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Minnesota Administrative Rules

CHAPTER 4658, NURSING HOMES

DEPARTMENT OF HEALTH

Table of Parts
Part Title
LICENSING
4658.0010 DEFINITIONS.
4658.0015 COMPLIANCE WITH REGULATIONS AND STANDARDS.
4658.0020 LICENSING IN GENERAL.
4658.0025 PROCEDURES FOR LICENSING NURSING HOMES.
4658.0030 CAPACITY PRESCRIBED.
4658.0035 EVALUATION.
4658.0040 VARIANCE AND WAIVER.
4658.0045 PENALTIES FOR LICENSING RULE VIOLATIONS.
ADMINISTRATION AND OPERATIONS
4658.0050 LICENSEE.
4658.0055 ADMINISTRATOR.
4658.0060 RESPONSIBILITIES OF ADMINISTRATOR.
4658.0065 RESIDENT SAFETY AND DISASTER PLANNING.
4658.0070 QUALITY ASSESSMENT AND ASSURANCE COMMITTEE.
4658.0075 OUTSIDE RESOURCES.
4658.0085 NOTIFICATION OF CHANGE IN RESIDENT HEALTH STATUS.
4658.0090 USE OF OXYGEN.
4658.0095 AVAILABILITY OF LICENSING RULES.
4658.0100 EMPLOYEE ORIENTATION AND IN-SERVICE EDUCATION.
4658.0105 COMPETENCY.
4658.0110 INCIDENT AND ACCIDENT REPORTING.
4658.0115 WORK PERIOD.
4658.0120 EMPLOYEE POLICIES.
4658.0125 PERSONAL BELONGINGS.
4658.0130 EMPLOYEES' PERSONNEL RECORDS.
4658.0135 POLICY RECORDS.
4658.0140 TYPE OF ADMISSIONS.
4658.0145 AGREEMENT AS TO RATES AND CHARGES.
4658.0150 INSPECTION BY DEPARTMENT.
4658.0155 REPORTS TO DEPARTMENT.
PENALTIES
4658.0190 PENALTIES FOR ADMINISTRATION AND OPERATIONS RULE VIOLATIONS.
4658.0191 PENALTIES FOR VIOLATIONS OF RESIDENTS' BILL OF RIGHTS.
4658.0192 NURSING HOME STATUTES; FINES.
4658.0193 REPORTING MALTREATMENT OF VULNERABLE ADULTS; FINES.
RESIDENT RIGHTS
4658.0200 POLICIES CONCERNING RESIDENTS.
4658.0205 PROCEDURE AT DEATH.
4658.0210 ROOM ASSIGNMENTS.
4658.0215 ADMINISTRATION OF MEDICATIONS.
4658.0220 FREEDOM FROM CORPORAL PUNISHMENT AND INVOLUNTARY SECLUSION.
RESIDENT PERSONAL FUNDS ACCOUNT
4658.0250 ADMISSION POLICIES.
4658.0255 AUTHORIZATION.
4658.0260 PERSONAL FUND ACCOUNTING AND RECORDS.
4658.0265 DEPOSIT OF PERSONAL FUNDS.
4658.0270 WITHDRAWAL OF FUNDS FROM THE ACCOUNT.
4658.0275 RETURN OF FUNDS AFTER DISCHARGE OR DEATH.
4658.0290 PENALTIES FOR RESIDENT RIGHTS RULE VIOLATIONS.
RESTRAINTS
4658.0300 USE OF RESTRAINTS.
4658.0350 PENALTIES FOR RESTRAINTS RULE VIOLATIONS.
RESIDENT ASSESSMENT AND PLAN OF CARE
4658.0400 COMPREHENSIVE RESIDENT ASSESSMENT.
4658.0405 COMPREHENSIVE PLAN OF CARE.
4658.0420 PENALTIES FOR COMPREHENSIVE ASSESSMENT AND PLAN OF CARE RULE VIOLATIONS.
CLINICAL RECORDS
4658.0430 HEALTH INFORMATION MANAGEMENT SERVICE.
4658.0435 CONFIDENTIALITY OF CLINICAL RECORDS AND INFORMATION.
4658.0440 ABBREVIATIONS.
4658.0445 CLINICAL RECORD.
4658.0450 CLINICAL RECORD CONTENTS.
4658.0455 TELEPHONE AND ELECTRONIC ORDERS.
