Long range responsibilities of receiver
Arkansas Code § 20-10-203; Arkansas Code § 20-10-216; Arkansas Code § 20-10-224
- (a) Upon appointment, the Department of Human Services shall assist in taking appropriate action with regard to the on-going operation of the facility.
(b) That action shall include:
- (1) Meeting regularly with other staff;
- (2) Conveying copies of reports to the Secretary of the Department of Human Services as scheduled;
(3)
- (A) Meeting with facility department heads to plan for achieving goals to:
(i) Remedy identified code violation;
(ii) Mutually review causes and ways to overcome past and present problems; and
- (iii) Promise open communication and support between them.
- (B) Agreeing to other meetings as necessary;
- (4) Receiving required reports from department heads as scheduled;
- (5) Keeping daily log of activities and observations for incorporation into written weekly reports to the Secretary of the Department of Human Services;
(6) Holding regular department head meetings weekly to start, with an agenda that includes:
- (A) Information from receivership team administrator;
- (B) Information from department heads; and
- (C) Free exchange of comments;
(7)
- (A) Monitoring closely the ongoing operation of the facility.
- (B) By daily presence on floors and in departments, keeping up the morale and confidence of employees and residents.
- (C) Evaluating and monitoring performance of staff.
- (D) Reviewing security of the facility and changing locks as necessary.
- (E) Consistently working toward the correction of any code violations.
- (F) Monitoring and controlling admission policies.
- (G) Recommending to the secretary any immediate changes in staff and/or staffing patterns necessary to the safety, health, and welfare of the residents;
(8)
- (A) Reviewing the current resident care program in light of available skills and ability of the staff to meet the needs of residents.
(B) Considering the need to:
- (i) Close the home to additional admissions; and
- (ii) Transfer residents from the facility.
- (C) Make the appropriate recommendations to the secretary;
- (9) Continuously monitoring staffing in relocation to the quantity and types of skills;
- (10) If the facility is permitted to continue to accept admissions, reviewing applications for admission, considering skills required for proper care in relation to skills available at the home;
- (11) Evaluating the operation of the nursing department, beginning with problems identified as existing code violations and observations made by the prereceivership team;
(12)
- (A) Assisting the director of nursing in the preparation, promotion, and implementation of remedial actions.
- (B) Evaluating the effectiveness of selected remedial programs on a continuing basis.
- (C) Reporting progress toward correction of violations and other problems to receivership team administrator on a regular basis; and
(13) Monitoring all phases of the nursing department and all services pertaining to the care of the residents including:
(A) Medical care:
- (i) Frequency of physician’s visits;
- (ii) Physician’s responsiveness to emergencies or changes in residents’ condition;
- (iii) Effectiveness of nurse/physician relationships;
- (iv) Appropriate and timely reporting by nursing staff of emergencies and/or significant physical changes to attending physicians; and
- (v) Evaluation of the role served by the facility’s medical director;
(B) Care delivery system:
- (i) Medication system:
- (a) (a) Proper and effective methods of order transcription;
(b) (b) Effective pharmacy service;
(c) (c) Accuracy in administration;
- (d) (d) Accurate recordkeeping;
- (e) (e) Proper methods of disposal of outdated or discontinued medication; and
(f) (f) Prompt renewal of medication orders;
- (ii) Treatment system:
- (a) (a) Adequacy and appropriateness of treatment supplies;
(b) (b) Provision of treatments as ordered by the physician;
(c) (c) Proper recording;
- (d) (d) Utilization of proper techniques; and
(e) (e) Charting of effectiveness of prescribed treatment;
- (iii) Restorative therapies:
- (a) (a) Comprehensive orders;
(b) (b) Proper follow-through; and
(c) (c) Appropriate and accurate records; and
- (iv) Restorative nursing:
- (a) (a) Activities of daily living retraining being provided;
(b) (b) Staff promotion of self-care to extent possible;
(c) (c) Nursing staff follow-through on therapeutic restorative programs; and
- (d) (d) All residents up and dressed as possible;
(C) Accident/incident management:
- (i) Proper care and follow-up provided by nursing staff;
- (ii) Physicians notified appropriately;
- (iii) Medical director reviewing all reports; and
- (iv) Comprehensive charting and accident reports available;
(D) Record management:
- (i) Medical records complete and in good order;
- (ii) Charting by nursing staff meaningful;
- (iii) All reports available in record; and
- (iv) Closed records complete and in good order;
(E) Laboratory and other contract services:
- (i) Responsive on a timely basis;
- (ii) Reports available promptly;
- (iii) Current orders available for tests and treatment rendered; and
- (iv) Physicians promptly notified of test results.
(F) Dignity of resident:
- (i) Residents treated by nursing staff with courtesy and respect; and
- (ii) Resident rights known to all nursing staff and maintained consistently;
(G) Inservice programming:
- (i) Appropriate to the needs of the staff;
- (ii) Appropriate planning and scheduling; and
- (iii) Adequate orientation and training of new staff members being provided; and
(H) Supply and equipment procurement:
- (i) Supplies and equipment available and adequate to meet the needs of the patient census; and
- (ii) Supplies and equipment maintained in sanitary condition and good working order.