Colorado nursing home responsiveness requirements

Separately from the law-enforcement report, the facility must notify CDPHE within 24 hours of discovery of resident neglect, abuse, an injury of unknown source, or misappropriation of a resident's property.

Facilities shall comply with all occurrence and mandatory reporting required by state and federal law including, but not limited to, notifying the Department of the following items within 24 hours of discovery by the facility.

A nursing care facility must maintain 24-hour practitioner coverage available to promptly assess any significant change in a resident's condition, and the medical director must help develop a procedure for providing care in emergencies when the resident's own practitioner is unavailable.

The facility shall ensure that there is 24-hour practitioner coverage available to promptly assess any significant changes of condition.

The facility must be staffed at all times with at least one registered nurse on duty on the premises and at least one licensed nurse per resident care unit, with a floor of two hours of nursing time per resident per day, subject to a rural-facility exception in § 9.5.

Except as provided in section 9.5, a nursing care facility shall be staffed at all times with at least one registered nurse who is on duty on the premises. Each resident care unit shall be staffed with at least one licensed nurse.

Facility staff must promptly notify the attending practitioner of unexpected deterioration in a resident's physical or mental condition and of any incident or accident involving the resident (a duty to notify the practitioner, not a duty on the practitioner to return a call).

Facility staff shall promptly notify the attending practitioner regarding unexpected deterioration in a resident's physical or mental condition and any incident or accident involving the resident.

Residents have the right to private and unrestricted communication with any person of their choice, expressly including privacy for telephone calls and use of electronic communication devices, unopened mail, and private consensual sexual activity.

The right to have private and unrestricted communications with any person of his or her choice; including 1) The right to privacy for telephone calls or use of electronic communication devices;

Disaster plans must include an emergency preparedness communication plan and written per-risk instructions identifying the persons to be notified and the steps to be taken, kept readily available 24 hours a day in more than one location with all staff aware of those locations.

Written instructions for each identified risk that include persons to be notified and steps to be taken. The instructions shall be readily available 24 hours a day in more than one location with all staff aware of the locations;

Every resident room must have a call system activatable from the resident's bed, with emergency activation from the toilet room and from each tub and shower, that notifies staff audibly, visually, or electronically.

Each resident room shall be equipped with a communication system to allow residents to call for staff assistance. The system shall be capable of activation from the resident's bed, with emergency activation from the toilet room, and each tub and shower. The system shall notify staff of a request for assistance via audible, visual or electronic means.

A resident who has a safety device must have a call signal switch or similar device within reach, or some other appropriate means of communication.

Residents with safety devices shall have either a call signal switch or similar device within reach or some other appropriate means of communication provided.

The governing body must ensure the facility runs a quality management program evaluating the quality of resident care and safety that satisfies Chapter 2 Part 4.1, and the facility must have a committee that meets monthly to carry out the required quality management activities.

The governing body shall ensure that the facility has a quality management program that evaluates the quality of resident care and safety and meets all the requirements set forth in 6 CCR 1011-1, Chapter 2, General Licensure Standards, Part 4.1. The facility shall have a committee that meets monthly to address the required quality management activities.