Term
| What is meant by "supportive assistance?" |
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Definition
| The service rendered to any person which is less than the service provided by a nursing facility but which is sufficient enough to enable the person to meet an adequate level of daily living. Supportive assistance includes but is not limited to: housekeeping, meal preparation, safe storage, distribution and administration of medications, and assistance with personal care as necessary for the health and comfort of such person. |
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Term
| How are you supposed to display your administrator's license? |
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Definition
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Term
| How may people are required to be on a residential care home's resident's advisory council? |
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Definition
| No less than 10 people or 50% of the residents. |
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Term
| What is the temperature range for hot water in a residential care facility? |
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Definition
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Term
What is the square footage requirement in a residential care facility for a single resident room?
Or per bed for rooms with multiple beds? |
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Definition
60 sq ft for a single resident room.
80 sq ft for multiple beds in a room. |
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Term
| What can deodorizers be used for in a residential care facility? |
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Definition
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Term
| What must be provided to the administrator before any animal can be allowed as a visiting pet in a residential care facility? |
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Definition
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Term
| What are the meal requirements in a residential care facility? |
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Definition
3 meals per day and they must include all 4 food groups.
14 hours between meals and snacks cannot replace meals. |
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Term
| What is the maximum time between the substantial evening meal and the following morning meal in a residential care facility? |
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Definition
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Term
| Who is responsible for training direct care staff in a residential care facility? How many hours of training is required and in what areas (annually)? |
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Definition
Direct care staff who are responsible for administering or
monitoring medication shall annually be required to receive at
least eight (8) hours of training by the administrator of
the home. In services shall be in patient reporting and observation, record keeping,
independent or daily living skills, leisure skills and recreation,
human relations and such other training relevant to residential
care program and operation.
(D) All direct care staff shall begin eight (8) hours of in-service
by the administrator of the home or other person designated by the
administrator of the home within ninety (90) days of employment and
completed within twelve (12) months of employment. Eight (8) hours
of in-service shall be required annually thereafter.
(E) All residential care programs shall provide a new employee orientation program which includes instruction in policies and
procedures regarding the areas of abuse and neglect, resident rights, confidentiality, procedure for handling emergencies, and job descriptions. |
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Term
What is the required seating capacity for a first time licensed residential care facility with 10
licensed beds? |
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Definition
50 SQFT PER BED 500 SQ FT OUTSIDE SPACE
All first-time licensed homes shall have seating capacity at dining room tables for the number of licensed
beds. |
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Term
| What are the requirements for medication storage in a residential care facility? |
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Definition
(1) Storage and Maintenance.
(A) Medications shall be stored in an area that is locked, is well
lighted, and room temperature not to exceed 86° Fahrenheit.
(B) Medications requiring refrigeration shall be kept in a
refrigerator with a temperature range of 36° Fahrenheit (2° C) to
48° Fahrenheit (8° C) and separate from food and other items. A
method of locking these medications shall be provided.
(C) Medications shall not be stored with any other non-drug item.
(D) Each individual's medications shall be kept separate.
(E) Externally applied medications shall be stored separately from
medications taken internally.
(F) The medication of each resident shall be kept or stored in the
original container.
(G) The medication area shall have a work counter and shall be kept
clean and well organized.
(H) Hand washing facilities with hot and cold water shall be in
close proximity to the medication area.
(I) Any unusual resident reaction to medication shall be reported
to the physician at once and documented in the resident's record.
(J) No prescribed medication or over-the-counter medication for one
(1) resident may be administered to or allowed in the possession of
another resident.
(K) All prescription medication shall be clearly labeled to include
the resident's full name, physician's name, prescription number,
strength of drug, dosage, directions for use, date of issue,
quantity, and name, address, and phone number of pharmacy or
physician dispensing the drug.
(L) Resident's first and last name shall be on all over-the-counter
drugs used. The home shall have a written policy to identify
resident ownership of over-the-counter medication.
(M) All drugs shall be kept locked, and documented when taken by
the resident.
(N) Documentation of medication ordered by the physician to be
administered as circumstances may require (p.r.n.) shall be done
immediately after administration and shall include date, time,
dose, drug, route, and person responsible for administration.
(O) Only the person responsible for administering or
27 July 25, 2010 monitoring medications shall have possession of
the key to the locked medication area.
(P) Labels on containers shall be legible and firmly affixed.
(Q) No one shall alter labels on prescription containers. If a
medication dosage change is made by the physician, then the
container must be flagged at that time showing a label change is to
be made.
(R) An individual inventory record and documentation for
accountability shall be maintained for each Schedule II drug
prescribed for each resident.
(S) Schedule II drugs shall be kept in a separate locked box within
the locked medication area.
(T) All new or refilled prescription medication shall be counted
upon receipt in the home and documented in each resident's
medication record.
