Arizona nursing home responsiveness requirements

On a reasonable basis to believe abuse, neglect or exploitation occurred on the premises or during care, the administrator must immediately stop it, report it under A.R.S. § 46-454 (residents 18+) or § 13-3620 (under 18), document the report, and initiate an investigation documenting dates, injuries, witnesses and preventive actions within five working days.

Report the suspected abuse, neglect, or exploitation of the resident as follows: a. For a resident 18 years of age or older, according to A.R.S. § 46-454; or b. For a resident under 18 years of age, according to A.R.S. § 13-3620 ... Initiate an investigation of the suspected abuse, neglect, or exploitation and document the following information within five working days after the report required in subsection (F)(2)

Every resident must have an attending physician who is available 24 hours a day, and that physician must designate a covering physician for times when he or she is unavailable - Arizona's functional on-call requirement.

A medical director shall ensure that: 1. A resident has an attending physician; 2. An attending physician is available 24 hours a day; 3. An attending physician designates a physician who is available when the attending physician is not available

Nursing services must be provided 24 hours a day under a full-time registered-nurse director of nursing, with at least one nurse on the premises per every 64 residents and an acuity-based staffing method; a nurse must notify the resident's attending physician within 24 hours of an injury, an incident that may require medical services, or a significant change in condition.

At least one nurse is present on the nursing care institution's premises and responsible for providing direct care to not more than 64 residents ... As soon as possible but not more than 24 hours after one of the following events occur, a nurse notifies a resident's attending physician and, if applicable, the resident's representative, if the resident: a. Is injured, b. Is involved in an incident that may require medical services, or c. Has a significant change in condition

Residents have a general right of access to and communication with any individual, organization or agency, and a right to privacy during a visit or meeting - but note this is a general communication-access right, NOT a telephone-specific right; Article 4 contains no express resident telephone provision.

Has access to and may communicate with any individual, organization, or agency

A documented disaster plan is required covering resident relocation, availability of medical records during a disaster, back-up power and water, medications, continued nursing services and food, reviewed annually, with quarterly per-shift disaster drills and semiannual evacuation drills - but Arizona does NOT require the 483.73(c)-style communication plan or current emergency contact lists.

A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes: a. When, how, and where residents will be relocated ... b. How a resident's medical record will be available to individuals providing services to the resident during a disaster; c. A plan for back-up power and water supply

Each resident's room or suite must be equipped with a nurse call system, along with a separate bed and furniture meeting the resident's needs.

A resident has a separate bed, a nurse call system, and furniture to meet the resident's needs in a resident room or suite of rooms

Requires a documented, implemented ongoing quality management program with methods to identify and evaluate incidents, collect and evaluate service data, identify care-delivery concerns and act on them, plus periodic written reports to the governing authority retained at least 12 months.

A plan is established, documented, and implemented for an ongoing quality management program that, at a minimum, includes: a. A method to identify, document, and evaluate incidents; b. A method to collect data to evaluate services provided to residents; c. A method to evaluate the data collected to identify a concern about the delivery of services related to resident care; d. A method to make changes or take action as a result of the identification of a concern