4658.0460 MASTER RESIDENT RECORD.
4658.0465 TRANSFER, DISCHARGE, AND DEATH.
4658.0470 RETENTION, STORAGE, AND RETRIEVAL.
4658.0475 COMPUTERIZATION.
4658.0490 PENALTIES FOR CLINICAL RECORDS RULE VIOLATIONS.
NURSING SERVICES
4658.0500 DIRECTOR OF NURSING SERVICES.
4658.0505 RESPONSIBILITIES; DIRECTOR OF NURSING SERVICES.
4658.0510 NURSING PERSONNEL.
4658.0515 [Repealed, L 2000 c 312 s 7]
4658.0520 ADEQUATE AND PROPER NURSING CARE.
4658.0525 REHABILITATION NURSING CARE.
4658.0530 ASSISTANCE WITH EATING.
4658.0580 PENALTIES FOR NURSING SERVICES RULE VIOLATIONS.
DIETARY SERVICE
4658.0600 DIETARY SERVICE.
4658.0605 DIRECTION OF DIETARY DEPARTMENT.
4658.0610 DIETARY STAFF REQUIREMENTS.
4658.0615 FOOD TEMPERATURES.
4658.0620 FREQUENCY OF MEALS.
4658.0625 MENUS.
4658.0630 RETURNED FOOD.
4658.0635 CONDIMENTS.
4658.0640 MILK.
4658.0645 ICE.
4658.0650 FOOD SUPPLIES.
4658.0655 TRANSPORT OF FOOD.
4658.0660 FLOOR CLEANING AND TRASH.
4658.0665 DISHES AND UTENSILS REQUIREMENTS.
4658.0670 DISHWASHING.
4658.0675 MECHANICAL CLEANING AND SANITIZING.
4658.0680 MANUAL CLEANING AND SANITIZING.
4658.0685 PENALTIES FOR DIETARY AND FOOD SERVICES AND SANITATION RULE VIOLATIONS.
MEDICAL AND DENTAL SERVICES
4658.0700 MEDICAL DIRECTOR.
4658.0705 MEDICAL CARE AND TREATMENT.
4658.0710 ADMISSION ORDERS AND PHYSICIAN EVALUATIONS.
4658.0715 MEDICAL INFORMATION FOR CLINICAL RECORD.
4658.0720 PROVIDING DAILY ORAL CARE.
4658.0725 PROVIDING ROUTINE AND EMERGENCY ORAL HEALTH SERVICES.
4658.0730 NURSING HOME REQUIREMENTS.
4658.0750 PENALTIES FOR PHYSICIAN AND DENTAL SERVICES RULE VIOLATIONS.
INFECTION CONTROL
4658.0800 INFECTION CONTROL.
4658.0805 PERSONS PROVIDING SERVICES.
4658.0810 RESIDENT TUBERCULOSIS PROGRAM.
4658.0815 EMPLOYEE TUBERCULOSIS PROGRAM.
4658.0820 FOOD POISONING AND DISEASE REPORTING.
4658.0850 PENALTIES FOR INFECTION CONTROL RULE VIOLATIONS.
RECREATIONAL PROGRAM
4658.0900 ACTIVITY AND RECREATION PROGRAM.
4658.0950 PENALTIES FOR ACTIVITY AND RECREATION PROGRAM RULE VIOLATIONS.
SPIRITUAL NEEDS
4658.0960 SPIRITUAL NEEDS.
4658.0990 PENALTIES FOR SPIRITUAL NEEDS RULE VIOLATIONS.
SOCIAL SERVICES
4658.1000 DEFINITIONS.
4658.1005 SOCIAL SERVICES.
4658.1090 PENALTIES FOR SOCIAL SERVICES RULE VIOLATIONS.
BARBER AND BEAUTY SHOP SERVICES
4658.1100 BARBER AND BEAUTY SHOP SERVICES.
4658.1190 PENALTIES FOR BARBER AND BEAUTY SHOP SERVICES RULE VIOLATIONS.
REHABILITATIVE SERVICES
4658.1200 SPECIALIZED REHABILITATIVE SERVICES.
4658.1290 PENALTIES FOR SPECIALIZED REHABILITATIVE SERVICES RULE VIOLATIONS.
MEDICATIONS
4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS.
