R 325.1901 Definitions.
Rule 1. (1) “Act” means 1978 PA 368, MCL 333.1101 et seq.
(2) “Activities of daily living” means activities associated with eating, toileting, bathing,
grooming, dressing, transferring, mobility, and medication management.
(3) “Admission policy” means a home’s program statement of its purpose, eligibility
requirements, and application procedures for admission.
(4) “Assistance” means help provided by a home or an agent or employee of a home
to a resident who requires help with activities of daily living.
(5) “Authorized representative” means that person or agency which has been granted
written legal authority by a resident to act on behalf of the resident or is the legal
guardian of a resident.
(6) “Department” means the Family Independence Agency.
(7) “Director” means the director of the Family Independence Agency.
(8) “Discharge policy” means a home’s written statement of the criteria and
procedures by which a resident is discharged from the home.
(9) “Distinct part” means, for purposes of MCL 333.20106(3), a clearly identifiable
area or section within a licensed home consisting of at least a resident unit, wing, floor,
or building containing contiguous rooms providing room and board and supervised
personal care and protection to individuals 60 years of age or older. Appropriate
personnel are regularly assigned and work in the distinct part under qualified direction.
The distinct part may share services, such as management services, building
maintenance, food preparation services, and laundry with a licensed nursing home or other entity.
(10) “Elopement” means a resident is absent without notice for more than a 12-hour
period unless otherwise indicated in the resident’s service plan.
(11) “Home” means a home for the aged.
(12) “Licensed health care professional” means a professional, such as a medical
doctor, doctor of osteopathy, nurse practitioner, physician’s assistant, registered nurse,
licensed practical nurse, or podiatrist, who is operating within the scope of his or her
license as defined in MCL 333.16101 et seq.
(13) “Major building modification” means an alteration of walls that creates a new
architectural configuration or revision to the mechanical or electrical systems that
significantly revise the design of the system or systems. Normal building maintenance,
repair, or replacement with equivalent components are not considered major building
modifications. A change in room function shall not cause a conflict with these rules.
(14) “Medication management” means assistance with the administration of a
resident’s medication as prescribed by a licensed health care professional.
(15) “Program statement” means a written description of the home’s overall
philosophy and mission reflecting the needs of residents and services provided to
residents. A home that represents to the public that it provides residential care or
services, or both, to persons with Alzheimer’s or a related condition, shall include in its
program statement the information required by MCL 333.20178.
(16) “Protection” means the continual responsibility of the home to take reasonable
action to ensure the health, safety, and well-being of a resident as indicated in the
resident’s service plan, including protection from physical harm, humiliation, intimidation,
and social, moral, financial, and personal exploitation while on the premises, while
under the supervision of the home or an agent or employee of the home, or when the
resident’s service plan states that the resident needs continuous supervision.
(17) “Reportable incident/accident” means an intentional or unintentional event in
which a resident suffers harm or is at risk of more than minimal harm, such as, but not
limited to, abuse, neglect, exploitation, or unnatural death.
(18) “Resident” means a person who is 60 years of age or older or a person under
the age of 60 who has been admitted through a waiver of the director pursuant to MCL
333.21311(3).
(19) “Resident admission contract” means a written agreement between the home and
the resident and/or the resident’s authorized representative that specifies the services to be
provided, the fees to be charged, including all fees related to admission such as deposits,
admission fees, advance care payments, application fees, and all other additional fees, and
the home’s policies related to the admission and retention of a resident.
(20) “Room and board” means the provision of housing and meals to meet the needs
of the resident.
(21) “Service plan” means a written statement prepared by the home in cooperation
with a resident and/or the resident’s authorized representative or agency responsible
for a resident’s placement, if any, and that identifies the specific care and maintenance,
services, and resident activities appropriate for each individual resident’s physical, social,
and behavioral needs and well-being and the methods of providing the care and services
while taking into account the preferences and competency of the resident.
(22) “Supervised personal care” means guidance or assistance with activities of
daily living provided to the resident by a home or an agent or employee of a home.
(23) “Supervision” means guidance of a resident in the activities of daily living, and
includes all of the following:
(a) Reminding a resident to maintain his or her medication schedule in accordance
with the instructions of the resident’s licensed health care professional as authorized by
MCL 333.17708.
(b) Reminding a resident of important activities to be carried out.
(c) Assisting a resident in keeping appointments.
(d) Being aware of a resident’s general whereabouts as indicated in the resident’s
service plan, even though the resident may travel independently about the community.
(e) Supporting a resident’s personal and social skills.