August 4, 2008
We have previously discussed the rights of nursing home residents.
Now let's take a look at Personal Care Home residents.
Personal Care Homes ("PCH") are also referred to as Assisted Living
Facilities. These are residential centers which assist
residents with some of their activities of daily living such as
cooking, bathing, cleaning, toileting, transferring and taking
medications.
Each PCH must have an on-site manager on the premises 24 hours per day
and must provide at least one staff person per 15 residents during
waking hours, and one staff person per 25 residents during non-waking
hours. DHR Regs. § 290-5-35-.13. The staff must be
trained and certified in emergency first aid, cardiopulmonary
resuscitation and emergency evacuation procedures. DHR Regs.
§ 290-5-35-.14.
PCHs may not admit or retain non-ambulatory residents. Nor
may they admit or retain residents who need to be restrained, isolated
or confined. DHR Regs. § 290-5-35-.15. Persons who
are confined to their bed or need continuous medical or nursing care
are also not appropriate for placement in a PCH.
All medications required by a PCH resident must be self-administered
except for insulin which can be injected by a staff person designated
by the resident's physician. That staff person must be
trained and qualified to administer the insulin to that particular
resident. DHR Regs. § 290-5-35-.19.
However, the staff may remind residents of the time to take their
medication. The staff may also read the instructions to the
resident on the container. And, the staff may double-check
the dosage against the information on the container for the resident.
Many PCHs try to provide continuing care to their residents after the
resident's needs exceed the facility's capacity to provide adequate
care. If you know someone in a PCH who is non-ambulatory or
is bed-bound and the facility is administering medications to him,
clearly the facility is violating the PCH rules and is probably putting
the resident at risk.
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