Allowable Health Conditions: General Requirements

Understanding Facility Practices

Title 22 § 87611 and § 87612 

These are the general requirements facilities must abide by when they accept and/or retain a resident with any of the following allowable health conditions: Oxygen administration, colostomy/ileostomy, Intermittent Positive Pressure Breathing (IPPB) machines, Contractures, Healing Wounds (bedsores - Stage I & II).

The facility must complete and maintain a current, written record of care for each resident that has one or more of these conditions.  This record must include, at a minimum, the following:

  • (1) Documentation from the physician that includes type of condition, stability of condition,  method of intervention, resident's ability to perform procedure and the appropriately skilled professional who will assist should resident require assistance with procedure.
  • (2) The names, address and telephone number of vendors (if any) and all appropriately skilled professionals providing services.
  • (3) Emergency contacts.

[You, as the resident, or responsible party may wish to request a copy of this updated information.]

In addition to this written record, the facility is also required under Title 22 § 87611 and 87613 to ensure:

  • (1) That facility staff have the knowledge and ability to recognize and respond to problems related to health conditions and must contact the physician, appropriately skilled professional, and/or vendor as necessary.
  • (2) The facility must monitor the ability of the resident to provide self care for these health conditions and document any change in that ability. 
  • Though not in the regulations, communicating changes in status to other relevant parties (physicians, responsible parties, CCLD if necessary, etc.) would be ideal.
  • (3) The facility must ensure that the resident is cared for in accordance with the physician's orders and that the resident's medical needs are met.

[Remember, RCFEs are non-medical facilities.  Be aware of the facilities' policies, procedures, outsourcing and compliance track record as they pertain to residents' medical needs - to solicit the most appropriate care for your resident.]

The regulations go on to say that the duty established by this section does not infringe on the right of a resident to receive or reject medical care or services. 

If this circumstance arises, be sure it is the resident's intent to refuse services, and not decisions of the facility, that resulted in foregone medical attention or care.

The  Department must approve the facility's acceptance or retention of a resident with the above mentioned health conditions, if a facility has had a probationary license, administrative action, non-compliance conference, or notice of deficiency involving direct care that required correction within 24 hours - within the two years prior to the request. 

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