Wyo. Code R. 048-0058-2
Effective Date: 10/23/1989 to 06/14/2017
Rule Type: Superceded Rules & Regulations
Reference Number: 048.0058.2.10231989
(a) The home is under the direction of the agency and is supervised by the superintendent. All programs and activities within the home shall be consistent with the agency's direction.
(b) Administrative priority is to assure a comfortable and pleasant environment for the residents while effectively operating the home under the direction of the agency.
(c) The some shall work closely with the Veterans' Administration, various community hospitals, and various state agencies in providing and coordinating services for residents.
(d) Services provided by the home shall comply with applicable state standards governing this institution and shall include the following areas:
(i) Health and rehabilitative services including nursing and medical care, emergency procedures, administration of medications and therapy;
(ii) Supportive services including food service, laundry, housekeeping, sanitation, building and grounds maintenance, and beauty/barber shop services;
(iii) Social and recreational activities including nondenominational chapel services, and transportation;
(iv) Fire and safety program including fire protection, emergency and disaster plan, infection control measures, designation of restricted area and storage procedures; and
(v) Quality assurance program for the evaluation and improvement of services.
(e) The superintendent shall establish policies and procedures for all services and programs provided at the home. All policies and procedures shall be consistent with applicable state standards governing the operation of the home.
(f) The superintendent shall provide for adequate staffing to assure that all services are consistently provided to residents in the home.
(g) Written records for each resident shall be maintained and made available to the resident
(h) The superintendent shall establish a system for investigating and reporting incidents, accidents or injuries occurring after admission to the home. Written records shall be completed for each occurrence. The system shall also address suspected incidents of resident neglect or abuse. The superintendent shall report any unusual deaths, serious incidents or accidents to the agency immediately.
(i) The superintendent shall establish a system for investigating and discussing resident grievances.
The agency shall have final authority for any necessary action relating to the grievance.
Section 2. Admission Requirements.
(a) Pursuant to W.S. 25-9-101, qualifications for admission shall include:
(i) Inability to earn a living by reason of wounds, disease, old age or other infirmities;
(ii) No adequate means of support; and
(iii) Domiciled in this state.
(b) The agency may admit dependents of qualified veterans if admission is deemed proper.
(c) Criteria which may be considered by the superintendent in determining qualifications for admission may include:
(i) Valid in-state residence at the time of application;
(ii) Intent to permanently reside in the state if less than one (1) year residence in the state;
(iii) Not in transit, or temporary or seasonal residency;
(iv) Compliance with application procedures;
(v) Ability to maintain activities of daily living;
(vi) A preliminary health assessment documenting the health status of the prospective resident; and
(vii) An evaluation and recommendation by the nursing department after a conference with the prospective resident.
(d) Pursuant to W.S. 25-9-102, persons who are not veterans or dependents of veterans may be admitted if:
(i) Less than ninety percent (90%) of the home's capacity is occupied;
(ii) A veteran or veteran's dependent application is not pending;
(iii) Inability to earn a living;
(iv) No adequate means of support; and
(v) Domiciled in this state.
(e) In all admission decisions, the agency and superintendent shall give preference to veterans first and their accompanying dependents second.
(f) The superintendent may initially approve or disapprove an application for admission and shall inform the agency of any actions taken in a timely manner. The agency shall have final authority for approving and disapproving all applications.
(g) Agency policies for admission of residents shall be in writing and on file at the home.
(a) The home shall provide any health care services to residents necessary in a residential facility, including emotional, physical, supportive therapeutic or preventative services.
(b) All medical care shall be under the direction of a licensed physician.
(c) All information concerning the care and treatment of a resident shall be confidential. The resident shall complete a written consent for releasing any information to persons not otherwise authorized to receive it.
(d) The nursing and medical staff shall establish a program for the safe acquisition, control, storage, and distribution of all drugs in accordance with professional practices and legal requirements.
Section 4. Resident Rights. The superintendent and staff shall establish policies and procedures addressing Resident's Rights and shall make the policies available to the resident, and/or legal representative and the public.
(a) A resident may be voluntarily transferred to another institution or discharged for the home. The resident shall be responsible for all voluntary transfers or discharges. The home shall be responsible for:
(i) Records, including a transfer summary, to accompany the resident at the time of transfer; and
(ii) Instructions for care of the resident to be given to the institution receiving the resident.
(b) A resident may be involuntarily discharged from the home for medical reasons as determined by the nursing and medical staff at the home and approved by the superintendent and agency. If a decision is made to involuntarily discharge a resident, the home shall:
(i) Comply with applicable agency policies and procedures pertaining to the specific circumstances of the resident situation; the policies shall be made available to the resident, and/or legal representative:
(ii) Make any necessary arrangements with the full knowledge of the resident; and
(iii) Inform the resident a petition for review of the involuntary discharge may be filed with the agency.
(c) A resident being transferred to the home from another institution shall be processed according to agency policies and procedures. The nursing and medical staff may conduct a conference to assure that the resident does not have a mental or physical condition requiring care not available at the home.