(U) Discontinued medications may be kept up to three (3) months and
must be separated from the current medications within the locked
medication area.
(V) The home shall have a written policy for safe disposal of
discontinued medications and it shall be an approved method by the
State Department of Health. Documentation shall be retained in the
individual resident's record. Over-the-counter medications shall be
destroyed in the presence of two (2) residential care home staff
persons. Documentation shall include the name of the medication,
the amount destroyed, the method of destruction, and shall be
retained in the individual resident's record.
(W) When a resident is admitted to a home, or returns to a home
from a temporary leave, the medications brought into the home shall
be counted and documented by the person admitting the resident and
countersigned by the resident or responsible party.
(X) When a resident is discharged, moves, or goes on a temporary
leave from the home, the unused prescription shall be sent with the
resident or with the responsible party. The resident record shall
contain documentation of quantities of medication sent, as well as
the signature of the resident or the responsible party receiving
the drugs and of the staff person of the home that counted them.
(Y) Unused drugs prescribed for residents who have died shall be
kept for one (1) month and then shall be destroyed in accordance
with Item (V) of this subsection.
(Z) The R.N. shall do a documented medication review on every
resident in the home quarterly.
(AA) Each residential care home shall have a first-aid kit for emergency use. |
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Term
What are the requirements for medication storage in a residential care facility for medications
requiring refrigeration? |
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Definition
Medication requiring refrigeration shall be kept in a refrigerator within a temperature range of
36° Fahrenheit to 48° Fahrenheit and separate from food and other items. A method of locking
these medications shall be provided.
(iii)Medications shall not be stored with any other non-drug item. |
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Term
How long may discontinued medications be kept and how are they handled differently from
current medications (in a residential care facility)? |
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Definition
Discontinued medications may be kept up to three (3) months and must be separated from the
current medications within the locked medication area.
(xviii) The home shall have a written policy for safe disposal of discontinued medications and it
shall be a method approved by the Department of Health. Documentation shall be retained in the
individual resident's record. |
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Term
| Who does the medication reviews in a residential care facility? How frequently? |
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Definition
RN, Quarterly.
The reviewer shall notify the physician and director of nursing, in
writing, when irregularities are evident. |
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Term
| Who can administer medications in a residential care facility? |
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Definition
Administration of medication to a resident of a home shall be
administered by a person who has obtained appropriate training
from a technology center school or institution of higher
education
All direct care staff who are responsible for administration of
medication to residents shall be required to begin training in
the administration of medication within ninety (90) days of
employment with the home and to satisfactorily complete at least
fifteen (15) hours of training in the administration of
medication, within the first year of employment with the home. |
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Term
| What is permitted for bulk dispensing in a residential care facility? |
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Definition
Facilities may have only oral analgesics, antacids, and
laxatives for bulk dispensing. No other categories of medication may be maintained as bulk dispensary. |
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Term
| How does the Residential Care Act define abuse? Neglect? Abandonment? Exploitation? |
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Definition
Abuse: the willful infliction of injury,
unreasonable confinement, intimidation or punishment, with
resulting physical harm, impairment or mental anguish;
Neglect- means failure to provide goods and/or services
necessary to avoid physical harm, mental anguish, or mental
illness;
Abandonment-to leave and never return or desert
Exploitation-use for own personal gain |
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Term
How frequently is the Oklahoma State Department of Health required to hold a public
meeting in a licensed residential care home and what is the purpose of these meetings? |
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Definition
(4) years in each of the
licensed homes to advise and to facilitate communication and
cooperation between personnel of the home and the residents.
Administrators, employees of the home, residents, friends and
relatives of the residents, representatives of the residents,
and employees from appropriate state and federal agencies shall
be invited and encouraged to attend such meetings. |
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Term
How frequently (minimum) shall the Oklahoma State Department of Health inspect, survey
and evaluate a residential care home? |
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Definition
| 3 times per year and as needed. |
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Term
If in violation of the Residential Care Act, what are the maximum penalties you may be
liable for? |
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Definition
To have violated any provision of the Residential Care
Act or any rule promulgated pursuant thereto may be liable for a
civil penalty of not more than One Hundred Dollars ($100.00) for
each day that the violation continues. The maximum civil penalty
shall not exceed Ten Thousand Dollars ($10,000.00) for any
related series of violations. |
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Term
How often would you expect the State Fire Marshall (or a designee) to conduct inspections in
a residential care home and to whom would they report their findings? |
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Definition
The State Fire Marshal or a designee shall conduct fire safety
inspections on a regular basis at residential care homes and
report any findings from the inspections to the State Department
of Health. |
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Term
| What are the requirements for resident records in a residential care facility? |
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Definition
(a) All current documents which relate to the residents must be
kept in the residential care home. Other records may be kept in the
central business office or other location, but must be made
available upon request by the Department.
