Requirements For Resident Admissions

01. Pre-Admission. Prior to admission, each resident must be assessed by the facility to ensure the resident is appropriate for placement in their residential assisted living facility. The assessment must include the following: (7-1-26) a. Documentation of level of assistance required for activities of daily living including bathing, dressing, toileting, grooming, eating, communicating and the use of adaptive equipment; (7-1-26) b. Pre-admission nursing assessment; (7-1-26) c. Documentation of any maladaptive behaviors including history, intensity, duration, and frequency, including potential contributing factors and mitigation efforts; and (7-1-26) d. Documentation of the need for related outside services, including service type, name and frequency. (7-1-26) 02. Written Agreement. Prior to, or on the day of admission, the facility and each resident or the resident's legal guardian or conservator must enter into a written admission agreement. The admission agreement will provide a complete reflection of the facility’s charges, commitments agreed to by each party, and the services to be provided by the facility. The agreement must include the following: (7-1-26) a. Identify staffing patterns and qualifications of staff on duty during a normal day. (7-1-26) b. Identify the facility's and resident's roles and responsibilities relating to assistance with medications including the reporting of missed medications or those taken on a PRN basis. (7-1-26) c. Identify who is responsible for the resident's personal funds. (7-1-26) d. Identify responsibility for protection and disposition of all valuables belonging to the resident and provision for the return of the resident's valuables if the resident leaves the facility. (7-1-26) e. Identify conditions under which emergency transfers will be made as provided in Section 152 of these rules. (7-1-26) f. Provide a description of the facility’s billing practices, notices, and procedures for payments and refunds. The following procedures must be included: (7-1-26) i. Arrangement for payments; (3-15-22) ii. Under what circumstances and time frame a partial month's resident fees are to be refunded when a resident no longer resides in the facility; and (3-15-22) iii. Written notice to vacate the facility must be given thirty (30) calendar days prior to transfer or discharge on the part of either party, except in the case of the resident's emergency discharge or death. The facility IDAHO ADMINISTRATIVE CODE IDAPA 16.03.22 Department of Health and Welfare Residential Assisted Living Facilities Section 217 Page 12 may charge up to fifteen (15) days prorated rent from the date of the resident’s emergency discharge or death. The agreement must disclose any charges that will result when a resident fails to provide a thirty (30) day written notice. (3-15-22) g. Specify permission for the facility to transfer information from the resident's records to any facility to which the resident transfers. (7-1-26) h. Specify resident responsibilities. (7-1-26) i. Specify any restriction on choice of care or service providers, such as home health agency, hospice agency, or personal care services. (7-1-26) j. Identify written documentation of the resident's preference regarding the formulation of an advance directive in accordance with Idaho state law. When a resident has an advance directive, a copy must be immediately available for staff and emergency personnel. (7-1-26) k. Provide the methods by which a resident may contest charges or rate increases including contacting the ombudsman for the elderly. (7-1-26) l. Disclose the conditions under which the resident can remain in the facility if payment for the resident shifts to a publicly funded program. (7-1-26) m. Include a copy of the facility's smoking policy. (7-1-26)