048-12 Wyo. Code R. §§ 12-4 - Definitions

(a) The following definitions shall apply in the interpretation and enforcement of these rules. Where the context in which words are used in these rules indicates that such is the intent, words in the singular number shall include the plural and vice versa. Throughout these rules, gender pronouns are used interchangeably, except where the context dictates otherwise. The drafters have attempted to utilize each gender pronoun in equal numbers, in random distribution. Words in each gender shall include individuals of the other gender.

(i) For the purpose of these rules, the following shall apply:

(A) "Abuse." The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Abuse may include, but is not limited to the following: physical, verbal, mental, neglect, misappropriation of resident property, corporal punishment, sexual exploitation, sexual abuse, or any other adverse action.

(B) "Activities of Daily Living (ADLs)." An individual's performance of feeding, bathing, dressing, use of toilet, transfer, mobility and continence.

(C) "Adult." A person who is 18 years of age or older.

(D) "ALF 102 Form". The required screening tool as defined by the Program Division and performed by a registered nurse. Training regarding the utilization of this form will be the responsibility of the Program Division.

(E) "Assistance Plan." A written description of the type, frequency and duration of the assistance to be provided, and the expected outcome.

(F) "Assisted Living Facility (ALF)." A non-institutional dwelling operated by a person, firm, or corporation engaged in providing limited nursing care, personal care and boarding home care, but not habilitative care, for persons not related to the owner of the facility.

(G) "Bed." A piece of furniture on or in which a resident, or two residents lie and sleep. Single-bed means one piece of furniture in which to lie and sleep. Multiple-beds means two (2) or more pieces of furniture in a sleeping room in which to lie and sleep.

(H) "Boarding Home." A non-institutional dwelling or rooming house operated by any person, firm, or corporation engaged in the business of operating a home for the purpose of letting rooms for rent and providing meals and personal daily living care, but not habilitative, or nursing care, for persons not related to the owner. Boarding home does not include a lodging facility or an apartment in which only room and board is provided.

(I) "Certified Dietary Manager." A Certified Dietary Manager is a person with education, training, and experience to competently perform the responsibilities of a dietary manager with consultation from or supervision of a Registered Dietitian. The Certified Dietary Manager has passed a nationally-recognized credentialing exam and participates in continuing education as needed to maintain certified status.

(J) "Certified Nurse Assistant (CNA)." An individual who is duly certified by the Wyoming State Board of Nursing and whose certification has been verified by the management of the assisted living facility.

(K) "Chief Administrative Officer." The Director, Department of Health per W.S. 9-2-101(e), or the designated Licensure representative.

(L) "Complaint." A formal allegation of injustice or perceived harm referred to an outside party or agency.

(M) "Complaint Investigations." Those investigations performed by the Department of Health, their designee, or by the State Long Term Care.

(N) "Days." Calendar days.

(O) "Department." The Wyoming Department of Health.

(P) "Discharge." The full release of any resident from the assisted living facility.

(Q) "Food Code." The 2005 edition of the Food Code and all codes and standards therein. The Food Code 2005 is a publication of The U.S. Department of Health and Human Services, Public Health Service, Food and Drug Administration, College Park, MD 20740.

(R) "Grievance." A concern of an inequitable or inaccurate action that is handled through the facility's internal grievance procedure.

(S) "Habilitative Care." The teaching of care to perform basic ADL's including feeding, bathing, dressing, use of toilet, transfer, mobility, continence, and instrumental ADL's including shopping, finances, telephone, medications, housework and use of transportation.

(T) "HACCP." Hazard Analysis Critical Control Point.

(U) "Intermittent Nursing Care". Nursing care that is not continuous; care that starts and stops at irregular intervals.

(V) "Level 1 License." License for assisted living facilities that do not have a secure unit and are not required to meet the special staffing and education requirements for staff that are clearly defined under the rules for a level 2 facility.

(W) "Level 2 License." License for assisted living facilities that have a secure unit and are required to meet all level 2 requirements specified or implied by these rules. The assigned level will be used for regulatory purposes only.

(X) "License." The authority granted by the Licensing Division to operate an assisted living facility.

(Y) "Licensed Bed." The pieces of furniture on or in which residents lie and sleep that the authority is granted by the Licensing Division to operate an assisted living facility.

(Z) "Licensed Practical Nurse (LPN)." A Licensed Practical Nurse duly licensed by the Wyoming State Board of Nursing per the Wyoming Nurse Practice Act, W.S. 33-21-119, et seq.

(AA) "Licensee." Any person, association, partnership, or corporation to whom an assisted living facility license is issued.

(BB) "Licensing Division." The Wyoming Department of Health, Office of Healthcare Licensing and Surveys.

(CC) "Life Safety Code (LSC)." The National Fire Protection Association 101 Life Safety Code.

(DD) "Limited Assistance". The resident performs the activity with minimal assistance from staff.

(EE) "Limited Nursing Care." The level of care provided by a certified nursing assistant, within the scope of ALF Licensure.

(FF) "Physician Extender." Physician extender means a mid-level practitioner such as an advanced registered nurse practitioner or a physician assistant.

(GG) "Manager." The person responsible for the overall operation of the assisted living facility. This individual is responsible for ensuring compliance with these rule.

(HH) "Medication Management." The requirements as established in these Program Administrative Rules, as well as the Wyoming Nurse Practice Act and the Wyoming Board of Nursing Rules and Regulations.

(II) "NFPA." The National Fire Protection Association.

(JJ) "Nursing Care Facility." An institution which is a Skilled Nursing Facility (SNF), or a Nursing Facility (NF) which is currently licensed in the State of Wyoming.

(KK) "Ombudsman." The State Long Term Ombudsman established in W.S. 9-2-1301 through 9-2-1309.

(LL) "Personal Care/Personal Care Services." The performance of activities of daily living for a resident.

(MM) "Program Administration." The rules promulgated by the Department of Health and developed by the Program Division for the day-to-day operation of assisted living facilities per W.S. W.S. 9-2-1204.

(NN) "Program Division." The Wyoming Department of Health, Aging Division.

(OO) "PRN." Means as circumstances may require; as necessary.

(PP) "Registered Dietitian (RD)." A Registered Dietitian who is currently registered with the Commission on Dietitian Registration, the credentialing agency for the American Dietetic Association.

(QQ) "Registered Nurse (RN)." A Registered Nurse duly licensed by the Wyoming State Board of Nursing per the Wyoming Nurse Practice Act W. S. § 33-21-119 et seq.

(RR) "Resident." A person eighteen (18) years of age or older, unrelated to the owner, who resides in an assisted living facility.

Notes

048-12 Wyo. Code R. §§ 12-4

Amended, Eff. 8/24/2020.