1. (1)(a) "Activities of daily living" or "ADLs" means those personal functional activities required for a resident for continued well-being, including:

   1. (i) administration of medication;

      1. (ii) bathing;
      2. (iii) dressing;
      3. (iv) eating and nutrition;
      4. (v) personal grooming, including oral hygiene and denture care;
      5. (vi) toileting and bathing; and
      6. (vii) transferring, ambulation, and mobility.

   2. (b) ADLs are divided into the following levels:

      1. (i) "Assistance" means the resident can perform some part of an ADL, but cannot do it entirely alone;
      2. (ii) "Dependent" means the resident cannot perform any part of an ADL and it is done entirely by someone else; and
      3. (iii) "Independent" means the resident can perform the ADL without help.
2. (2) "Adult day care" means the care and support to three or more functionally impaired adults through a comprehensive program that provides a variety of social, recreational, and related support services in a licensed health care setting.

3. (3) "Assessment" means documentation of each resident's ability or current condition in the following areas:

   1. (a) ability to communicate effectively with others;
   2. (b) assistive devices;
   3. (c) continence;
   4. (d) leisure patterns and interests;
   5. (e) medical diagnoses that have a relationship to current ADL status, behavior status, medical treatments, or risk of death;
   6. (f) medication use and the ability to self-medicate;
   7. (g) memory and daily decision-making ability;

   8. (h) mood and behavior patterns;

      1. (i) physical functioning and ability to perform ADLs;
   9. (j) prosthetics;

   10. (k) special treatments and procedures; and

       1. (l) weight loss.
4. (4) "Certification in cardiopulmonary resuscitation" or "CPR" means a certification issued after completion of an in-person course, to include skills testing, and evaluation on-site with a licensed instructor.

5. (5) "Core competencies" mean:

   1. (a) communication;
   2. (b) community living skills and supports;
   3. (c) crisis prevention and intervention;
   4. (d) cultural competency and community inclusion;
   5. (e) dementia care competencies;
   6. (f) empowerment and advocacy;
   7. (g) health and wellness;

   8. (h) observation;

      1. (i) person-centered care principles and practices;
   9. (j) professionalism and ethics;

   10. (k) safety; and

       1. (l) training and self-development.
6. (6) "Facility" means the same as defined in Rule R432-1, and for this rule, includes the definition listed in Section 26B-2-236.

7. (7)(a) "Home-like" means a place of residence that creates an atmosphere supportive of the resident's preferred lifestyle.

   1. (b) Home-like is also supported by the use of residential building materials and furnishings.
8. (8) "Hospice patient" means an individual who is admitted to a hospice program or agency.
9. (9) "Legal representative" means the same as defined in Section 26B-2-236.
10. (10) "Licensed health care professional" means a registered nurse, physician assistant, advanced practice registered nurse, or physician licensed by the Utah Department of Commerce who has education and experience to assess and evaluate the health care needs of the resident.
11. (11) "Monitoring device" means the same as defined in Section 26B-2-236.
12. (12) "OL" means the Office of Licensing in the Division of Licensing and Background Checks, under the Department of Health and Human Services.
13. (13) "Responsible person" means the same as defined in Rule R432-1.

14. (14) "Self-direct medication administration" means the resident can:

    1. (a) recognize medications offered by color or shape; and
    2. (b) identify and report differences in the usual routine of medications.
15. (15) "Service plan" means a written plan of care for services that meets the requirements of Section R432-270-13.
16. (16) "Services" means activities that help each resident develop skills to increase or maintain their level of psycho-social and physical functioning, or that assists them in ADLs.
17. (17) "Significant assistance" means the resident cannot perform any part of an ADL and depends on staff or others to accomplish the ADL.
18. (18) "Significant change" means a major change in a resident's status that is self-limiting or impacts on more than one area of the resident's health status.

19. (19) "Social care" means:

    1. (a) providing opportunities for social interaction in the facility or in the community; or
    2. (b) providing services to promote independence or a sense of self-direction.
20. (20) "Type I assisted living" means the same as "Assisted Living Facility Type I," as defined in Rule R432-6.
21. (21) "Type II assisted living" means the same as "Assisted Living Facility Type II," as defined in Rule R432-6.
22. (22) "Unit" means the same as "resident living unit," as defined in Rule R432-6.
23. (23) "Vulnerable adult" means the same as defined in Subsection 26B-6-201(30).

Terms used in this rule are defined in Rules R380-600, R432-1, and R432-6. Additionally:

KEY: health care facilities

Date of Last Change: November 13, 2025

Notice of Continuation: February 7, 2024

Authorizing, and Implemented or Interpreted Law: 26B-2-202