59A-36.021 Extended Congregate Care Services – Admissions & Continued Residency | FL

ADMISSION AND CONTINUED RESIDENCY.

(a) An individual must meet the following minimum criteria in order to receive extended congregate care services:

  1. Be at least 18 years of age;
  2. Be free from signs and symptoms of a communicable disease that is likely to be transmitted to other residents or staff; however, an individual who has human immunodeficiency virus (HIV) infection may be admitted to a facility, provided that he or she would otherwise be eligible for admission according to this rule;
  3. Be able to transfer, with assistance if necessary. The assistance of more than one individual is permitted;
  4. Not be a danger to self or others as determined by a health care practitioner or mental health practitioner licensed under chapter 490 or 491, F.S.;
  5. Not be bedridden, unless the resident is receiving licensed hospice services pursuant to Section 429.26(1)(c), F.S.;
  6. Not have any stage 3 or 4 pressure sores;
  7. Not require any of the following nursing services:
  8. Artificial airway management of any kind except that of continuous positive airway pressure may be provided through the use of a CPAP or bipap machine,
  9. Nasogastric tube feeding,
  10. Monitoring of blood gases,
  11. Management of post-surgical drainage tubes or wound vacuums,
  12. Skilled rehabilitative services as described in Rule 59G-4.290, F.A.C., or
  13. Treatment of a surgical incision, unless the surgical incision and the condition that caused it have been stabilized and a plan of care developed. The plan of care must be maintained in the resident’s record at the facility.
  14. Not require 24-hour nursing supervision, unless the resident is receiving licensed hospice services pursuant to Section 429.26(1)(c), F.S.; and,
  15. Have been determined to be appropriate for admission to the facility by the facility administrator or manager. The administrator or manager must base his or her decision on:
  16. An assessment of the strengths, needs, and preferences of the individual, the health assessment required by subsection (6) of this rule, and the preliminary service plan developed in subsection (7),
  17. The facility’s residency criteria, and services offered or arranged for by the facility to meet resident needs; and,
  18. The ability of the facility to meet the uniform fire safety standards for assisted living facilities established in Rule Chapter 69A-40, F.A.C.
  19. Notwithstanding any other provision of this rule, as individual enrolled and receiving licensed hospice services pursuant to Section 429.26(1)(c), F.S. may be admitted and receive extended congregate care services.

(b) Criteria for continued residency in an extended congregate care services must be the same as the criteria for admission, except as specified below.

  1. A resident may be bedridden for up to 14 consecutive days.
  2. A terminally ill resident who no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:
  3. The resident qualifies for, is admitted to, and consents to the services of a licensed hospice that coordinates and ensures the provision of any additional care and services that may be needed,
  4. Continued residency is agreeable to the resident and the facility,
  5. An interdisciplinary care plan, which specifies the services being provided by hospice and those being provided by the facility, is developed and implemented by a licensed hospice in consultation with the facility; and,
  6. Documentation of the requirements of subparagraph (5)(b)2., is maintained in the resident’s file.
  7. The extended congregate care administrator or manager is responsible for monitoring the appropriateness of continued residency of a resident in extended congregate care services at all times.
  8. A hospice resident that meets the qualifications of continued residency pursuant to this rule may only receive services from the assisted living facility’s staff within the scope of the facility’s license.
  9. Staff may provide any nursing service permitted under the facility’s license and total help with the activities of daily living for residents admitted to hospice. Staff may not exceed the scope of their professional licensure or training in any licensed assisted living facility.