Minnesota Administrative Code

4655.1400 RESPONSIBILITIES OF THE ADMINISTRATOR IN CHARGE. The responsibilities of the administrator in charge shall include: A. Maintenance, completion, and submission of reports and records as required by the commissioner of health. B. Formulation of written general policies; a…

4655.1500 TYPE OF ADMISSIONS. Subpart 1. Selection of residents and patients. The administrator, in cooperation with the director of the nursing service in a nursing home or the person in charge in a boarding care home shall be responsible for exercising discretion in the type of…

4655.1600 AGREEMENT AS TO RATES AND CHARGES. At the time of admission, there shall be a written agreement between the home and the patient, resident, the person's agent, or guardian regarding the base rate, extra charges made for care or services, obligations concerning payment o…

4655.1700 CENSUS REGISTER. Each nursing home and boarding care home shall maintain a permanent, bound, chronological registry book for all persons admitted showing the date of admission, name of patient or resident, and date of discharge or death. See part 4655.3700. Statutory Au…

4655.1800 AVAILABILITY OF LICENSING REGULATIONS. Subpart 1. Accessibility to personnel. Copies of these licensing regulations shall be made readily available for the use of all personnel of the facility. Subp. 2. Training of personnel. All personnel shall be instructed in the req…

4655.1910 POLICIES CONCERNING PATIENTS. Subpart 1. Visiting hours. Visiting hours shall be established as a written policy of the home and shall be posted in plain view of visitors. Unrestricted visiting hours are recommended. Subp. 2. Visits by a pastor. A patient's or resident'…

4655.2000 EMPLOYEE POLICIES. Subpart 1. Personal hygiene of all employees and volunteers. There shall be strict adherence to established policies and procedures relating to personal hygiene practices including clean attire and frequent and thorough hand-washing techniques at all …

4655.2100 PROCEDURE AT DEATH. When a patient or resident dies in a home, the administrator, nurse, or person in charge shall contact a relative, guardian, or the placement agency regarding funeral arrangements. The body shall be separated from other patients or residents until re…

4655.2200 OUTSIDE SERVICES. Where laundry or food service is obtained from an outside agency or establishment, such service shall be provided pursuant to a written agreement which shall specify that the service meets the same standards as are required under these rules. Statutory…

4655.2300 INSPECTION BY DEPARTMENT. All areas of the facility and all records related to the care and protection of patients and residents including patient, resident, and employee records shall be open for inspection by the department at all times for the purposes of enforcing t…

4655.2600 CAPABILITY. Every employee shall be mentally and physically capable of performing the work to which assigned, in good health, and free from colds and other communicable diseases. The above criteria shall be reviewed if the person is to be assigned to another job in the …

4655.2700 ASSIGNMENT TO EXTRA DUTIES. A person shall not be assigned to duty for two consecutive work periods except in a documented emergency. A work period is normally eight hours. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: January 19, 2005

4655.2800 PERSONAL BELONGINGS. Personnel shall not keep wraps, clothing, or other belongings in the food service or patient and resident areas. Provision shall be made elsewhere for their safe storage. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically:…

4655.2900 ILLNESS OR ACCIDENT. Personnel who have missed work days because of illness or accident shall report to the registered nurse or person in charge who may authorize return to work. If in doubt the nurse or person in charge shall consult with a physician by telephone and b…

4655.3200 PATIENT OR RESIDENT CARE RECORD. Subpart 1. Requirement for individual charts. An individual chart shall be kept on each patient and resident admitted to the home. Subp. 2. Form of entries; verification. All entries shall be made with a pen and signed by the person maki…

4655.3300 ADMISSION RECORD. Subpart 1. Contents of record. The admission record shall be initiated for each patient and resident within 72 hours after admission and contain identifying information including: name, previous address, social security number, sex, marital status, age…

4655.3400 MEDICAL RECORD. The medical record shall be initiated for each patient or resident within 72 hours in accordance with part 4655.4700. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: September 25, 2009

4655.3500 FILING AND DISPOSITION OF RECORDS. Subpart 1. Physical control of records. The patient or resident care record shall be incorporated into an individual folder and filed at the nurses' or attendants' station, a central control point for the storage of records and medicat…

4655.3600 STORAGE AND PRESERVATION OF RECORDS. Space shall be provided for the safe storage of patients' or residents' records at the nurses' or attendants' station, a central control point for the storage of records and medications, and in general storage. Records shall be filed…

4655.3700 CENSUS REGISTER. A register shall be kept in a separate bound book, listing in chronological order the names and dates of all admissions and discharges. This register shall be kept in such a manner that total admissions, discharges, deaths, and patient or resident days …

4655.3800 REPORTS AND CORRESPONDENCE TO THE DEPARTMENT. Reports regarding statistical data and services furnished shall be submitted on forms furnished by the department. Copies shall be retained by the home. All correspondence with the department shall be kept as a permanent, ac…

4655.4000 RESIDENT CARE RECORD. Subpart 1. Application. This part applies to boarding care homes only. Subp. 2. Types of information reported. The care record for each resident shall contain the resident's weight at the time of admission and at least once each month thereafter an…

4655.4100 ADMISSION POLICY. The admission policies of the nursing home and boarding care home shall specify whether the home will accept the personal funds of patients' or residents' for safekeeping. If the nursing home or boarding care home accepts the personal funds of patients…

4655.4110 AUTHORIZATION. Subpart 1. Written authorization. The personal funds of the patient or resident shall not be accepted for safekeeping without written authorization from the patient or resident or from the patient's or resident's legal guardian or conservator or represent…