(b) Every resident record shall be written in ink and include as a
minimum, the following information:
(1) Resident's name.
(2) Date of Birth.
(3) Person to contact in case of emergency.
(4) Written authorization for emergency medical/dental services
signed by the resident or responsible party.
(5) Medical summary to include quarterly weight of resident,
medications, and dosages.
(6) The name, address, and telephone numbers of resident's
physician and dentist.
(7) A record of the resident's illnesses, accidents, and unusual
occurrence while a resident of the home.
(8) The legal status of the resident.
(9) An accounting of the resident's funds received and/or
distributed by the residential care home.
(c) All persons having access to the records shall strictly adhere
to confidentiality of records.
(d) Resident records shall be maintained in a lockable container or
a specific lockable area.
(e) Only individuals authorized by the residential care home shall have access to resident records. |
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Term
| Who would an assisted living center NOT provide care for? |
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Definition
(a) An assisted living center shall not care for any resident needing care in excess of the level
that the assisted living center is licensed to provide or capable of providing.
(b) An assisted living center shall ensure that routines of care provision and service delivery are
directed by the resident to the maximum extent possible.
or services available in the assisted living center;
(2) The resident's physician determines that the resident requires physical or chemical restraints
in situations other than emergencies;
(3) The resident poses a threat to self or others; or
(4) The assisted living center is unable to meet the resident's needs for privacy or dignity. |
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Term
Who directs the routines of care provision and service delivery in an assisted living center, to
the maximum extent possible? |
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Definition
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Term
| What happens when someone is inappropriately placed in an assisted livng center? |
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Definition
| Quality of life deteriorates rapidly-may result in death. |
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Term
| How many days of food supply are required in an assisted living center? |
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Definition
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Term
| How are leftovers dealt with in an assisted living center? |
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Definition
| Destroy potentially hazardous 24 hours or nonhazardous 48 hours. |
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Term
Is there any difference in the milk temperature requirements in an assisted living center than
in a nursing home? |
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Definition
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Term
What are the time constraints on comprehensive assessments in an assisted living center
(after admission and thereafter)? |
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Definition
(a) The assisted living center shall complete the admission assessment within thirty (30) days
before, or at the time of, admission.
(b) The assisted living center shall complete the comprehensive assessment in accordance with
the following:
(1) within fourteen (14) days after admission of the resident;
(2) once every twelve (12) months thereafter; and
(3) promptly after a significant change in the resident's condition. |
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Term
| In an assisted living center, who is subject to the requirements for criminal arrest checks? |
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Definition
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Term
Who approves an assisted living center's plan for urgent or emergent situations when only
one direct care staff member is on duty? |
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Definition
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Term
| How often must a quality assurance committee meet in an assisted living center? |
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Definition
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Term
Who must be on the quality assurance committee in an assisted living center if a medication
problem is to be monitored or investigated? |
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Definition
The quality assurance committee shall include at least the following:
(1) registered nurse or physician if a medical problem is to be monitored or investigated;
(2) assisted living center administrator;
(3) direct care staff person or a staff person who has responsibility for administration of
medications; and
(4) pharmacist consultant if a medication problem is to be monitored or investigated. |
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Term
What are the timeline requirements for reporting incidents in an assisted living center? Do
they differ from nursing home requirements? |
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Definition
(a) Timeline for reporting. All reports to the Department shall be made via facsimile or by
telephone within one (1) Department business day of the reportable incident’s discovery. A
follow-up report of the incident shall be submitted via facsimile or mail to the Department within
five (5) Department business days after the incident. The final report shall be filed with the
Department when the full investigation is complete, not to exceed ten (10) Department business
days after the incident. Notifications to the Nurse Aide Registry are required. |
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Term
What are the limitations in an assisted living center for dispensing nonprescription drugs
from a common or bulk supply in an assisted living center? If the medication is liquid, is there a
limitation on the package size? |
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Definition
(b) An assisted living center may maintain nonprescription drugs
for dispensing from a common or bulk supply if all of the following
are accomplished.
(1) The assisted living center shall have and follow a written
policy and procedure to assure safety in dispensing and
documenting medications given to each resident.
(2) The assisted living center shall maintain records which
document the name of the medication acquired, the acquisition
date, the amount and the strength received for each medication
maintained in bulk.
(3) Only a licensed nurse, physician, pharmacist, certified
medication aide or medication aide technician may dispense for
administration these medications and only upon a physician's
written order for as needed or nonscheduled dosage regimens. The
physician's written order shall be maintained in the resident's
clinical record.
(4) Bulk medications shall be stored in the medication area and
not in resident rooms.
