Definitions And Abbreviations

01. Advance Directive. A written instruction, such as a living will or durable power of attorney for health care, recognized under state law, whether statutory or as recognized by the courts of the State, related to the provision of medical care when the individual is unable to communicate. (3-15-22) 02. Behavior Plan. A person-centered document outlining strategies to address and modify a specific behavior, developed based on a functional assessment that identifies the underlying cause of the behavior, and includes proactive steps to prevent the behavior, teach alternate appropriate behaviors, and provide reinforcement for positive interactions. (7-1-26) 03. Call System. A signaling system whereby a resident can contact staff directly from their sleeping room, toilet room, and bathing area. The call system cannot be configured in such a way as to breach a resident’s right to privacy at the facility, including in the resident’s living quarters, in common areas, during medical treatments, while receiving other services, in written and telephonic communications, or in visits with family, friends, advocates, and resident groups. (7-1-26) 04. Cognitive Impairment. When a person experiences loss of short or long-term memory, orientation to person, place, or time, safety awareness, or loses the ability to make decisions that affect everyday life. (3-15-22) 05. Complaint Investigation. A survey to investigate the validity of allegations of noncompliance with applicable state requirements. Allegations will be investigated by the Licensing Agency as described in Section 39-3355, Idaho Code. (3-15-22) 06. Criminal Offense. Any crime as defined in Section 18-111, Idaho Code, 18 U.S.C. Section 4B1.2(a), and 18 U.S.C. Sections 1001 through 1027. (3-15-22) 07. Dementia. A chronic deterioration of intellectual function and other cognitive skills severe enough to interfere with the ability to perform activities of daily living. (3-15-22) 08. Developmental Disability. A developmental disability, as defined in Section 66-402, Idaho Code, means a chronic disability of a person which appears before twenty-two (22) years of age. (7-1-26) 09. Direct Resident Access. In-person access with any resident who resides at the facility, or any access to the residents' personal belongings or information. (3-15-22) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.22 Department of Health and Welfare Residential Assisted Living Facilities Section 010 Page 5 10. Elopement. When a resident who is cognitively, physically, mentally, emotionally, or chemically impaired, physically leaves the facility property or the secured unit or yard without personnel's knowledge. (7-1-26) 11. Hourly Adult Care. Nonresident daily services and supervision provided by a facility to individuals who are in need of supervision outside of their personal residence(s) for a portion of the day. (3-15-22) 12. Incident. An event that can cause a resident injury. (3-15-22) 13. Legal Guardian or Conservator. A court-appointed individual designated to manage the affairs or finances of another person who has been found to be incapable of handling their own affairs. (3-15-22) 14. Maladaptive Behavior. Any behavior that infringes on any resident's rights, or presents a danger to the resident or others.. (7-1-26) 15. Medication. Any substance used to treat a disease, condition, or symptom, which may be taken orally, injected, or used externally, and is available through prescription or over-the-counter. (3-15-22) 16. Medication Administration. The process where a prescribed medication is given by a licensed nurse to a resident. (7-1-26) 17. Medication Assistance. The process whereby a non-licensed care provider is delegated tasks by a licensed nurse, to aid a person who cannot independently self-administer medications. (7-1-26) 18. Mental Disorders. Health conditions that are characterized by alterations in thinking, mood, behavior, or some combination thereof, that are all mediated by the brain and associated with distress or impaired functioning. (3-15-22) 19. Mental Illness. Refers collectively to all diagnosable mental disorders. (3-15-22) 20. Nursing Assessment. Information gathered related to a resident's health or medical status that has been reviewed, signed, and dated by a licensed nurse. (7-1-26) 21. Outside Services. Services provided to a resident by someone that is not a member of facility personnel. (3-15-22) 22. Owner. Any person or entity having legal ownership of the facility as an operating business, regardless of who owns the real property. (3-15-22) 23. Personnel. Paid individuals assigned the responsibility of providing care, supervision, and services to the facility and its residents. In this chapter of rules, “personnel” and “staff” are synonymous. (3-15-22) 24. Portable Heating Device. Any device designed to provide heat on a temporary basis that is not designed as part of a building's heating system, is not permanently affixed to the building, and, if electrical, is not hardwired to the building's electrical service. This does not include the use of therapeutic devices such as heating pads, heated mattress pads, and electric blankets, which require a physician or authorized provider’s order. (3-15-22) 25. PRN. Indicates that a medication or treatment prescribed by a medical professional to an individual may be given as needed. (3-15-22) 26. Provisional License. A license which may be issued to a facility not in compliance with the rules pending the satisfactory correction of all deficiencies. (3-15-22) 27. Publicly Funded Program. Any program funded in whole, or in part, by an appropriation of the U.S. Congress, the Idaho Legislature, or other governmental body. (3-15-22) 28. Punishment. The use of an adverse consequence with a resident, the administration of any noxious or unpleasant stimulus, or deprivation of a resident's rights or freedom. (3-15-22) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.22 Department of Health and Welfare Residential Assisted Living Facilities Section 050 Page 6 29. Relative. A person related by birth, adoption, or marriage. (3-15-22) 30. Repeat Deficiency. A deficiency found on a licensure survey, complaint investigation, or follow- up survey that was also found on the previous survey. (3-15-22) 31. Reportable Incident. A situation when a facility is required to report information to the Residential Assisted Living Facilities Program, including: (3-15-22) a. Any resident injury of significant or suspicious nature (i.e., an injury that includes severe bruising, fingerprint bruises, laceration(s) larger than a minor skin tear, sprains, or fractured bones); (3-15-22) b. Resident elopement of any duration; (3-15-22) c. Any significant injury resulting from a resident-to-resident incident; (7-1-26) d. An incident that results in the resident's need for assessment or treatment at a hospital; or (7-1-26) e. An incident that results in the resident's death. (3-15-22) 32. Scope. The frequency or extent of the occurrence of a deficiency in a facility. (3-15-22) 33. Self-Administration of Medication. The act of a resident taking a single dose of their own medication from a properly labeled container and placing it internally in, or externally on, their own body as a result of an order by an authorized provider. (3-15-22) 34. Survey. A review conducted by a surveyor to determine compliance with statutes and rules. (7-1-26) 35. Surveyor. A person authorized by the Department to conduct surveys or complaint investigations to determine compliance with statutes and rules. (3-15-22) 36. Therapeutic Diet. A diet ordered by a physician or authorized provider, including a licensed registered dietician, as part of treatment for a clinical condition or disease. (7-1-26) 37. Toxic Chemical. A substance that is hazardous to health if inhaled, ingested, or absorbed through skin. (3-15-22) 38. Traumatic Brain Injury (TBI). An acquired injury to the brain caused by an external physical force, resulting in total or partial functional disability or psychosocial impairment. The term applies to open or closed-head injuries resulting in impairments in one (1) or more areas. (3-15-22) 39. Unlicensed Assistive Personnel (UAP). Staff, with or without formal credentials, employed to perform nursing care services under the direction and supervision of licensed nurses. (3-15-22) 40. Variance. Permission by the Department to do something contrary to rule. (3-15-22) 011. -- 049. (RESERVED)