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Flashcards in Resident agreement Deck (19):
1

A residential care facility shall not admit an individual who requires _______________________

services or accommodations beyond that which a residential care facility is authorized to provide under paragraph (D) of rule 3701-17-51 of the Administrative Code or beyond that which the specific facility provides.

2

Except for residents receiving hospice care, no residential care facility shall admit or retain an individual who: (5)

(1) Requires skilled nursing care that is not authorized by section 3721.011 of the Revised Code or is beyond that which the specific facility can provide;
(2) Requires medical or skilled nursing care at least eight hours per day or forty hours per week;
(3) Requires chemical or physical restraints as defined in paragraph (L) of rule 3701-17-59 of the Administrative Code;
(4) Is bedridden with limited potential for improvement;
(5) Has stage III or IV pressure ulcers. For purposes of this rule, "pressure ulcers"
means any lesion caused by unrelieved pressure, or pressure in combination with shear and/or friction, which results in damage to the underlying tissue. Pressure ulcers must be staged in accordance with the "Updated Staging
System" issued by the "National Pressure Ulcer Advisory Panel" (2007); or
(6) Has a medical condition that is so medically complex or changes so rapidly that it requires constant monitoring and adjustment of treatment regimen on an ongoing basis.

3

T or F - A RCF shall enter into a verbal resident agreement with each prospective resident prior to beginning residency in the residential care facility. The agreement shall be signed and dated by the operator or administrator and the prospective resident or, if the prospective resident is physically or cognitively unable to sign and consents, another individual designated by the prospective resident. The facility shall provide both the prospective resident and any other individual signing on the resident's behalf with a copy of the agreement and shall explain the agreement to them.

F - written agreement

4

The agreement required by paragraph (C) of this rule shall include at least the following items:
(1) An explanation of all charges to the resident including security deposits, if any are required;
(2) A statement that all charges, fines, or penalties that shall be assessed against the resident
(3) ___________________________________
(4) An explanation of the RCF's policy for refunding charges in the event of the resident's absence, discharge, or transfer from the facility and the facility's policy for refunding security deposits;
(5) An explanation of the services offered by the facility, the types of skilled nursing care that the facility provides or allows residents to receive in the facility, the providers that are authorized to render that care, and the limitations of the type
and duration of skilled nursing care that is offered;
(6) An explanation of the extent and types of services the facility will provide to the
resident and who is responsible for payment;
(7) A statement that the facility must discharge or transfer a resident when a resident needs skilled nursing care beyond the limitations

(3) A statement that the basic rate shall not be changed unless thirty days written
notice is given to the resident or, if the resident is unable to understand this
information, to his or her sponsor;

5

Prior to admission or upon the request of a prospective resident or prospective resident's sponsor, the residential care facility shall provide the resident or resident's sponsor with a copy and explain the contents of the following policies: (7)

(1) The facility's residents' rights policy and procedures
(2) The facility's smoking policy
(3) The facility's policy regarding advance directives
(4) The definition of skilled nursing care as defined
(5) For individuals seeking residency on a special care unit, the facility's policy on care for residents in the special care unit,
(6) An explanation of the facility's ability to accommodate disabled residents or potentially disabled residents and the facility's policy regarding transferring residents to units that accomodate residents with disabilities; and
(7) Any other facility policies that residents must follow.

6

Included in the resident agreemtent for individuals seeking residency on a special care unit, the facility's policy on care for residents in the special care unit. The policy shall include: (12)

(a) A statement of mission or philosophy that reflects the needs of the special population;
(b) Admission criteria to the special care unit, including screening criteria, if applicable
(c) Transfer and discharge criteria and procedures;
(d) A weekly staffing plan for the special care unit
(e) A description of activities offered, including frequency and type, and how the
activities meet the needs of the type of residents in that special care unit including how these activities differ from those offered in the remainder of
the facility, if applicable;
(f) A listing of the costs of the services provided by the facility to the resident;
(g) Specialized staff training and continuing education practices;
(h) The process used for assessment and the provision of services, including the method for altering services based on changes in condition;
(i) If necessary, how the facility addresses the behavioral healthcare needs of residents;
(j) The physical environment and design features to support the functioning of residents;
(k) The involvement of families and the availability of family support programs for residents; and
(l) Any services or other procedures that are over and above those provided in the remainder of the facility, if applicable.

