State Assisted Living Policy: 1998. Arkansas

06/01/1998

Citation

Residential long term care facilities Arkansas Annotated Code §§20-76-201 (b)(3), 2010-203 and 20-10-224.

General Approach

Rules were revised and updated in 1996. State agencies are exploring reimbursement for an assisted living model.

Definition

Residential long term care facility means a building or structure which is used or maintained to provide, for pay on a 24-hour basis, a place of residence and board for three or more individuals whose functional capabilities may have been impaired, but who do not require hospital or nursing home care on a daily basis, but could require other assistance with activities of daily living.

Unit Requirements

A minimum of 100 square feet is required for single rooms and 80 square feet per resident in shared rooms. Rooms may be shared by two residents. A minimum of one toilet/lavatory is required for every six residents and one tub/shower for every 10 residents.

Tenant Policy

Tenants must be 18 or older; independently mobile (physically and mentally capable of vacating the facility within 3 minutes); able to self-administer medications; be capable of understanding and responding to reminders and guidance from staff; do not have a feeding or intravenous tube; are not totally incontinent of bowel and bladder; do not have a communicable disease that poses a threat to the health or safety of others; do not need nursing services which exceed those that can be provided by a certified home health agency on a temporary or infrequent basis; do not have a level of mental illness, retardation or dementia or addiction to drugs or alcohol that requires a higher level of medical, nursing or psychiatric care or active treatment than can safely be provided in the facility; does not require religious, cultural or dietary regimens that cannot be met without undue burden; and do not require physical restraints, or have current violent behavior.

Services

Facilities may provide personal care; supportive services (occasional or intermittent guidance, direction or monitoring for ADLs); activities and socialization; assistance securing professional services; meals; housekeeping; and laundry. Residents have a choice of providers for receiving personal care services and they may use an agency that is not the facility. RCFs may not provide medical or nursing services. Home health services may be provided by a certified home health agency when ordered by a physician.

Financing

Personal care services are reimbursed as a state plan service under Medicaid based on a plan of care. Facilities are reimbursed fee for service. A maximum of 64 hours of care per month may be covered without prior authorization. About 1,000 residents are covered each month.

Medication

RCFs may remind residents to take medications, read label instructions and remove the cap or packaging.

Staffing

The number of direct care staff needed is scaled for daytime, evening and night shifts based on the number of residents. Staffing must be sufficient to meet the needs of residents.

Training

Administrators must have a current certification as a residential care facility administrator, or complete a course of instruction and training prescribed by the Department.

Staff An orientation covering, at a minimum, job duties, resident rights, abuse/neglect reporting requirements and fire and tornado drills is required. Four hours of in-service training or continuing education a year covering resident rights, evacuation of a building, safe operation of fire extinguishers, incident reporting and medication supervision are required for direct care staff.

Background check Administrators may not have any prior conviction pursuant to Arkansas Code Annotated §20-10-401 or relating to the operation of a long term care facility nor any conviction for abusing, neglecting or mistreating individuals.

Fees

$5 per bed.

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