4658.1305 PHARMACIST SERVICE CONSULTATION.
4658.1310 DRUG REGIMEN REVIEW.
4658.1315 UNNECESSARY DRUG USAGE.
4658.1320 MEDICATION ERRORS.
4658.1325 ADMINISTRATION OF MEDICATIONS.
4658.1330 WRITTEN AUTHORIZATION FOR ADMINISTERING DRUGS.
4658.1335 STOCK MEDICATIONS.
4658.1340 MEDICINE CABINET AND PREPARATION AREA.
4658.1345 LABELING OF DRUGS.
4658.1350 DISPOSITION OF MEDICATIONS.
4658.1355 MEDICATION REFERENCE BOOK.
4658.1360 ADMINISTRATION OF MEDICATIONS BY UNLICENSED PERSONNEL.
4658.1365 PENALTIES FOR MEDICATIONS AND PHARMACY SERVICES RULE VIOLATIONS.
ENVIRONMENTAL SERVICES
4658.1400 PHYSICAL ENVIRONMENT.
4658.1405 RESIDENT UNITS.
4658.1410 LINEN.
4658.1415 PLANT HOUSEKEEPING, OPERATION, AND MAINTENANCE.
4658.1420 SOLID WASTE DISPOSAL.
4658.1425 OZONE GENERATORS.
4658.1490 PENALTIES FOR ENVIRONMENTAL SERVICES RULE VIOLATIONS.
4658.1600 [Repealed, L 2001 1Sp9 art 5 s 41]
4658.1605 [Repealed, L 2001 1Sp9 art 5 s 41]
4658.1610 [Repealed, L 2001 1Sp9 art 5 s 41]
4658.1690 [Repealed, L 2001 1Sp9 art 5 s 41]
