1. 1. A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes:

   1. a. A method to identify, document, and evaluate incidents;
   2. b. A method to collect data to evaluate services provided to residents;
   3. c. A method to evaluate the data collected to identify a concern about the delivery of services related to resident care;
   4. d. A method to make changes or take action as a result of the identification of a concern about the delivery of services related to resident care; and
   5. e. The frequency of submitting a documented report required in subsection (2) to the governing authority;

2. 2. A documented report is submitted to the governing authority that includes:

   1. a. An identification of each concern about the delivery of services related to resident care; and
   2. b. Any change made or action taken as a result of the identification of a concern about the delivery of services related to resident care; and
3. 3. The report required in subsection (2) and the supporting documentation for the report are maintained for at least 12 months after the date the report is submitted to the governing authority.

An administrator shall ensure that:

Historical Note

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 198, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2). Section R9-10-504 renumbered to R9-10-2104; new Section R9-10-504 made by exempt rulemaking at 25 A.A.R. 1222, effective April 25, 2019 (Supp. 19-2).