Each facility must:
01. Inform Residents Orally and in Writing. Inform each resident, orally and in writing at the time
of admission to the facility, of their legal rights during the stay at the facility.
02. Written Statements. Make available to each resident, upon reasonable request, a written statement
of such rights and when the rights change the resident is notified.
03. Written Description of Rights. Ensure the written description of legal rights in this rule includes a
description of the protection of personal funds and a statement that a resident may file a complaint with the
Department respecting resident abuse, neglect, and misappropriation of resident property in the facility.
04. Posting of Resident Rights. Conspicuously post the residents’ rights in the facility at all times.
600. REQUIREMENTS FOR STAFFING STANDARDS.
The administrator must develop and implement written staffing policies and procedures based on the number of
residents, resident needs, and configuration of the facility, which include:
01. On-Duty Staff Up and Awake During Residents’ Sleeping Hours. Qualified and trained staff
must be up and awake, and immediately available in the facility during resident sleeping hours.
02. Detached Buildings or Units. Facilities with residents housed in detached buildings or units must
have at least one (1) staff present and available in each building or unit when residents are present in the building or
unit. The facility must also ensure that each building or unit complies with the requirements for on-duty staff during
resident sleeping hours to be up, awake, and immediately available in accordance with the facility’s licensed bed
capacity as provided in this rule. The Licensing Agency will consider a variance based on the facility’s written
submitted plan of operation.
03. Personnel Management. The administrator is responsible for the management of all personnel to
include contract personnel.
04. Sufficient Personnel. As described in Section 39-3322, Idaho Code, the facility will employ and
the administrator will schedule sufficient personnel to:
a. Provide care and supervision, during all hours, as required in each resident’s NSA, to ensure
residents’ health, safety, and comfort, and to ensure the interior and exterior of the facility is maintained in a safe and
clean manner; and
b. To provide for at least one (1) direct care staff with certification in first aid and cardio-pulmonary
resuscitation (CPR) in the facility at all times. Facilities with multiple buildings or units will have at least one (1)
direct care staff with certification in first aid and CPR in each building or each unit at all times.
620. REQUIREMENTS FOR TRAINING OF FACILITY PERSONNEL.
The facility must follow structured, written training programs designed to meet the training needs of personnel in
relation to responsibilities, as specified in the written job description, to provide for quality of care and compliance
with these rules. Signed evidence of personnel training, indicating hours and topic, must be retained at the facility.
625. ORIENTATION TRAINING REQUIREMENTS.
The administrator must ensure that each staff member completes orientation training specific to their job description
as described in Section 39-3324, Idaho Code. Staff who have not completed the orientation training requirements
must work with a staff who has completed the orientation training.
01. Number of Hours of Training. A minimum of sixteen (16) hours of job-related orientation
training must be provided to all new personnel before they are allowed to provide unsupervised personal assistance to
residents. The means and methods of training are at the facility’s discretion.
02. Timeline for Completion of Training. All orientation training must be completed within thirty
(30) days of hire.
03. Content for Training. Orientation training must include the following:
a. The philosophy of residential assisted living and how it guides caregiving;
b. Resident rights;
c. Cultural awareness;
d. Providing personal assistance;
e. How to respond to emergencies;
f. Reporting and documentation requirements for resident care records, incidents, accidents,
complaints, and allegations of abuse, neglect, and exploitation;
g. Identifying and reporting changes in residents’ health or mental condition;
h. Advance directives and do not resuscitate (DNR) orders;
i. Relevant policies and procedures;
j. The role of the NSA; and
k. All staff employed by the facility, including housekeeping personnel and contract personnel, must
be trained in infection control procedures for universal precautions.
630. TRAINING REQUIREMENTS FOR FACILITIES ADMITTING RESIDENTS WITH A
DIAGNOSIS OF DEMENTIA, MENTAL ILLNESS, DEVELOPMENTAL DISABILITY, OR TRAUMATIC
BRAIN INJURY.
A facility admitting and retaining residents with a diagnosis of dementia, mental illness, developmental disability, or
traumatic brain injury must train all staff to meet the specialized needs of these residents. Staff must receive
specialized training within thirty (30) days of hire or of admission of a resident with one (1) of these conditions. The
means and methods of training are at the facility’s discretion. The training should address the following areas:
01. Dementia:
a. Overview of dementia;
b. Symptoms and behaviors of people with memory impairment;
c. Communication with people with memory impairment;
d. Resident’s adjustment to the new living environment;
e. Behavior management, including the consistent implementation of behavior interventions;
f. Activities of daily living; and
g. Stress reduction for facility personnel and the resident.
02. Mental Illness:
a. Overview of mental illnesses;
b. Symptoms and behaviors specific to mental illness;
c. Resident’s adjustment to the new living environment;
d. Behavior management, including the consistent implementation of behavior interventions;
e. Communication;
f. Activities of daily living;
g. Integration with rehabilitation services; and
h. Stress reduction for facility personnel and the resident.
03. Developmental Disability:
a. Overview of developmental disabilities;
b. Interaction and acceptance;
c. Promotion of independence;
d. Communication;
e. Behavior management, including the consistent implementation of behavior interventions;
f. Assistance with adaptive equipment;
g. Integration with rehabilitation services;
h. Activities of daily living; and
i. Community integration.
04. Traumatic Brain Injury:
a. Overview of traumatic brain injuries;
b. Symptoms and behaviors specific to traumatic brain injury;
c. Adjustment to the new living environment;
d. Behavior management, including the consistent implementation of behavior interventions;
e. Communication;
f. Integration with rehabilitation services;
g. Activities of daily living;
h. Assistance with adaptive equipment; and
i. Stress reduction for facility personnel and the resident.
640. CONTINUED TRAINING REQUIREMENTS.
Each employee must receive a minimum of eight (8) hours of job-related continued training per year.
641. ADDITIONAL TRAINING RELATED TO CHANGES.
When policies or procedures are added, modified, or deleted, the date of the change must be specified on the policy
and staff must receive additional training related to the changes.