Minnesota Administrative Code

4655.7820 MEDICINE CABINET. Subpart 1. Medicine cabinet location and requirements. A well-illuminated medicine cabinet shall be provided at each attendants' station, a central control point for the storage of records and medications. The medicine cabinet shall be equipped with se…

4655.7830 MEDICATION CONTAINERS. Subpart 1. Storage in labeled containers. All medications shall be kept in their original container bearing the original label with legible information stating the prescription number, name of drug, strength and quantity of drug, expiration dates …

4655.7840 RECORD OF MEDICATIONS. All medications distributed to each resident shall be recorded on the resident's personal care record. This information shall include the name and quantity of the drug given and the time distributed and shall be initialed by the person distributin…

4655.7850 DISPOSITION OF MEDICATIONS. Subpart 1. Discharged or transferred residents. If authorized by the attending physician or the physician in charge, medications belonging to residents shall be given to them when discharged or transferred. This shall be recorded on the resid…

4655.7860 ADMINISTRATION OF MEDICATIONS BY UNLICENSED PERSONNEL. Unlicensed nursing personnel who administer medications in a nursing home or a boarding care home certified as an intermediate care facility as defined in United States Code, title 42, section 1396d, must have compl…

4655.8300 LINEN. Subpart 1. Application. Subparts 2 to 6 apply to boarding homes only. Subp. 2. Clean linen. Clean linen shall be dried, ironed, except for noniron linen, and folded and shall be stored in enclosed, clean, designated locations at least eight inches above the floor…

4655.8500 DIETARY SERVICE. Subpart 1. Dietary consultation requirements. If the facility accepts or retains individuals in need of medically prescribed therapeutic diets, regularly scheduled dietary consultation shall be provided by a qualified dietitian or nutritionist at least …

4655.8510 DIETARY SUPERVISOR. The administrator shall designate a person trained or experienced in the planning and preparation of meals to be responsible for the dietary service. Other responsibilities of this individual shall include: participation in the selection of other die…

4655.8520 DIETARY STAFF REQUIREMENTS. Dietary staff: A. The dietary staff shall be adequate in number to provide personnel on duty 12 or more hours per day. They shall be trained in the performance of their assigned duties. Work assignments and duty schedules shall be posted in t…

4655.8600 FOOD HANDLING. Raw meat products shall be kept separated from cooked or prepared foods. Utensils or equipment and other food contact surfaces used in preparation of such products shall be thoroughly washed before being used for other foods; the person handling the raw p…

4655.8610 ADEQUACY OF MEALS. Subpart 1. Recommended dietary allowances. The food and nutritional needs of patients and residents shall be met in accordance with physicians' orders and shall, to the extent medically possible, meet the dietary allowances, as adjusted for age, sex, …

4655.8620 FREQUENCY OF MEALS. Subpart 1. Time of meals. At least three meals shall be served at regular times during each 24 hour period with a maximum of 14 hours between a substantial evening meal and breakfast. Subp. 2. Preference for dining together. Meals shall be served in …

4655.8630 QUALITY AND VARIETY. Subpart 1. Diet. The diet shall be palatable, of adequate quantity and variety, prepared by methods which conserve nutritional value, and attractively served. It is recommended that dishes be used rather than compartment trays. Hot foods shall be se…

4655.8640 RETURNED FOOD. Returned portions of food and beverages from individual servings shall not be reused unless such food or beverage is served in a sealed wrapper or container which has not been unwrapped or opened. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Publi…

4655.8650 MILK. All fluid milk shall be procured from suppliers licensed by the commissioner of agriculture. The milk shall be dispensed directly from the original container in which it was packaged, shipped, and received. Milk served for drinking shall be served in the individua…

4655.8660 ICE. Ice shall be stored and handled in a sanitary manner. Stored ice shall be kept in an enclosed container. If an ice scoop is used, the scoop shall be stored in a separate compartment to prevent the handle from contact with the ice. Statutory Authority: MS s 144.56; …

