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Mandatory Assisted Living Admission
Standards* (1) A facility must not
admit or retain:
(A) residents whose needs cannot be met by the
assisted living facility, or the necessary services secured by
the resident. As part of the facility's general supervision and
oversight of the physical and mental well-being of its
residents, the facility remains responsible for all care
provided at the facility. If the individual is appropriate for
placement in an assisted living facility, then the decision that
additional services are necessary and can be secured shall be
the responsibility of facility management with written
concurrence of the resident, resident's attending physician, or
legal representative. Regardless of the possibility of "aging in
place" or securing additional services, the facility must meet
all life safety code requirements based on each resident's
evacuation capabilities, except as provided in subsection (f) of
this section.
(B) an individual who requires the services of facility
employees who are licensed nurses on a daily or regular basis.
Individuals with a terminal condition or experiencing a
short-term, acute episode are excluded from this requirement.
(2) There must be a written admission agreement
between the facility and the resident. The agreement must specify
such details as services to be provided and the charges for the
services, including any nursing services and supplies, with a
statement that such services and supplies could be a Medicare
benefit.
(3) A facility must share a copy of the facility disclosure
statement, rate schedule, and individual resident service plan
with outside resources that provide any additional services to a
resident. Outside resources must provide facilities with a copy of
their resident care plans and must document, at the facility, any
services provided, on the day provided.
(4) Each resident must have a health examination by a physician
performed within 30 days before admission or 14 days after
admission, unless a transferring hospital or facility has a
physical examination in the medical record.
(5) The assisted living facility must secure at the time of
admission of a resident the following identifying information:
(A) full name of resident;
(B) social security number;
(C) usual residence (where resident lived before admission);
(D) sex;
(E) marital status;
(F) date of birth;
(G) place of birth;
(H) usual occupation (during most of working life);
(I) family, other persons named by the resident, and physician
for emergency notification;
(J) pharmacy preference; and
(K) Medicaid/Medicare number, if available.
*From: Texas Department of Aging and Disability
Services (DADS) Licensing Standards for Assisted Living Facilities
Subchapter A, §92.41
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