ARM 37.106.2821. RESIDENT APPLICATION AND NEEDS ASSESSMENT PROCEDURE

(1) All facilities must develop a written application procedure for admission to the facility which includes the prospective resident's name and address, sex, date of birth, marital status and religious affiliation (if volunteered) . (2) The facility shall determine whether a potential resident meets the facility's admission requirements and that the resident is appropriate to the facility's license endorsement as either a category A, category B or category C facility, as specified in 50-5-226 (2) through (4) , MCA. (3) Prior to admission the facility shall conduct an initial resident needs assessment to determine the prospective resident's needs. (4) The initial resident's needs assessment must include documentation of the following: (a) cognitive patterns to include short-term memory, long term memory, memory recall, decision making change in cognitive status/awareness or thinking disorders; (b) sensory patterns to include hearing, ability to understand others, ability to make self understood and ability to see in adequate light; (c) activities of daily living (ADL) functional performance to include ability to transfer, locomotion, mobility devices, dressing, eating, use of toilet, bladder continence, bowel continence, continence appliance/programs, grooming and bathing; (d) mood and behavior patterns, sadness or anxiety displayed by resident, wandering, verbally abusive, physically abusive and socially inappropriate/disruptive behavior; (e) health problems/accidents; (f) weight/nutritional status to include current weight and nutritional complaints; (g) skin problems; (h) medication use to include taking prescription and/or over-the-counter, recent changes, currently taking an antibiotic, antipsychotic use, antianxiety/hypnotic use and antidepressant use; and (i) use of restraints, safety or assistive devices. (5) The department shall collect a fee of $100 from a prospective resident, resident or facility appealing a rejection or relocation decision made pursuant to ARM 37.106.2821, to cover the cost of the independent nurse resident needs assessment.