7

A residential care facility may enter into a __________ with a resident or the resident's sponsor with the consent of the resident. Under a ____________, the resident or sponsor and the facility agree to share responsibility for making and
implementing decisions affecting the scope and quantity of services provided by the facility to the resident. The facility shall identify the risks inherent in a decision
made by a resident or sponsor not to receive a service provided by the facility. A
risk agreement is valid only if it is made in writing. The residential care facility shall
maintain a copy of any risk agreement in the resident's record.

Risk Agreement

8

In the Risk Agreement:
The facility shall identify the risks inherent in a decision made by a __________________ not to receive a service provided by the facility. A
risk agreement is valid only if it is made in writing. The residential care facility shall maintain a copy of any risk agreement in the resident's record.

Resident or Sponsor

9

T or F - Each residential care facility that has a policy of entering into risk agreements shall
provide each prospective resident, or the prospective resident's sponsor with the
consent of the resident, a written explanation of the policy and the provisions that may be contained in a risk agreement. At the time the information is provided, the facility shall obtain a statement signed by the individual receiving the information
acknowledging that the individual received the information. The facility shall maintain the signed statement on file. Any waiver of the resident's rights under section 3721.13 of the Revised Code contained in the risk agreement is void.

True

10

Each residential care facility
shall, on an annual basis, offer to each resident what vaccines?

vaccination against influenza and
a vaccination against pneumococcal pneumonia as required by section 3721.041 of
the Revised Code.

11

Each resident shall be initially assessed within ________ hours of admission.

48

12

The initial health assessment shall include documentation of the following: (13)

(1) Medical diagnoses, if applicable;
(2) Psychological history, if applicable;
(3) Health history and physical, including cognitive functioning and sensory and physical impairments;
(4) Developmental diagnosis, if applicable;
(5) Prescription medications, over-the-counter medications, and dietary supplements;
(6) Dietary requirements, including any food allergies;
(7) Height and weight;
(8) A functional assessment which evaluates how the resident performs ADLs and IADLS
(9) Type of care or services, including the amount, frequency, and duration of skilled nursing care.
(10) A determination by a physician or other licensed healthcare professional working
within their scope of practice, as to whether or not the resident is capable of self-administering medications.
(11) If skilled care is provided to the resident by staff members, a determination by a physician or other licensed healthcare professional working within their scope of practice
(12) If skilled nursing care is provided to the resident by staff members, the resident's attending physician or other licensed healthcare professional working within their scope of practice, shall sign orders documenting the need for skilled
nursing care, including the specific procedures and modalities to be used and the amount, frequency, and duration.
(13) If the resident has been determined to have medical, psychological, or developmental or intellectual impairment

13

Subsequent to the initial health assessment, the residential care facility shall require
each resident's health to be assessed at least ____________________

annually unless medically indicated
sooner.

14

The annual health assessment shall be performed within _______ days of the
anniversary date of the resident's last health assessment.

30

15

The residential care facility shall require each resident's health to be assessed if ___________. The assessment shall include, as applicable, documentation ofparagraphs (D)(1) to (D)(9) of this rule. The facility shall make a good faith effort to
obtain information from residents about assessments independently obtained
outside the facility.

a change in condition or functional abilities warrants a change in services or
equipment.

16

T or F - Prior to admitting or transferring a resident to a special care unit that restricts the
resident's freedom of movement, the residential care facility shall ensure that a physician or other licensed healthcare professional, has made a determination that the admission or transfer to the special care unit is needed. No resident shall be admitted to a secured special care unit based solely on his
or her diagnosis.

True

17

T or F - Residents who have been transferred or discharged to a hospital or other health
care facility and are again admitted to the residential care facility from which
they were transferred or discharged, are required to have additional tuberculosis testing

False - Not required to have additional
tuberculosis testing prior to the timeframe for annual testing in paragraph (G) of
this rule, provided the residential care facility:

18

Residents admitted to the residential care facility for stays of less than ______ days are exempted from the testing required by paragraph (G) of this rule if the facility:
(a) Assesses the resident upon admission for symptoms of tuberculosis; and
(b) Ensures that a resident assessed as having symptoms of tuberculosis has the chest x-ray and follow-up required by paragraph (G) of this rule.

10

19

T or F - The residential care facility shall transfer or discharge the resident in accordance
with section 3721.16 of the Revised Code and Chapter 3701-61 of the Administrative Code if the resident needs skilled nursing care or services beyond what the facility provides and the residential care facility,

True