4655.8670 FOOD SUPPLIES. Subpart 1. Food. All food shall be from sources approved or considered satisfactory by the commissioner of health, and shall be clean, wholesome, free from spoilage, free from adulteration and misbranding, and safe for human consumption. No hermetically s…

4655.8680 TRANSPORT OF FOOD. Food shall be covered during transport through nondietary areas, but need not be covered when served in a contiguous dining area. The food service system shall be capable of keeping food hot or cold until served. A dumbwaiter or conveyor, which cab or…

4655.8690 FLOOR CLEANING AND TRASH. Subpart 1. Cleaning during food preparation. There shall be no major sweeping or mopping in the kitchen during the time of food preparation. Subp. 2. Nondietary activity trash, restrictions. Trash or refuse unrelated to dietary activities shall…

4655.8700 DISHES AND UTENSILS REQUIREMENTS. Dishes and utensils: A. Only dishes and utensils with the original smooth finishes shall be used. Cracked, chipped, scratched, or permanently stained dishes, cups, or glasses or damaged, corroded, or open seamed utensils or cookware sha…

4655.8800 DISHWASHING. The dishwashing operation shall provide proper separation in the handling of soiled and clean dishes and utensils, and shall conform with either of the following procedures for washing, rinsing, sanitizing, and drying. Statutory Authority: MS s 144.56; 144A…

4655.8810 HOT WATER SANITIZING. The dishwashing machine shall be operated in accordance with the manufacturer's instructions which shall be posted nearby; see part 4660.8000, subpart 9. The flow pressure shall be maintained between 15 and 25 pounds per square inch (psi) at the di…

4655.8820 CHEMICAL SANITIZING. Subpart 1. Dishwashing equipment. A. Dishwashing machines using chemicals for sanitizing shall bear the seal indicating that the machine meets the standards of the National Sanitation Foundation. B. Each dishwashing machine shall be equipped with a …

4655.8830 HAND WASHING OF POTS AND PANS. A three-compartment scullery sink, see part 4660.4910, subpart 4, shall be utilized as follows for a complete washing cycle by hand of pots and pans. The first compartment is for soaking and washing, the second compartment is for rinsing, …

4655.9000 HOUSEKEEPING. Subpart 1. General requirements. The entire facility, including walls, floors, ceilings, registers, fixtures, equipment, and furnishings shall be maintained in a clean, sanitary, and orderly condition throughout and shall be kept free from offensive odors,…

4655.9010 SOLID WASTE DISPOSAL. Subpart 1. General requirements. Solid wastes, including garbage, rubbish, and other refuse shall 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.…

4655.9020 HOUSEKEEPING SUPPLIES. Subpart 1. Janitor's closet. The janitor's closets and all other areas used by the housekeeping personnel shall be kept in a clean, sanitary, and orderly condition. Subp. 2. Mops and buckets cleaning. Mop buckets shall be emptied after each cleani…

4655.9030 DEODORIZERS. Deodorizers or aerosols shall not be used as a substitute for acceptable ventilation, nor shall they be used to mask odors resulting from ineffective housekeeping or sanitation. Ozone generators are not permitted. Statutory Authority: MS s 144.56; 144A.02 t…

4655.9040 INSECT AND RODENT CONTROL. Any condition on the site or in the facility conducive to the harborage or breeding of insects, rodents, or other vermin shall be eliminated immediately. A continuous pest control program shall be maintained by qualified personnel and all chem…

4655.9050 SHELVING. All shelving shall be provided with a surface finish which is smooth and easily cleaned. Statutory Authority: MS s 144.56; 144A.02 to 144A.08 Published Electronically: January 19, 2005

4655.9060 SCREENS. Outside openings such as doors, operable windows, or louvers shall be protected with screens to prevent the entrance of flies, mosquitoes, and other insects with screening material no larger than 16 mesh per square inch. Screen doors shall open in the direction…

4655.9200 $50 PENALTY FOR NONCOMPLIANCE. A $50 penalty assessment will be issued under the provisions of Minnesota Statutes, section 144.653, subdivision 6, for noncompliance with correction orders relating to the parts of these rules listed in items A to K: A. parts 4655.0300, s…

