The facility shall:

1. (1)

   1. (A) Permit unrestricted visiting hours.
   2. (B) However, facilities may deny visitation when visitation results, or substantial probability exists that visitation will result, in disruption of service to other residents, or threatens the health, safety, or welfare of the resident or other residents;
2. (2) Make keys to residences readily available to facility personnel in the event of an emergency need to enter a residence;

3. (3)

   1. (A) With the exception of fish in aquariums and service animals, e.g., guide dogs, live animals shall not be permitted in:

      1. (i) Common dining areas;
      2. (ii) Storage areas;
      3. (iii) Food preparation areas; or
      4. (iv) Common serving areas.

   2. (B)

      1. (i) Pets may be permitted in assisted living facilities if sanitary conditions and appropriate behavior are maintained.
      2. (ii) If the facility permits pets, the facility shall ensure that the facility is free of pet odors and that pet waste shall be disposed of regularly and properly.
      3. (iii) Pets must not present a danger to residents or guests.
      4. (iv) Current records of inoculations and license, as required by local ordinance, shall be maintained on file in the facility.
   3. (C) For purposes of this part, “pets” means domesticated mammals such as dogs and cats, birds, or fish, but not wild animals, reptiles, or livestock.
   4. (D) Parameters for pets, including behavior and health, must be set and be included in the occupancy admission agreement;
4. (4) Require that conduct in the common areas shall be appropriate to the community standards as defined by the residents and staff;
5. (5) Ensure that there shall be only one (1) resident to an apartment or unit except in situations where residents are husband and wife or are two (2) consenting adults who have voluntarily agreed in writing to share an apartment or unit that has been executed by the resident or responsible party as appropriate and is maintained by the facility in each resident’s record;
6. (6) Except in cases of spouses or consenting adults who have agreed otherwise in writing, ensure that male and female residents do not have adjoining rooms that do not have full floor-to-ceiling partitions and closable solid core doors;
7. (7) Ensure that residents not perform duties in lieu of direct care staff, but may be employed by the facility in other capacities;
8. (8) Ensure that residents are not left in charge of the facility;

9. (9)

   1. (A) Ensure that a minimum of one (1) phone jack is available in each resident’s apartment or unit for the resident to establish private phone service in his or her name.
   2. (B) In addition, there shall be, at a minimum, one (1) dedicated facility phone and phone line for every forty (40) residents in common areas.
   3. (C) The phone shall allow unlimited local calling without charge.
   4. (D) Long distance calling shall be possible at the expense of the resident or responsible party via personal calling card, prepaid phone card, or similar methods.

   5. (E)

      1. (i) Residents shall be able to make phone calls in private.
      2. (ii) “Private” means placing the phone in an area that is secluded and away from frequently used areas;
10. (10) Ensure that residents are afforded the opportunity to participate in social, recreational, vocational, and religious activities within the community, and any activities made available within the facility;
11. (11) Document that each resident has a physician or advanced practice nurse of his or her choice who is responsible for the overall management of the resident’s health; and

12. (12) In the event of a resident’s illness or accident:

    1. (A)

       1. (i) Notify the resident’s responsible party or next of kin and personal physician or advanced practice nurse, or in the event such physician or advanced practice nurse is not available, a qualified alternate.
       2. (ii) A competent resident may decline to have someone contacted, if such a request is in writing and is filed in the resident’s file;
    2. (B) Take immediate and appropriate steps to see that the resident receives necessary medical attention including transfer to an appropriate medical facility; and
    3. (C) Make a notation of the illness or accident in the resident’s records.