Ariz. Admin. Code § R9-10-513 - Rehabilitation Services and Habilitation Services
A. Except as provided in subsection (D), an
administrator shall ensure that:
1. Personnel
members are available to provide the following rehabilitation services:
a. Physical therapy, as defined in A.R.S.
§
32-2001;
b. Occupational therapy, A.R.S. §
32-3401;
c. Psychological service, as defined in
A.R.S. §
32-2061;
d. Speech-language pathology, as defined in
A.R.S. §
36-1901;
and
e. Audiology, as defined in
A.R.S. §
36-1901;
2. Rehabilitation services are
provided:
a. Under the direction of a
qualified intellectual disabilities professional according to policies and
procedures, and
b. According to an
order;
3. A resident
receives the rehabilitation services required in the resident's individual
program plan;
4. Unless otherwise
required in the resident's individual program plan:
a. A resident does not remain in bed or in
the resident's bedroom;
b. If the
resident is not able to independently move from place to place, even with the
use of an assistive device, the resident is moved from place to place in the
ICF/IID; and
c. A resident
receiving rehabilitation services is encouraged to participate in activities
that are planned according to subsection (C)(2) and are appropriate to
objectives in the resident's individual program plan;
5. A qualified intellectual disabilities
professional reviews the rehabilitation services provided to a resident and
revises the frequency, duration, method, or type of rehabilitation services
being provided in the resident's individual program plan:
a. As necessary, if the resident is losing
skills or failing to progress; or
b. If a goal in the resident's individual
program plan has been accomplished and a new objective is to be initiated;
and
6. The medical
record of a resident receiving rehabilitation services includes:
a. An order for rehabilitation services that
includes the name of the ordering individual and a referring
diagnosis;
b. The resident's
individual program plan, including all updates;
c. The rehabilitation services
provided;
d. The resident's
response to the rehabilitation services; and
e. The authentication of the individual
providing the rehabilitation services.
B. Except as provided in subsection (D), an
administrator shall ensure that:
1. Personnel
members are available to provide a resident with habilitation services required
in the resident's individual program plan;
2. A personnel member is only assigned to
provide the habilitation services the personnel member has the documented
skills and knowledge to perform;
3.
A resident receives the habilitation services in the resident's individual
program plan;
4. If applicable, a
personnel member:
a. Suggests techniques a
resident may use to maintain or improve the resident's independence in
performing activities of daily living; and
b. Provides assistance with, supervises, or
directs a resident's personal hygiene according to the resident's individual
program plan;
5. A
resident receiving habilitation services is encouraged to participate in
activities of the resident's choosing that are planned according to subsection
(C)(2); and
6. The medical record
of a resident receiving habilitation services includes:
a. The resident's individual program plan,
including all updates;
b. The
habilitation services provided;
c.
The resident's response to the habilitation services; and
d. The authentication of the individual
providing the habilitation services.
C. An administrator shall ensure that:
1. Multiple media sources, such as daily
newspapers, current magazines, internet sources, and a variety of reading
materials, are available and accessible to a resident to maintain the
resident's continued awareness of current news, social events, and other
noteworthy information;
2. Daily
social or recreational activities are planned according to residents'
preferences, needs, and abilities;
3. A calendar of planned activities is:
a. Prepared at least one week in advance of
the date the activity is provided,
b. Posted in a location that is easily seen
by residents,
c. Updated as
necessary to reflect substitutions in the activities provided, and
d. Maintained for at least 12 months after
the last scheduled activity;
4. Equipment and supplies are available and
accessible to accommodate a resident who chooses to participate in a planned
activity on the premises;
5.
Outings are provided according to
R9-10-510(B) and
(C); and
6. If necessary and unless otherwise required
in the resident's individual program plan, a resident is assisted to
participate in outings and other opportunities to leave the premises of the
ICF/IID.
D. An
administrator is not required to ensure that personnel members providing
rehabilitation services or habilitation services are on the premises if no
resident of the ICF/IID is on the premises because the residents are:
1. Receiving rehabilitation services off the
premises,
2. Receiving habilitation
services off the premises,
3.
Participating in an outing, or
4.
Otherwise absent from the ICF/IID.
Notes
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