SPECIALIZED UNITS
4658.2000 SECURED UNITS.
4658.2010 PHYSICAL PLANT REQUIREMENTS.
4658.2020 STATEMENT OF OPERATIONS.
4658.2030 SPECIALIZED CARE UNIT.
4658.2090 PENALTIES FOR SPECIALIZED UNITS RULE VIOLATIONS.
PHYSICAL PLANT LICENSURE, EXISTING AND NEW
4658.3000 LICENSURE.
4658.3005 COMPLIANCE WITH RULES.
4658.3090 PENALTIES; RULE VIOLATIONS.
NEW CONSTRUCTION; PLANS
4658.3500 INCORPORATION BY REFERENCE; NEW CONSTRUCTION.
4658.3590 PENALTIES FOR INCORPORATIONS BY REFERENCE; NEW CONSTRUCTION RULE VIOLATIONS.
4658.4000 PREPARATION OF PLANS; NEW CONSTRUCTION.
4658.4005 APPROVAL OF PLANS; NEW CONSTRUCTION.
4658.4010 PRELIMINARY PLANS; NEW CONSTRUCTION.
4658.4015 FINAL PLANS; NEW CONSTRUCTION.
4658.4020 FINAL MECHANICAL AND ELECTRICAL PLANS; NEW CONSTRUCTION.
4658.4025 START OF CONSTRUCTION; NEW CONSTRUCTION.
4658.4030 FINAL INSPECTION; NEW CONSTRUCTION.
4658.4035 PLAN SAFEKEEPING; NEW CONSTRUCTION.
4658.4040 SITE; NEW CONSTRUCTION.
4658.4090 PENALTIES FOR PLANS; NEW CONSTRUCTION RULE VIOLATIONS.
RESIDENT AREAS; NEW CONSTRUCTION
4658.4100 RESIDENTS' BEDROOM REQUIREMENTS, CAPACITIES; NEW CONSTRUCTION.
4658.4105 BEDROOM DESIGN; NEW CONSTRUCTION.
4658.4110 BEDROOM DOORS; NEW CONSTRUCTION.
4658.4115 CLOTHES WARDROBE OR CLOSET; NEW CONSTRUCTION.
4658.4120 HANDRAILS AND CORRIDORS; NEW CONSTRUCTION.
4658.4125 NURSING AREA; NEW CONSTRUCTION.
4658.4130 NOURISHMENT AREA; NEW CONSTRUCTION.
4658.4135 TOILET ROOMS AND SANITARY FIXTURES; NEW CONSTRUCTION.
4658.4140 PROVISION OF RESIDENT TOILET ROOMS; NEW CONSTRUCTION.
4658.4145 TOILET ROOM LAYOUT; NEW CONSTRUCTION.
4658.4150 PHYSICALLY ACCESSIBLE TOILET ROOMS; NEW CONSTRUCTION.
4658.4155 CENTRAL BATHING AREA; NEW CONSTRUCTION.
4658.4160 DRINKING FOUNTAINS; NEW CONSTRUCTION.
4658.4165 HANDWASHING FACILITIES; NEW CONSTRUCTION.
4658.4170 STORAGE; NEW CONSTRUCTION.
4658.4175 JANITOR'S CLOSET; NEW CONSTRUCTION.
4658.4180 ROOM LABELING; NEW CONSTRUCTION.
4658.4190 PENALTIES FOR RESIDENT AREAS; NEW CONSTRUCTION RULE VIOLATIONS.
SUPPORTIVE SERVICES; NEW CONSTRUCTION
4658.4200 DINING, DAYROOM, AND ACTIVITY AREAS, REQUIRED FLOOR AREA; NEW CONSTRUCTION.
4658.4205 DAYROOM; NEW CONSTRUCTION.
4658.4210 DINING AREA; NEW CONSTRUCTION.
4658.4215 ACTIVITIES AREA; NEW CONSTRUCTION.
4658.4290 PENALTIES FOR SUPPORTIVE SERVICES; NEW CONSTRUCTION RULE VIOLATIONS.
DIETARY, LAUNDRY, AND OTHER FACILITIES; NEW CONSTRUCTION
4658.4300 KITCHEN AREA; NEW CONSTRUCTION.
4658.4305 FOOD SERVICE EQUIPMENT; NEW CONSTRUCTION.
4658.4310 DISHWASHING AREA; NEW CONSTRUCTION.
4658.4315 WASHING OF FOOD CARTS; NEW CONSTRUCTION.
4658.4320 WASHING OF GARBAGE CANS; NEW CONSTRUCTION.
4658.4325 LAUNDRY, SIZE AND LOCATION; NEW CONSTRUCTION.
4658.4330 SOILED LINEN COLLECTION ROOM; NEW CONSTRUCTION.
4658.4335 LAUNDRY PROCESSING ROOM; NEW CONSTRUCTION.
4658.4340 LAUNDRY EQUIPMENT; NEW CONSTRUCTION.
4658.4345 CLEAN LINEN STORAGE; NEW CONSTRUCTION.
4658.4350 LAUNDRY FOR PERSONAL CLOTHING; NEW CONSTRUCTION.
4658.4355 REFUSE; NEW CONSTRUCTION.
4658.4360 COVERED ENTRANCE AREA; NEW CONSTRUCTION.
