1. (a) Visitation rights.

   1. (1) Visitation rights of certified skilled nursing facility residents are governed by federal resident visitation rights and procedures specified in 42 C.F.R. § 483.10(f)(4).

   2. (2) Visitation rights of residents of an intermediate care facility for individuals with intellectual disabilities, intermediate care facility, or noncertified skilled nursing facility are as follows:

      1. (A) A resident of the facility has a right to receive visitors of their choosing at the time of their choosing, subject to the resident's right to deny visitation (except as provided in this subdivision (a)(2), and in a manner that does not impose on the rights of another resident; and
      2. (B) The facility shall provide immediate access at any time to the resident by:

2. (i) A representative of the Department of Human Services;

   1. (ii) A representative of the United States Department of Health and Human Services;

      1. (iii) The resident’s physician; and

         1. (iv) The resident’s representative.

3. (b) Incident and accident reports of patients and personnel shall be completed and reviewed to identify health and safety hazards.

   1. (c) An accurate daily census sheet as of midnight shall be available to the Division of Provider Service and Quality Assurance at all times.

      1. (d) There shall be keys readily available for all locked doors within the home.

4. (e)

   1. (1) Birds, cats, dogs, and other companion animals are at the discretion of the nursing home.
   2. (2) A resident’s trained guide dog must be authorized and supported in the facility.
5. (f) The name, address, and telephone number of attending physicians shall be available at each nurses' station.
6. (g) All containers of substances used by the facility shall be legibly and accurately labeled as to content.

7. (h) Fire extinguishers shall be adequate, of the correct type, and properly located and installed as defined by NFPA 101, 1973 edition.

   1. (i)
   2. (1) A quiet atmosphere shall be maintained.
   3. (2) Disturbances created within the home will not be permitted.

8. (j)

   1. (1) Laboratories and radiological facilities operated in nursing homes shall comply with the rules for hospitals and related institutions in Arkansas.

   2. (2) Pharmacies operated in nursing homes shall be:

      1. (A) Operated in compliance with Arkansas laws; and
      2. (B) Subject to inspection by personnel from the division.

9. (k) Children under sixteen (16) years of age shall not be cared for in a room with nonrelated adults.

   1. (l)
   2. (1) Adult male and female patients shall not have adjoining rooms which do not have full floor to ceiling partition and closing doors.

   3. (2) They shall not be housed in the same room, except husband and wife of the same marriage or parent and child.

      1. (m)
   4. (1) Child patients, male and female, shall not be housed in the same room when they are seven (7) or more years old.
   5. (2) They shall be provided the same privacy required for adults.

10. (n)

    1. (1) The facility shall maintain written accounts for all patients' funds received by or deposited with the facility for safekeeping.
    2. (2) A trustworthy employee shall be designated to be responsible for patient accounts.
    3. (3) The funds may be withdrawn by the patient upon request.
    4. (4) The patient shall be provided an itemized accounting of deposits, disbursements, and withdrawals including the current balance at least quarterly.

Codification Notes: “NFPA” means National Fire Protection Association.