§ 2800.141. Resident medical evaluation and health care.
(a) A resident shall have a medical evaluation by a physician, physician’s
assistant or certified registered nurse practitioner documented on a form specified
by the Department, subject to the provisions of § 2800.22 (relating to application
and admission). The evaluation must include the following:
(1) A general physical examination by a physician, physician’s assistant or
nurse practitioner.
(2) Medical diagnosis including physical or mental disabilities of the resident, if any.
(3) Medical information pertinent to diagnosis and treatment in case of an
(4) Special health or dietary needs of the resident.
(5) Allergies.
(6) Immunization history.
(7) Medication regimen, contraindicated medications, medication side
effects and the ability to self-administer medications.
(8) Body positioning and movement stimulation for residents, if appropriate.
(9) Health status.
(10) Mobility assessment, updated annually or at the Department’s request.
(11) An indication that a tuberculin skin test has been administered with
negative results within 2 years; or if the tuberculin skin test is positive, the
result of a chest X-ray. In the event a tuberculin skin test has not been administered,
he test shall be administered within 15 days after admission.
(12) Information about a resident’s day-to-day assisted living service needs.
(b) A resident shall have a medical evaluation:
(1) At least annually.
(2) If the medical condition of the resident changes prior to the annual
medical evaluation.

§ 2800.142. Assistance with medical care and supplemental health care services.
(a) Each residence shall demonstrate the ability to provide or arrange for the
provision of supplemental health care services in a manner protective of the
health, safety and well-being of its residents utilizing employees, independent
contractors or contractual arrangements with other health care facilities or practitioners
licensed, registered or certified to the extent required by law to provide
the service.
(b) The residence shall assist the resident to secure medical care and supplemental health care services.
(1) The residence shall permit a resident to select or retain his primary care
(2) To the extent prominently displayed in the written admission agreement, a residence
may require residents to use providers of supplemental health
care services approved or designated by the residence.
(3) The residence shall document the resident’s need for the medical care,
including updating the resident’s assessment and support plan.
(c) If a resident refuses routine medical or dental examination or treatment,
the refusal and the continued attempts to educate and inform the resident about
the need for medical care shall be documented in the resident’s record.
(d) If a resident has a serious medical or dental condition, reasonable efforts
shall be made to obtain consent for treatment from the resident or the resident’s
designated person.
(e) The residence shall assist the resident to secure preventative medical,
dental, vision and behavioral health care as requested by a physician, physician’s
assistant or certified registered nurse practitioner.
Cross References
This section cited in 55 Pa. Code § 2800.42 (relating to specific rights).

§ 2800.143. Emergency medical plan.
(a) The residence shall have a written emergency medical plan that includes
the following:
(1) The hospital or source of health care that will be used in an emergency.
This shall be the resident’s choice, if possible.
(2) Emergency transportation to be used.
(3) An emergency staffing plan.
(b) The following current emergency medical and health information shall be
available at all times for each resident and shall accompany the resident when the
resident needs emergency medical attention:
(1) The resident’s name and birth date.
(2) The resident’s Social Security number.
(3) The resident’s medical diagnosis.
(4) The resident’s physician’s name and telephone number.
(5) Current medication, including the dosage and frequency.
(6) A list of allergies.
(7) Other relevant medical conditions.
(8) Insurance or third party payer and identification number.
(9) A power of attorney for health care or health care proxy, if applicable.
(10) The resident’s designated person with current address and telephone
(11) Personal information and related instructions regarding advance directives, do not
resuscitate orders or organ donation, if applicable.
(12) A speech, hearing or vision need which requires accommodation or
awareness, such as written communication or American sign language.
(13) A language need which requires accommodation or awareness, such as
an interpreter of translation.

§ 2800.144. Use of tobacco.
(a) A residence may permit smoking tobacco in a designated smoking room
of the residence.
(b) The residence rules must specify whether the residence is designated as
smoking or nonsmoking.
(c) A residence that permits smoking inside or outside of the residence shall
develop and implement written fire safety policy and procedures that include the
(1) Proper safeguards inside and outside of the residence to prevent fire
hazards involved in smoking, including providing fireproof receptacles and
ashtrays, direct outside ventilation, no interior ventilation from the smoking
room through other parts of the residence, extinguishing procedures, fire resistant furniture
both inside and outside the residence and fire extinguishers in the
smoking rooms.
(2) Location of a smoking room or outside smoking area a safe distance
from heat sources, hot water heaters, combustible or flammable materials and
away from common walkways and exits.
(3) Prohibition of the use of tobacco during transportation by the residence.
(d) Smoking outside of the smoking room is prohibited.