4655.4120 PERSONAL FUND ACCOUNTS. Subpart 1. No commingling of funds. The personal funds of patients and residents shall not be commingled with the funds of the nursing home or boarding care home or with the funds of any person other than patients or residents of the home, unless…

4655.4130 WRITTEN ACCOUNTING SYSTEM MAINTAINED. Subpart 1. System developed and maintained. A written accounting system for the personal funds of patients and residents shall be developed and maintained. Subp. 2. Access to records. Each patient or resident and the patient's or re…

4655.4140 INDIVIDUAL WRITTEN RECORD. An individual written record shall be maintained for each patient or resident which shall include the following items: A. the date, amount, and source of funds deposited by or on behalf of a patient or resident; B. the name of all individuals,…

4655.4150 PERSONAL FUNDS. Subpart 1. Account. Unless otherwise specified by law, the personal funds of any patient or resident in excess of $150 shall be deposited in a demand account in a financial institution authorized to do business in Minnesota, the deposits which are federa…

4655.4160 WITHDRAWAL OF FUNDS FROM THE ACCOUNT. Upon the request of the patient or resident or the patient's or resident's legal guardian or conservator or representative payee, the nursing home or boarding care home shall return all or any part of the patient's or resident's fun…

4655.4170 DISCHARGE OR DEATH OF PATIENT OR RESIDENT. Subpart 1. Discharge of a patient or resident. Upon discharge of a patient or resident, unless the patient's or resident's bed is being held for anticipated readmission, all funds of that patient or resident shall be returned t…

4655.4200 POLICY RECORDS. All policies and procedures adopted by the home shall be placed on file and be made readily accessible to the personnel. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: January 19, 2005

4655.4300 UNUSUAL OCCURRENCES. Any occurrence of food poisoning or reportable disease shall be reported immediately to the department. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: January 19, 2005

4655.4400 EMPLOYEES' PERSONNEL RECORDS. A current personnel record shall be maintained for each employee and placed on file in a locked cabinet in the office of the administrator, person in charge, or the business office. These records shall be available to representatives of the…

4655.4600 CARE AND TREATMENT. Subpart 1. Designation of physician by patient or resident. Each patient or resident or the legal guardian or the agency responsible for care shall designate a licensed physician for the supervision of the care and treatment of the patient or residen…

4655.4700 PHYSICIANS' EXAMINATIONS AND ORDERS. Subpart 1. Physical examination at admission. Each patient or resident shall have an admission medical history and complete physical examination performed and recorded by a physician within five days prior to or within 72 hours after…

4655.4800 DENTAL CARE. Subpart 1. Services. Patients and residents shall be provided with dental services appropriate to their needs. Subp. 2. Agreement with dentist for emergency care. Nursing homes and boarding care homes shall have a written agreement with a licensed dentist t…

4655.5100 ADEQUATE STAFF. Subpart 1. Amount of staff. Adequate staff shall be provided to meet the nursing and personal care needs and the maintenance necessary for the well-being of the patients and residents at all times. Subp. 2. Requirements for staff. There shall be at least…

4655.5200 ACTIVITIES PROGRAM. Subpart 1. General requirements. There shall be an organized social and recreational activities program in all nursing homes and boarding care homes which shall be designed to meet the normal needs of all patients and residents for occupation, divers…

4655.5300 SPIRITUAL NEEDS. The home shall provide adequate facilities and arrange for personnel to meet the spiritual needs of the patients or residents. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: January 19, 2005

4655.5400 IN-SERVICE EDUCATION. There shall be a continuing in-service educational program for all personnel with thorough job orientation for all new personnel in each nursing home and boarding care home. In nursing homes having 90 beds or more it is recommended that one person …

4655.6400 ADEQUATE CARE. Subpart 1. Care in general. Each patient or resident shall receive nursing care or personal and custodial care and supervision based on individual needs. Patients and residents shall be encouraged to be active, to develop techniques for self-help, and to …

4655.6500 SAFETY PROGRAM. Subpart 1. Written plan. Every home shall have an organized safety program in accordance with a written plan and such shall be included in the orientation and in-service training programs of all employees and volunteers to assure safety to patients and r…

4655.6600 USE OF RESTRAINTS TO MANAGE DIFFICULT BEHAVIOR. Disturbed mental patients shall not be received or retained in a nursing home or boarding care home. If a patient or resident becomes suddenly disturbed or difficult behavior creates a problem of management, the person in …

4655.6700 ACUTE ILLNESS, SERIOUS ACCIDENT, OR DEATH. In case of acute illness or serious accident, the home shall immediately notify the physician and the family or legal guardian. Apparent deaths shall be reported immediately to the attending physician. Statutory Authority: MS s…

4655.7000 PATIENT OR RESIDENT UNITS. Subpart 1. Requirements. The following items in items A to J shall be provided for each patient or resident. A. A comfortable bed at least 36 inches wide, good springs, and a clean, firm, comfortable mattress and mattress pad. At least one cle…

4655.7100 FACILITIES FOR EMERGENCY CARE. First aid supplies shall be maintained in a place known to and readily available to all personnel responsible for the health or well-being of patients or residents. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronica…

4655.7200 HAND-WASHING FACILITIES. Hand-washing facilities shall be readily available for physicians, nurses, and other personnel attending patients or residents. Single service towels shall be available at all times. Use of a common towel is prohibited. Statutory Authority: MS s…