(a) Criteria for services.

1. (1) Each ASCU shall have written policy setting forth preadmission screening, admission, and discharge procedures.

2. (2)

   1. (A) Prior to admission into the ASCU, the facility shall provide a copy of the disclosure statement and Residents' Bill of Rights policy to the applicant or the applicant's responsible party.
   2. (B) A copy of the disclosure statement signed by the resident or the resident's responsible party shall be kept in the resident’s file.

3. (3) Admission criteria shall require:

   1. (A) A physician’s diagnosis of Alzheimer’s disease or related dementia;
   2. (B) The facility's assessment of the resident’s level of needs; and
   3. (C) A list of the services that the ASCU can provide to address the needs identified in subdivision (a)(3)(B) of this section.
4. (4) Any individual admitted to the ASCU must also meet admission criteria for the facility.

5. (5)

   1. (A) The ASCU shall not maintain a resident who requires a level of care greater than that for which the facility is licensed to provide or for whom the ASCU is unable to provide the level or types of services to address the needs of the resident.
   2. (B) Discharge from the ASCU shall occur when:

(i) The resident’s medical condition exceeds the level of care for which the facility is licensed or is able to provide;

1. (ii) The resident’s medical condition requires specialized nursing procedures that constitute more than limited nursing services, or nursing services the facility is unable to provide;

   1. (iii) The resident has a loss of functional abilities, e.g., ambulation, that results in the resident’s level of care requirements being greater than the level of care for which the facility is licensed or able to provide;

      1. (iv) Behavioral symptoms that result in the resident’s level of care requirements being greater than the level of care for which the facility is licensed or able to provide; or
      2. (v) The resident requires a level of involvement in therapeutic programming that is greater than the level of care for which the facility is licensed or able to provide.

2. (6)

   1. (A) If the resident, or the resident's responsible party, does not comply with, or refuses to accept, the requirements of the ISP, the resident shall be discharged from the ASCU.

   2. (B)

      1. (i) The facility shall document the refusal or noncompliance with the ISP.
      2. (ii) The documentation shall include, but not be limited to:

(b) (b) The date and time of the refusal; and

1. (c) (c) The consequences of the unwillingness or inability to comply with the requirements of the ISP, and the name of the person providing this information to the resident or the resident's responsible party.

(b) Resident movement, transfer, or discharge.

1. (1) When a resident is moved, transferred, or discharged, measures shall be taken by the facility to minimize confusion and stress to the resident until discharge.
2. (2) Further, the discharge shall comply with the rules applicable to the facility housing the ASCU and Arkansas law.