in Minnesota Statutes, section 152.01, subdivision 4. Subp. 2. Schedule II drugs. "Schedule II drugs" means drugs with a high potential for ab…

4658.1305 PHARMACIST SERVICE CONSULTATION. A nursing home must employ or obtain the services of a pharmacist currently licensed by the Board of Pharmacy who: A. provides consultation on all aspects of the provision of pharmacy services in the nursing home; B. establishes a system…

4658.1310 DRUG REGIMEN REVIEW. A. The drug regimen of each resident must be reviewed at least monthly by a pharmacist currently licensed by the Board of Pharmacy. This review must be done in accordance with Appendix N of the State Operations Manual, Surveyor Procedures for Pharma…

4658.1315 UNNECESSARY DRUG USAGE. Subpart 1. General. A resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used: A. in excessive dose, including duplicate drug therapy; B. for excessive duration; C. without adequate indications for i…

4658.1320 MEDICATION ERRORS. A nursing home must ensure that: A. Its medication error rate is less than five percent as described in the Interpretive Guidelines for Code of Federal Regulations, title 42, section 483.25(m), found in Appendix P of the State Operations Manual, Guida…

4658.1325 ADMINISTRATION OF MEDICATIONS. Subpart 1. Pharmacy services. A nursing home must arrange for the provision of pharmacy services. Subp. 2. Staff designated to administer medications. A nurse or unlicensed nursing personnel, as described in part 4658.1360, must be designa…

4658.1330 WRITTEN AUTHORIZATION FOR ADMINISTERING DRUGS. All medications, including those brought into a nursing home by a resident, must be administered only in accordance with a written order signed by a health care practitioner licensed to prescribe in Minnesota except that or…

4658.1335 STOCK MEDICATIONS. Subpart 1. Stock supply medications. Only medications obtainable without prescription may be retained in general stock supply and must be kept in the original labeled container. Subp. 2. Emergency medication supply. A nursing home may have an emergenc…

4658.1340 MEDICINE CABINET AND PREPARATION AREA. Subpart 1. Storage of drugs. A nursing home must store all drugs in locked compartments under proper temperature controls, and permit only authorized nursing personnel to have access to the keys. Subp. 2. Storage of Schedule II dru…

4658.1345 LABELING OF DRUGS. Drugs used in the nursing home must be labeled in accordance with part 6800.6300. Statutory Authority: MS s 144A.04; 144A.08; 256B.431 History: 20 SR 303 Published Electronically: October 11, 2007

4658.1350 DISPOSITION OF MEDICATIONS. Subpart 1. Drugs given to discharged residents. Current medications, except controlled substances listed in Minnesota Statutes, section 152.02, subdivision 3, belonging to a resident must be given to the resident, or the resident's legal guar…

4658.1355 MEDICATION REFERENCE BOOK. A nursing home must maintain at least one current medication reference book. For the purposes of this part, "current" means material published within the previous two years. Statutory Authority: MS s 144A.04; 144A.08; 256B.431 History: 20 SR 3…

4658.1360 ADMINISTRATION OF MEDICATIONS BY UNLICENSED PERSONNEL. Subpart 1. Authorization. The director of nursing services may delegate medication administration to unlicensed personnel according to Minnesota Statutes, sections 148.171, subdivision 15, and 148.262, subdivision 7…

4658.1365 PENALTIES FOR MEDICATIONS AND PHARMACY SERVICES RULE VIOLATIONS. Penalty assessments will be assessed for violations of parts 4658.1300 to 4658.1360 and are as follows: A. part 4658.1305, $300; B. part 4658.1310, $300; C. part 4658.1315, $300; D. part 4658.1320, $500; E…

4658.1400 PHYSICAL ENVIRONMENT. A nursing home must provide a safe, clean, functional, comfortable, and homelike physical environment, allowing the resident to use personal belongings to the extent possible. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published …

4658.1405 RESIDENT UNITS. The following items must be provided for each resident: A. a bed of proper size and height for the convenience of the resident, a clean, comfortable mattress, and clean bedding, appropriate for the weather and resident's comfort, that are in good conditi…

4658.1410 LINEN. Nursing home staff must handle, store, process, and transport linens so as to prevent the spread of infection according to the infection control program and policies as required by part 4658.0800. These laundering policies must comply with the manufacturer's inst…

4658.1415 PLANT HOUSEKEEPING, OPERATION, AND MAINTENANCE. Subpart 1. Direction of housekeeping and plant management. One or more persons, qualified through education and experience, must be assigned the responsibility of direction of housekeeping and plant management. Subp. 2. Ph…

4658.1420 SOLID WASTE DISPOSAL. Solid wastes, including garbage, rubbish, recyclables, and other refuse must be collected, stored, and disposed of in a manner that will not create a nuisance or fire hazard, nor provide a breeding place for insects or rodents. Accumulation of comb…

4658.1425 OZONE GENERATORS. Ozone generators are prohibited. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.1490 PENALTIES FOR ENVIRONMENTAL SERVICES RULE VIOLATIONS. Penalty assessments will be assessed on a daily basis for violations of parts 4658.1400 to 4658.1425 and are as follows: A. part 4658.1400, $200; B. part 4658.1405, $150; C. part 4658.1410, $200; D. part 4658.1415, s…

