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Guest Tinki

Here is the .NET CHALLENGE! Find the regulations for AL and Alzhiemer's facilities for each state! We would all be alot happier and healthier if we know this information. Plus we would be helping the next generation with a piece of mind!

I will get Texas ready!

 

Karen

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Guest Tinki

Texas Administrative Code Next Rule>>

 

TITLE 40

SOCIAL SERVICES AND ASSISTANCE

PART 1

DEPARTMENT OF AGING AND DISABILITY SERVICES

CHAPTER 92

LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES

SUBCHAPTER C

STANDARDS FOR LICENSURE

RULE §92.53 Standards for Certified Alzheimer's Assisted Living Facility

 

Activities. A facility must encourage socialization, cognitive awareness, self-expression, and physical activity in a planned and structured activities program. Activities must be individualized, based upon the resident assessment, and appropriate for each resident's abilities.

(1) The activity program must contain a balanced mixture of activities addressing cognitive, recreational, and activity of daily living (ADL) needs.

(A) Cognitive activities include, but are not limited to, arts, crafts, story telling, poetry readings, writing, music, reading, discussion, reminiscences, and reviews of current events.

(B) Recreational activities include all socially interactive activities, such as board games and cards, and physical exercise. Care of pets is encouraged.

© Self-care ADLs include grooming, bathing, dressing, oral care, and eating. Occupational ADLs include cleaning, dusting, cooking, gardening, and yard work. Residents must be allowed to perform self-care ADLs as long as they are able to promote independence and self worth.

(2) Residents must be encouraged, but never forced, to participate in activities. Residents who choose not to participate in a large group activity must be offered at least one small group or one-on-one activity per day.

(3) Facilities must have an employee responsible for leading activities.

(A) Facilities with 16 or fewer residents must designate an employee to plan, supply, implement, and record activities.

(B) Facilities with 17 or more residents must employ, at a minimum, an activity director for 20 hours weekly. The activity director must be a qualified professional who:

(i) is a qualified therapeutic recreation specialist or an activities professional who is eligible for certification as a therapeutic recreation specialist, therapeutic recreation assistant, or an activities professional by a recognized accrediting body, such as the National Council for Therapeutic Recreation Certification, the National Certification Council for Activity Professionals, or the Consortium for Therapeutic Recreation/Activities Certification, Inc.; or

(ii) has two years of experience in a social or recreational program within the last five years, one year of which was full-time in an activities program in a health care setting; or

(iii) has completed an activity director training course approved by the National Association for Activity Professionals or the National Therapeutic Recreation Society.

(4) The activity director or designee must review each resident's medical and social history, preferences, and dislikes, in determining appropriate activities for the resident. Activities must be tailored to the residents' unique requirements and skills.

(5) The activities program must provide opportunities for group and individual settings. On weekdays, each resident must be offered at least one cognitive activity, two recreational activities and three ADL activities each day. The cognitive and recreational activities (structured activities) must be at least 30 minutes in duration, with a minimum of six and a half hours of structured activity for the entire week. At least an hour and a half of structured activities must be provided during the weekend and must include at least one cognitive activity and one physical activity.

(6) The activity director or designee must create a monthly activities schedule. Structured activities should occur at the same time and place each week to ensure a consistent routine within the facility.

(7) The activity director or designee must annually attend at least six hours of continuing education regarding Alzheimer's disease or related disorders.

(8) Special equipment and supplies necessary to accommodate persons with a physical disability or other persons with special needs must be provided as appropriate.

 

 

 

Texas Administrative Code Next Rule>>

 

TITLE 40

SOCIAL SERVICES AND ASSISTANCE

PART 1

DEPARTMENT OF AGING AND DISABILITY SERVICES

CHAPTER 92

LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES

SUBCHAPTER C

STANDARDS FOR LICENSURE

RULE §92.41 Standards for Type A, Type B, and Type E Assisted Living Facilities

 

Social services. The facility must provide an activity and/or social program at least weekly for the residents.

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Guest PCB04

Again, when the new federal guidelines from CMS come into effect, won't every state have the same regulations for "qualified activity professionals"?

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Guest Tinki

PCB04 - I discussed this question with a friend and she stated:

 

"I attended a session at the THCA Act. Prof.'s Conference last week in Bryan that was led by two surveyors from CMS. They indicated that there are no changes to F249 which lists the qualifications for Activity Directors. The feds have always left it up to each individual state to define who is qualified and to determine the content and length of course for AD trainings. There are no current changes in this area. "

 

Hope that helps!

Karen

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