1. 1. A resident is admitted only on a physician’s order;
2. 2. The physician’s admitting order includes the nursing care institution services required to meet the immediate needs of a resident, such as medication and food services;
3. 3. At the time of a resident’s admission, a registered nurse conducts or coordinates an initial assessment on a resident to ensure the resident’s immediate needs for nursing care institution services are met;
4. 4. A resident’s needs do not exceed the medical services and nursing services available at the nursing care institution as established in the nursing care institution’s scope of services;

5. 5. Before or at the time of admission, a resident or the resident’s representative:

   1. a. Receives a documented agreement with the nursing care institution that includes rates and charges,
   2. b. Is informed of third-party coverage for rates and charges,
   3. c. Is informed of the nursing care institution’s refund policy, and
   4. d. Receives written information concerning the nursing care institution’s policies and procedures related to a resident’s health care directives;

6. 6. Within 30 calendar days before admission or 10 working days after admission, a medical history and physical examination is completed on a resident by:

   1. a. A physician, or
   2. b. A physician assistant or a registered nurse practitioner designated by the attending physician;

7. 7. Except as specified in subsection (8), a resident provides evidence of freedom from infectious tuberculosis:

   1. a. Before or within seven calendar days after the resident’s admission, and
   2. b. As specified in R9-10-113;

8. 8. A resident who transfers from a nursing care institution to another nursing care institution is not required to be rescreened for tuberculosis as specified in R9-10-113 if:

   1. a. Fewer than 12 months have passed since the resident was screened for tuberculosis, and
   2. b. The documentation of freedom from infectious tuberculosis required in subsection (7) accompanies the resident at the time of transfer; and
9. 9. Compliance with the requirements in subsection (6) is documented in the resident’s medical record.

An administrator shall ensure that:

Historical Note

New Section R9-10-407 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2). Amended by final expedited rulemaking at 28 A.A.R. 1113 (May 27, 2022), with an immediate effective date of May 4, 2022 (Supp. 22-2).