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007.05.10-40. Rehabilitation Hospitals and Units.

AR ADC 007.05.10-40Arkansas Administrative CodeEffective: February 5, 2021

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Effective: February 5, 2021
Ark. Admin. Code 007.05.10-40
007.05.10-40. Rehabilitation Hospitals and Units.
A. General Requirements.
1. Rehabilitation Hospital means a hospital or a distinct part of a hospital as designated in Section 3, Definitions, of these rules which is used for the primary purpose of providing rehabilitative services as so defined and shall comply with Sections 1, Authority, through Section 38, Specialized Services: Care of Patients with Pulmonary Disease in General Hospitals. Each hospital or unit shall have the capability of providing or arranging for emergency services 24 hours per day, seven days per week.
2. Any comprehensive physical rehabilitative program shall provide through the use of qualified professional personnel, at a minimum, the following clinical services:
a. Physical therapy;
b. Occupational therapy;
c. Speech therapy; and
d. Social services or psychological services.
NOTE: May be provided under contract or arrangement on an as needed basis.
3. A physician qualified by training, experience and knowledge of rehabilitative medicine shall be appointed as the Medical Director.
4. Nursing Services shall be under the direct supervision of a Registered Nurse who has a Master's Degree or be qualified by education and experience in Rehabilitative Nursing. If the Registered Nurse does not have the required credentials, a Master's prepared Registered Nurse shall be available as a consultant. The number of Registered Nurses, Licensed Practical Nurses and other nursing personnel shall be adequate to formulate and carry out the nursing components of the individual treatment plan for each patient. There shall be a Registered Nurse on duty 24 hours per day, seven days per week, to plan, assign, supervise and evaluate nursing care and to provide for the delivery of nursing care to patients.
5. A physician licensed in the State of Arkansas shall be responsible for each patient's general medical condition as needed. Medical services shall be available 24 hours per day, seven days per week as needed. Upon admission there shall be written orders for the immediate care of the patient.
6. Policies and procedures shall be developed. The manual shall have evidence of ongoing review and/or revision. The first page of the manual shall have the annual review date, signature of the department supervisor and/or person(s) conducting the review.
7. Clinically relevant educational programs shall be conducted on a regularly scheduled basis not less than 12 per year. There shall be evidence of program dates, attendance, and subject matter.
8. Regular staff meetings shall be held at least monthly. Dated minutes of each meeting shall be kept in writing.
9. There shall be an ongoing QA/PI program.
B. Special Medical Record Requirements. (Refer also to Section 14, Health Information Services.) The medical record shall include:
1. Reason for referral to physical rehabilitation services or admission to the comprehensive physical rehabilitation program;
2. History and physical examination including patient's clinical condition, functional strengths and limitations, indications and contra-indications for specific physical rehabilitative services and prognosis;
3. Goals of treatment and the treatment plan, including any problem that may affect the outcome of physical rehabilitation services, and criteria for the discontinuation of services;
4. Interdisciplinary treatment plans to include measurable goals of treatment and criteria for discharge. The plan shall include ongoing assessments as required by the patient's medical condition. Documentation of patient and family in the development of the treatment plan and resolution of problems and rehabilitation potential;
5. A discharge summary that includes recommendations for further care; and
6. Patient evaluation procedures, including treatment plan for each patient based on the functional assessment and evaluation. The initial treatment plan shall be developed within 24 hours, and a comprehensive individualized plan developed no later than one week after admission and updated at least monthly. The plan shall state the rehabilitative problem, goals and required therapeutic services, as well as prognosis, anticipated length of stay and discharge disposition.
C. Physical Environment. The Rehabilitation Facility shall comply with Section 42, Physical Environment.
D. Physical Facilities. The Rehabilitation Facility shall comply with Section 76, Physical Facilities, and Rehabilitation Facilities.

Credits

Amended Jan. 1, 2016; Feb. 5, 2021.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. ยง 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-40, AR ADC 007.05.10-40
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