HAR §11-90-8. for each resident

(b) Services. (1) The assisted living facility shall provide the following: (A) Twenty-four hour on-site direct staff to meet the needs of the residents; (B) Three meals daily, seven days a week, including modified diets and snacks which have been evaluated and approved by a dietitian on a semi-annual basis and are appropriate to residents' needs and choices; (C) Laundry services to the extent that the resident is unable to perform these tasks for himself or herself; (D) Opportunities for individual and group socialization; (E) Services to assist the resident in performing all activities of daily living, including bathing, eating, dressing, personal hygiene, grooming, toileting, and ambulation; (F) Nursing assessment, health monitoring, and routine nursing tasks, including those 90-15 which may be delegated to unlicensed assistive personnel by a currently licensed registered nurse under the provisions of the state Board of Nursing; and (G) Household services essential for the health and comfort of the resident (e.g. floor cleaning, dusting, bed making, etc.). (2) The assisted living facility shall also have the capability to provide or arrange access to the following services: (A) Transportation for medical and social appointments; (B) Ancillary services for medically related care (e.g. physician, pharmacist, therapy, podiatry, etc.), barber or beauty care services, social or recreational opportunities, and other services necessary to support the resident; (C) Services for residents who have behavior §11-90-8 problems requiring ongoing staff support, intervention, and supervision; (D) Social work services; and (E) Maintenance of a personal fund account for residents showing deposits and withdrawals. (3) The assisted living facility shall have policies and procedures relating to medications to include but not be limited to: (A) Self-medication: (i) Residents must have physician or prescribing advanced practice registered nurse's written order of approval for self-medication of prescription medications; (ii) Residents able to handle their own medication regimen may keep prescription medications in their 90-16 unit; (iii) Residents may keep and use over- the-counter medications in their unit without a written order unless otherwise indicated by a physician or prescribing advanced practice registered nurse's written orders; (iv) If more than one resident resides in the unit, an assessment shall be made of each person's ability to safely have medications in the unit. If safety is a factor, the medication shall be kept in a locked container in the unit; and (v) Residents who self-medicate with prescription drugs or maintain over- the-counter drugs in their units shall have all their medications reviewed by either a registered pharmacist, registered nurse, or physician at least every 90 days. (B) Administration of medication: (i) Prescription and non-prescription medications which the facility has responsibility for administering to a resident must be identified in the resident's record and must be §11-90-9 prescribed in writing for the resident by a physician or prescribing advanced practice registered nurse; and (ii) The facility shall provide and implement policies and procedures which assure that all medications administered by the facility are reviewed at least once every 90 days by a registered nurse or physician, and is in compliance with applicable state laws and administrative rules. 90-17 (4) Recreational or social activities are to be made available to residents on a daily basis. (c) Licensed nursing staff shall be available seven days a week to meet the care management and monitoring needs of the residents. [Eff August 23,1999] Auth: HRS §§321-1, 321-9, 321-10, 321-11(10), 321-15.1) (Imp: HRS §§321-9, 321-11(10), 321-15.1)