R 325.1931 Employees; general provisions.
Rule 31. (1) Personal care and services that are provided to a resident by the home
shall be designed to encourage residents to function physically and intellectually with
independence at the highest practical level.
(2) A home shall treat a resident with dignity and his or her personal needs, including
protection and safety shall be attended to consistent with the resident’s service plan.
(3) The home shall designate 1 person on each shift to be the supervisor of resident care
during that shift. The supervisor of resident care shall be fully dressed, awake, and on
the premises when on duty.
(4) The supervisor of resident care on each shift shall do all of the following:
(a) Assure that residents are treated with kindness and respect.
(b) Protect residents from accidents and injuries.
(c) Be responsible for the safety of residents in case of emergency.
(5) The home shall have adequate and sufficient staff on duty at all times who are
awake, fully dressed, and capable of providing for resident needs consistent with the
resident service plans.
(6) The home shall establish and implement a staff training program based on the
the home’s program statement, the resident’s service plans, and the needs of employees,
such as any of the following:
(a) Reporting requirements and documentation.
(b) First aid and/or medication, if any.
(c) Personal care.
(d) Resident rights and responsibilities.
(e) Safety and fire prevention.
(f) Containment of infectious disease and standard precautions.
(g) Medication administration, if applicable.
(7) The home’s administrator or its designees are responsible for evaluating
employee competencies.
R 325.1932 Resident medications.
Rule 32. (1) Medication shall be given, taken, or applied pursuant to labeling instructions
or signed orders by the prescribing licensed health care professional.
(2) The giving, taking, or applying of prescription medications shall be supervised by
the home in accordance with the resident’s service plan.
(3) If a home or the home’s administrator or direct care staff member supervises the
taking of medication by a resident, then the home shall comply with all of the following
provisions:
(a) Be trained in the proper handling and administration of medication.
(b) Complete an individual medication log that contains all of the following information:
(i) The medication.
(ii) The dosage.
(iii) Label instructions for use.
(iv) Time to be administered.
(v) The initials of the person who administered the medication, which shall be entered
at the time the medication is given.
(vi) A resident’s refusal to accept prescribed medication or procedures.
(c) Record the reason for each administration of medication that is prescribed on an as-needed basis.
(d) Initiate a review process to evaluate a resident’s condition if a resident requires
the repeated and prolonged use of a medication that is prescribed on an as-needed
basis. The review process shall include the resident’s prescribing licensed health
care professional, the resident’s authorized representative if any, and the agency
responsible for the resident’s placement, if any.
(e) Adjust or modify a resident’s prescription medication with written instructions from a
prescribing licensed health care professional who has knowledge of the medical needs
of the resident. A home shall record, in writing, any instructions regarding a resident’s
prescription medication.
(f) Contact the appropriately licensed health care professional if a resident repeatedly
refuses prescribed medication or treatment. The home shall follow and record the
instructions given.
(g) Upon discovery, contact the resident’s licensed health care professional if a
medication error occurs. A medication error occurs when a medication has not been
given as prescribed.
(4) If a resident requires medication while out of the home, then the home shall
assure that the resident, or the person who assumes responsibility for the resident, has
all of the appropriate information, medication, and instructions.
(5) A home shall take reasonable precautions to ensure or assure that prescription
medication is not used by a person other than the resident for whom the medication is
prescribed.
(6) Prescription medication that is no longer required by a resident shall be properly
disposed of after consultation with a licensed health care professional or a pharmacist.
R 325.1933 Personal care of residents.
Rule 33. (1) A home shall provide a resident with necessary assistance with personal
care such as, but not limited to, care of the skin, mouth, and teeth, hands and feet, and
the shampooing and grooming of the hair as specified in the resident’s service plan.
(2) A home shall afford a resident the opportunity and instructions when necessary for
daily bathing, oral and personal hygiene, daily shaving, and hand washing before meals.
A home shall ensure that a resident bathes at least weekly and more often if necessary.
R 325.1934 Furniture.
Rule 34. (1) A home shall provide an individual bed at least 36 inches wide, with
comfortable springs in good condition and a clean protected mattress not less than 5
inches thick, or 4 inches thick if of synthetic construction.
(2) A cot or rollaway cot shall not be used as a resident bed.
(3) A bedside stand or its equivalent shall be available for a resident for the storage of
small personal articles.
(4) A resident may use his or her own personal bed, mattress, and bedside stand or
its equivalent, and may bring in personal furniture and possessions as space permits.
Furniture and other possessions shall fit comfortably within the resident’s own or shared
living quarters, be safe and in reasonable condition, and be in compliance with R
29.1801 to R 29.1861 of the health facility fire safety rules.
R 325.1935 Bedding, linens, and clothing.
Rule 35. (1) Bedding shall be washable, in good condition, and clean, and shall be
changed at least weekly or more often as required.
(2) The home shall assure the availability of clean linens, towels, and washcloths.
The supply shall be sufficient to meet the needs of the residents in the home.
Individually designated space for individual towels and washcloths shall be provided.
(3) The home shall make adequate provision for the laundering of a resident’s
personal laundry.
(4) Rooms and all items in them shall be completely cleaned following the discharge
of each resident.