1. A. An administrator shall ensure that:

   1. 1. Nursing services are provided 24 hours a day in a nursing-supported group home;

   2. 2. A director of nursing is appointed who:

      1. a. Is a registered nurse, and
      2. b. Is responsible for the direction of nursing services;
   3. 3. The director of nursing or an individual designated by the administrator participates in the quality management program; and
   4. 4. If the director of nursing is responsible for nursing services for 30 or more residents, the director of nursing does not provide direct care to residents on a regular basis.

2. B. A director of nursing shall ensure that:

   1. 1. A method is established and documented that identifies the types and numbers of nursing personnel that are necessary to provide nursing services to residents based on the residents’ comprehensive assessments; orders for physical health services, rehabilitation services, and behavioral care; and individual program plans and the nursing-supported group home’s scope of services;
   2. 2. Sufficient nursing personnel, as determined by the method in subsection (B)(1), are assigned to be on the nursing-supported group home premises to meet the needs of a resident for nursing services;
   3. 3. At least one nurse is present on the nursing-supported group home’s premises;

   4. 4. As soon as possible but not more than 24 hours after one of the following events occur, a nurse notifies a resident’s designated medical practitioner and, if applicable, the resident’s representative, if the resident:

      1. a. Is injured,
      2. b. Is involved in an incident that may require medical services, or
      3. c. Has a significant change in condition; and
   5. 5. Only a medication required by an order is administered to a resident.

Historical Note

New Section made by exempt rulemaking at 28 A.A.R. 927 (May 6, 2022), with an immediate effective date of April 15, 2022 (Supp. 22-2).