(5) The assisted living center shall maintain records of all bulk
medications that are dispensed on an individual signed medication
administration record.
(6) The assisted living center shall maintain the original label
on the container as it comes from the manufacturer or on the
unit-of-use or blister package.
(7) The assisted living center shall establish in its policy and
procedure the maximum size of packaging and shall ensure that each
resident receives the correct dosage. The assisted living center shall not acquire nor maintain
a liquid medication in a package size that exceeds 16 fluid ounces.
(8) An assisted living center shall have only oral analgesics, antacids, and laxatives for bulk
dispensing. No other category of medication shall be maintained as bulk medication. |
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Term
| What are the requirements for retaining a resident's records in an assisted living facility? |
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Definition
(e) Resident records shall be filed and stored to protect against loss, destruction, or unauthorized use.
(f) The Department shall be informed in writing within five (5) business days of discovery whenever any
resident's records are defaced, or destroyed, before the end of the required retention period.
(g) If an assisted living center ceases operation, the Department shall be notified within five (5) business
days of the arrangements for preserving the resident's record. The record shall be preserved for the
required time and the information in the records shall be available to the health professionals or facilities
assuming care of the resident so that continuity of care is available.
(h) If the ownership of the assisted living center changes, the new licensee shall have custody of original
or true and correct copies of all records required by this section for all current residents and the records
shall be available to the former licensee and other authorized persons.
(i) Incident reports required in 310:663-19-1. shall be retained, filed and stored to protect against loss,
destruction, or unauthorized use for a period of two (2) years. Destruction of incident reports shall be
done in a manner to preserve resident confidentiality. |
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Term
How frequently should you expect the Oklahoma State Department of Health to inspect your
assisted living center? |
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Definition
(a) The Department shall inspect each continuum of care facility or assisted living center through an
unannounced inspection at least once each fifteen (15) months, with a statewide average of twelve (12)
months for all continuum of care facilities and assisted living centers.
(b) Prior to the termination of an initial license, the Department shall fully and completely inspect the
assisted living center or continuum of care facility and, if it meets the applicable requirements for
licensure, shall issue a license. If the Department finds that the continuum of care facility or assisted
living center does not meet the requirements, the initial license may be extended once for a period not to
exceed one hundred twenty (120) days from the expiration date of the initial license. |
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Term
What does it mean when the Oklahoma State Department of Health has accepted your plan of
correction following a survey in an assisted living facility? |
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Definition
Acceptance indicates the Department’s acknowledgment that the continuum of care facility or
assisted living center indicated a willingness to make timely corrections. |
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Term
| How is “abuse” defined in residential care homes? |
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Definition
| Intentional or negligent act or omission directly resulting in physical or mental injury. |
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Term
| What are the restrictions concerning smoking near the entrance of Residential Care Home? |
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Definition
| No smoking within 15 feet of an entrance. |
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Term
| What is the seating capacity requirement in the dining rooms of residential care facilities? |
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Definition
| 15 square feet per resident. |
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Term
What are the medication storage requirements in a residential care facility?
Temperatures? |
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Definition
Medication areas are to be locked, well-lit. No non-drug items should be stored with medications.
temperatures not to exceed 86* Fahrenheit, refrigerated medications must be stored 36*- 48* and stored separately |
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Term
How long can discontinued medications be kept in a residential care facility?
What are the requirements? |
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Definition
3 months
Locked separately from current medications. |
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Term
| How much can the OSDH fine you if they find a violation of the RC Act? (per day limit) |
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Definition
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Term
23. Can you write in the records of RC facility residents in pencil?
What is the minimum information required? |
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Definition
No.
Name, DOB, Emergency Contact, Authorization for medical/dental emergency, medical summary (quarterly weight, meds/doses), name/address/phone numbers of doctor and dentist, record of illnesses, accidents and unusual occurrences, legal status, accounting of funds. |
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Term
| For inappropriate placement, how much notice must the center give to terminate the residency agreement in AL? |
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Definition
| Thirty days unless emergency discharge |
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Term
| How soon after admission into an AL must admission assessment be completed? |
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Definition
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Term
31. How soon after admission in AL must comprehensive assessment be completed?
How often after that? |
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Definition
14 days
Once yearly or after significant change |
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Term
| If there’s a medication problem in an AL facility, who is required to be a member of the QA committee? |
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Definition
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Term
| With alleged abuse, neglect or misappropriation, how soon must the incident be reported to licensing Board? |
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Definition
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Term
| Bulk medications must be under what size package for liquid medications? |
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Definition
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Term
| How long after a resident’s transfer, death or discharge must an AL maintain the resident’s records? |
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Definition
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Term
| What should you expect concerning the frequency of AL inspection by OSDH? |
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Definition
| Once every 15 months (state avg 12 months) |
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