4655.9210 $250 PENALTY FOR NONCOMPLIANCE. A $250 penalty assessment will be issued under the provisions of Minnesota Statutes, section 144.653, subdivision 6, for noncompliance with correction orders relating to all other parts of these rules not specifically enumerated in part 4…

4655.9250 PENALTIES FOR BOARDING CARE HOMES. Subpart 1. Application. Subparts 2 and 3 apply to boarding care homes only. Subp. 2. $50 penalty assessment. A $50 penalty assessment will be issued to a boarding care home under the provisions of Minnesota Statutes, section 144.653, s…

4655.9340 DEPARTMENT OF HEALTH STATUTES; FINES. Penalty assessments for violations of Minnesota Statutes, section 144.651 are as follows: A. Minnesota Statutes, section 144.651, subdivision 4, $100; B. Minnesota Statutes, section 144.651, subdivision 5, $250; C. Minnesota Statute…

4655.9342 REPORTING MALTREATMENT OF VULNERABLE ADULTS; FINES. Penalty assessments for violations of Minnesota Statutes, section 626.557 are as follows: A. Minnesota Statutes, section 626.557, subdivision 3, $250; B. Minnesota Statutes, section 626.557, subdivision 3a, $100; C. Mi…

4656.0010 SCOPE. Parts 4656.0010 to 4656.0090 establish procedures for the assessment of the appropriateness and quality of care and services furnished to medical assistance sponsored residents of facilities certified for participation in the medical assistance program under Unit…

4656.0020 DEFINITIONS. Subpart 1. Applicability. As used in parts 4656.0010 to 4656.0090, the following terms have the meanings given them. Subp. 2. Assessment form. "Assessment form" means the form developed by the department's quality assurance and review program and used for p…

4656.0030 ANNUAL RESIDENT ASSESSMENT. Subpart 1. Inspection of care requirements. The department shall annually assess the appropriateness and quality of care and services provided to medical assistance sponsored residents in every certified facility, and to private paying reside…

4656.0040 CLASSIFICATION OF ASSESSMENTS. Within 15 working days of receiving assessment documents submitted under part 4656.0030, the department shall classify each resident of a certified nursing home or boarding care home into one of the resident classes prescribed by part 9549…

4656.0050 REVIEW AND CLASSIFICATION OF FACILITY AND PREADMISSION SCREENING ASSESSMENTS. Subpart 1. Assessment instructions. Assessment forms which are completed in accordance with part 9549.0059 must be completed by using the procedures established in the Facility Manual for Comp…

4656.0060 CLASSIFICATION NOTICES; FACILITY DUTY. Within three working days of receipt of the notice, the facility must provide the resident, the person responsible for the resident's payment, or another person designated by the resident with every classification notice mailed to …

4656.0070 RESIDENT CLASSIFICATION; RECONSIDERATION. Subpart 1. Reconsideration permitted. The facility, the resident, or the resident's authorized representative may request that the department reconsider the classification. Subp. 2. Request for reconsideration. A reconsideration…

4656.0080 AUDITS OF ASSESSMENTS OF NURSING HOME RESIDENTS. Subpart 1. Audit types. The department shall audit the accuracy of resident assessments performed under parts 9549.0051 to 9549.0059 through desk audits and on-site review of residents and their records. The department sh…

4656.0090 DEATH, DISCHARGE, AND CHANGE OF PAYMENT SOURCE INFORMATION. Every quarter, certified facilities shall provide updated information to the department relating to the deaths, discharges, and changes in payment source when the resident payment goes from private pay to medic…

4658.0010 DEFINITIONS. Subpart 1. Scope. The terms used in parts 4658.0010 to 4658.5590 have the meanings given them in this part. Subp. 1a. Addition of new resident services. "Addition of new resident services" means the commencement of a resident service, such as physical or oc…

4658.0015 COMPLIANCE WITH REGULATIONS AND STANDARDS. A nursing home must operate and provide services in compliance with all applicable federal, state, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals prov…