Regulatory Review of Adult Day Services: Final Report - Section 2. Oregon

08/26/2005

Overview

Oregon has no requirements for the provision of adult day services. The state has operational standards, which providers may comply with on a voluntary basis. These standards are summarized in this profile.

Providers are required to register their programs on a registry administered by the Department of Human Services, Seniors and People with Disabilities Division. All adult day services programs shall register with the Division. The form for registration shall include, but not be limited to: (1) the name and address of the program and (2) a checklist to determine the extent each program is voluntarily complying with the standards set forth in these rules. Licensed long-term care facilities providing adult day services programs are not required to register.

Licensure and Certification Requirements

Licensure and Certification Requirements
Licensure Only  ☐ 
Certification Only  ☐ 
Both Required  ☐ 
Other  ☒  voluntary operational standards

Definitions

Adult day services ameans a community-based group program designed to meet the needs of adults with impairments through individual plans of care. These structured, comprehensive, nonresidential programs provide health, social, and related support services in a protective setting during part of a day but for less than 24 hours.

Parameters for Who Can Be Served

Adult day services programs may serve adults with impairments. Each program's plan of operation must include a definition of the target population including number, age, and needs of participants. For each participant, the program shall have an individual plan of care based on services needed and available.

No provisions were identified regarding individuals who may not be served, but providers are required to have a discharge policy that includes discharge criteria.

Inspection and Monitoring

Inspection and Monitoring
Yes  ☐ 
No  ☒ 

None identified.

Required and Optional Services

  Adult Day Services
Required Optional
Activities of Daily Living (ADL) Assistance  ☒   ☐ 
Health Education and Counseling  ☒   ☐ 
Health Monitoring/Health-Related Services  ☐   ☐ 
Medication Administration  ☐   ☐ 
Nursing Services  ☐   ☒ 
Physical Therapy, Occupational Therapy, or Speech Therapy  ☐   ☒ 
Skilled Nursing Services  ☐   ☐ 
Social Services  ☒   ☐ 
Transportation  ☒   ☐ 

Provisions Regarding Medications

None identified.

Provisions for Groups with Special Needs

Provisions for Groups with Special Needs
Dementia  ☒ 
Mental Retardation/Developmental Disabilities  ☐ 
Other  ☐ 

Staffing Requirements

Type of staff. None identified.

Staffing ratios. The staff-to-participant ratio shall be a minimum of one staff person to six participants. As the number and/or impairment level of participants increase, the staff-to-participant ratio will be adjusted accordingly. Programs serving a high percentage of participants who are severely impaired shall have a staff-to-participant ratio of one-to-four.

To insure adequate care and safety of participants, there shall be provisions for qualified substitute staff.

Volunteers can be included in the staff ratio only when they conform to the same standards and requirements as paid staff, meet the job qualifications, and have designated responsibilities.

There shall be at least one staff person on duty at all times who shall be familiar with the fire, safety, and disaster plan; infection control; cardiopulmonary resuscitation (CPR) and first aid; body mechanics/transfer techniques; mandatory reporting laws of abuse/neglect; behavior management; and the needs of the participants. Staff shall have sufficient knowledge to provide essential services to the participants.

Training Requirements

General orientation and continued in-service training shall be provided for both paid staff and volunteers including, but not limited to: program mission/philosophy; mandatory reporting laws of abuse/neglect and indicators of abuse; behavioral intervention/behavior acceptance/accommodations; standard precautions; participant rights; fire, safety, and disaster plan and emergency procedures; and body mechanics/transfer techniques/ADL assistance.

Relevant Medicaid Contracting Requirements for Adult Day Services Providers

The Oregon Aged and Disabled Waiver covers adult day services. Any provider listed in the state's registry may provide these services if they meet Medicaid's general provider requirements.

Location of Licensing, Certification, or Other Requirements

  1. http://arcweb.sos.state.or.us/rules/oars_400/oar_411/411_066.html

Citations

  1. Registration and Standards for Adult Day Services Programs. Oregon Administrative Rules, Chapter 411, Division 066. [Current through 12/15/2004]

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