R432-270-3. Definitions

  (1) The terms used in these rules are defined in R432-1-3.

  (2) In addition:

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

  (i) memory and daily decision making ability;

  (ii) ability to communicate effectively with others;

  (iii) physical functioning and ability to perform activities of daily living;

  (iv) continence;

  (v) mood and behavior patterns;

  (vi) weight loss;

  (vii) medication use and the ability to self-medicate;

  (viii) special treatments and procedures;

  (ix) disease diagnoses that have a relationship to current activities of daily living status, behavior status, medical treatments, or risk of death;

  (x) leisure patterns and interests;

  (xi) assistive devices; and

  (xii) prosthetics.

  (b) "Activities of daily living (ADL)":

  (i) means those personal functional activities required for an individual for continued well-being, including:

  (A) personal grooming, including oral hygiene and denture care;

  (B) dressing;

  (C) bathing;

  (D) toileting and toilet hygiene;

  (E) eating/nutrition;

  (F) administration of medication; and

  (G) transferring, ambulation and mobility.

  (ii) are divided into the following levels:

  (A) "Independent" means the resident can perform the ADL without help.

  (B) "Assistance" means the resident can perform some part of an ADL, but cannot do it entirely alone.

  (C) "Dependent" means the resident cannot perform any part of an ADL; it must be done entirely by someone else.

  (c) Certification in Cardiopulmonary Resuscitation (CPR) refers to certification issued after completion of a course that is consistent with the most current version of the American Heart Association Guidelines for Health Care Provider CPR.

  (d) "Home-like" as used in statute and this rule means a place of residence which creates an atmosphere supportive of the resident's preferred lifestyle. Home-like is also supported by the use of residential building materials and furnishings.

  (e) "Hospice patient" means an individual who is admitted to a hospice program or agency.

  (f) "Legal representative" means an individual who is legally authorized to make health care decisions on behalf of another individual.

  (g) "Monitoring device":

  (i) means a video surveillance camera or a microphone or other device that captures audio; and

  (ii) does not include:

  (A) a device that is specifically intended to intercept wire, electronic, or oral communication without notice to or the consent of a party to the communication; or

  (B) a device that is connected to the Internet or that is set up to transmit data via an electronic communication.

  (h) "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.

  (i) "Responsible person" means an individual who:

  (i) is designated in writing by a resident to receive communication on behalf of the resident; or

  (ii) a legal representative.

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

  (i) recognize medications offered by color or shape; and

  (ii) question differences in the usual routine of medications.

  (k) "Service Plan" means a written plan of care for services which meets the requirements of R432-270-13.

  (l) "Services" means activities which help the residents develop skills to increase or maintain their level of psycho-social and physical functioning, or which assist them in activities of daily living.

  (m) "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.

  (n) "Significant assistance" means the resident is unable to perform any part of an ADL and is dependent upon staff or others to accomplish the ADL as defined in R432-270-3(2)(b).

  (o) "Social care" means:

  (i) providing opportunities for social interaction in the facility or in the community; or

  (ii) providing services to promote independence or a sense of self-direction.

  (p) "Unit" means an individual living space, including living and sleeping space, bathroom, and optional kitchen area.