4658.2000 SECURED UNITS. Subpart 1. Secured unit, definition. For purposes of parts 4658.2000 to 4658.2090, "secured unit" means a nursing home unit in which a resident's horizontal and vertical access in or out of the unit is restricted. Subp. 2. Locked unit, definition. For pur…

4658.2010 PHYSICAL PLANT REQUIREMENTS. The physical plant of the secured unit must include, at a minimum, resident bedrooms, a central bathing area, dayroom, dining room, nurses' station, clean utility room, and soiled utility room. The dining room and dayroom spaces in the secur…

4658.2020 STATEMENT OF OPERATIONS. A nursing home must develop and implement a statement of operations for a secured unit, which must include, at a minimum: A. a statement of the philosophy and objectives of the unit; B. a description of the population to be served; C. a list of …

4658.2030 SPECIALIZED CARE UNIT. Subpart 1. Specialized care unit, defined. For purposes of this part, "specialized care unit" means any nursing unit within a nursing home designed and advertised for a specific population. Subp. 2. Statement of operations. A nursing home must dev…

4658.2090 PENALTIES FOR SPECIALIZED UNITS RULE VIOLATIONS. Penalty assessments for violations of parts 4658.2000 to 4658.2030 shall be assessed on a daily basis and are as follows: A. part 4658.2000, subpart 2, $300; B. part 4658.2000, subpart 3, $200; C. part 4658.2000, subpart …

4658.3000 LICENSURE. The commissioner of health must be notified directly in writing about proposed planning for all new construction, remodeling, changes in existing service, function or bed capacity, addition of new services, sale, and change of ownership. Statutory Authority: …

4658.3005 COMPLIANCE WITH RULES. Subpart 1. New construction. New construction must be according to the requirements for new construction in parts 4658.3500 to 4658.4690. Subp. 2. Existing facilities. All existing facilities must be in compliance with the physical plant requireme…

4658.3090 PENALTIES; RULE VIOLATIONS. Penalty assessments for violations of parts 4658.3000 to 4658.3005 shall be assessed on a daily basis and are as follows: A. part 4658.3000, $100; B. part 4658.3005, subparts 2 and 4, $200; and C. part 4658.3005, subparts 5 to 7, $100. Statut…

4658.3500 INCORPORATION BY REFERENCE; NEW CONSTRUCTION. Subpart 1. Scope. For purposes of this chapter, the documents in subparts 2 to 6 are incorporated by reference. They can be found at the Minnesota Law Library, 25 Rev. Dr. Martin Luther King Jr. Blvd., Saint Paul, Minnesota …

4658.3590 PENALTIES FOR INCORPORATIONS BY REFERENCE; NEW CONSTRUCTION RULE VIOLATIONS. A $200 penalty shall be assessed on a daily basis for violations of part 4658.3500. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.4000 PREPARATION OF PLANS; NEW CONSTRUCTION. Architectural and engineering plans and specifications for new construction must be prepared and signed by architects and engineers who are registered in Minnesota and in accordance with the requirements by the Board of Architectu…

4658.4005 APPROVAL OF PLANS; NEW CONSTRUCTION. Preliminary plans and final working drawings and specifications for proposed construction must be submitted to the commissioner of health for review and approval. Preliminary plans must be approved before the preparation of final wor…

4658.4010 PRELIMINARY PLANS; NEW CONSTRUCTION. A. Preliminary plans must be drawn to scale, show basic dimensions, and indicate the general layout and space arrangement of the proposed building or area and must include a site plan when applicable. Plans must indicate assignments …

4658.4015 FINAL PLANS; NEW CONSTRUCTION. Final architectural plans and specifications must include elevations and sections through the building showing types of construction, and must indicate dimensions and assignments of rooms and areas, room finishes, door types and hardware, …

4658.4020 FINAL MECHANICAL AND ELECTRICAL PLANS; NEW CONSTRUCTION. Final mechanical and electrical plans and specifications must address the complete layout and type of all installations, systems, and equipment to be provided according to this chapter. Heating plans must include …

4658.4025 START OF CONSTRUCTION; NEW CONSTRUCTION. Subpart 1. Notification to department. The department must be notified in writing within seven days after beginning construction. Unless construction is begun within one year after approval of final working drawings and specifica…

4658.4030 FINAL INSPECTION; NEW CONSTRUCTION. The department must be notified at least 30 days before the completion of construction so that arrangements can be made for a final inspection by the department and by the state fire marshal. Completion means the entire construction, …

4658.4035 PLAN SAFEKEEPING; NEW CONSTRUCTION. At least one set of complete plans of the entire facility, including changes resulting from remodeling or alterations, must be kept on file in the nursing home. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published E…

4658.4040 SITE; NEW CONSTRUCTION. A nursing home must be so located as to protect at all times the health, comfort, and safety of residents. The factors in selecting the site for a new nursing home must include the following in items A to J. A. Public utilities must be available.…

4658.4090 PENALTIES FOR PLANS; NEW CONSTRUCTION RULE VIOLATIONS. Penalty assessments for violations of parts 4658.4000 to 4658.4040 shall be assessed on a daily basis and are as follows: A. parts 4658.4000 to 4658.4035, $100; and B. part 4658.4040, $200. Statutory Authority: MS s…