4658.4365 FACILITIES FOR PERSONNEL; NEW CONSTRUCTION.
4658.4370 REHABILITATIVE SERVICES AREAS; NEW CONSTRUCTION.
4658.4375 BARBER AND BEAUTY SHOP SERVICES; NEW CONSTRUCTION.
4658.4390 PENALTIES FOR DIETARY, LAUNDRY, AND OTHER SERVICES; NEW CONSTRUCTION RULE VIOLATIONS.
CONSTRUCTION DETAILS
4658.4400 AREA HEAT PROTECTION; NEW CONSTRUCTION.
4658.4405 DOOR HANDLES; NEW CONSTRUCTION.
4658.4410 DUMBWAITERS AND CONVEYORS; NEW CONSTRUCTION.
4658.4415 ELEVATORS; NEW CONSTRUCTION.
4658.4420 EXTERIOR MECHANICAL SHAFTS; NEW CONSTRUCTION.
4658.4425 FLOOR JOINTS; NEW CONSTRUCTION.
4658.4430 NONSKID SURFACES; NEW CONSTRUCTION.
4658.4435 GLASS PROTECTION; NEW CONSTRUCTION.
4658.4440 LINEN AND TRASH CHUTES; NEW CONSTRUCTION.
4658.4445 OVERHEAD PIPING; NEW CONSTRUCTION.
4658.4450 PROTECTION RAILINGS; NEW CONSTRUCTION.
4658.4455 CEILING HEIGHTS; NEW CONSTRUCTION.
4658.4460 CEILINGS, WALLS, AND FLOORS; NEW CONSTRUCTION.
4658.4490 PENALTIES FOR CONSTRUCTION DETAILS, CHUTES, AND ELEVATORS; NEW CONSTRUCTION RULE VIOLATIONS.
MECHANICAL SYSTEMS; NEW CONSTRUCTION
4658.4500 PLUMBING SYSTEMS; NEW CONSTRUCTION.
4658.4505 PLUMBING; NEW CONSTRUCTION.
4658.4510 HEATING AND COOLING; NEW CONSTRUCTION.
4658.4515 VENTILATION REQUIREMENTS; NEW CONSTRUCTION.
4658.4520 VENTILATION PRESSURE RELATIONSHIPS AND VENTILATION FOR CERTAIN AREAS IN NURSING HOMES; EXISTING AND NEW CONSTRUCTION.
4658.4525 FRESH AIR INTAKES; NEW CONSTRUCTION.
4658.4530 HEIGHT OF REGISTERS; NEW CONSTRUCTION.
4658.4535 DIETARY AREA; NEW CONSTRUCTION.
4658.4540 LAUNDRY AREA; NEW CONSTRUCTION.
4658.4545 MECHANICAL ROOMS; NEW CONSTRUCTION.
4658.4550 FILTERS; NEW CONSTRUCTION.
4658.4590 PENALTIES FOR MECHANICAL SYSTEMS; NEW CONSTRUCTION RULE VIOLATIONS.
ELECTRICAL SYSTEMS; NEW CONSTRUCTION
4658.4600 DISTRIBUTION PANEL BOARDS; NEW CONSTRUCTION.
4658.4605 CORRIDOR RECEPTACLES; NEW CONSTRUCTION.
4658.4610 SWITCHES AND RECEPTACLES; NEW CONSTRUCTION.
4658.4615 INTERIOR LIGHTING; NEW CONSTRUCTION.
4658.4620 FIRE ALARM SYSTEMS; NEW CONSTRUCTION.
4658.4625 BEDROOM RECEPTACLES; NEW CONSTRUCTION.
4658.4630 NIGHT LIGHTS; NEW CONSTRUCTION.
4658.4635 NURSE CALL SYSTEM; NEW CONSTRUCTION.
4658.4640 EMERGENCY ELECTRIC SERVICE; NEW CONSTRUCTION.
4658.4690 PENALTIES FOR ELECTRICAL SYSTEMS; NEW CONSTRUCTION RULE VIOLATIONS.
RESIDENT AREAS; EXISTING CONSTRUCTION
4658.5000 BEDROOM DESIGN, EXISTING CONSTRUCTION.
4658.5005 BEDROOM DOOR LOCKS; EXISTING CONSTRUCTION.
4658.5010 CLOTHES WARDROBE OR CLOSET; EXISTING CONSTRUCTION.
4658.5015 CORRIDOR HANDRAILS; EXISTING CONSTRUCTION.
4658.5020 NURSING AREA; EXISTING CONSTRUCTION.
4658.5025 TOILET ROOMS AND SANITARY FIXTURES; EXISTING CONSTRUCTION.
4658.5030 CENTRAL BATHING AREA; EXISTING CONSTRUCTION.
4658.5035 HANDWASHING FACILITIES; EXISTING CONSTRUCTION.
4658.5040 ROOM LABELING; EXISTING CONSTRUCTION.
4658.5090 PENALTIES FOR RESIDENT AREAS; EXISTING CONSTRUCTION RULE VIOLATIONS.
SUPPORTIVE SERVICES; EXISTING CONSTRUCTION
4658.5100 DINING, DAYROOM, AND ACTIVITY AREAS; EXISTING CONSTRUCTION.
4658.5190 PENALTIES FOR SUPPORTIVE SERVICES; EXISTING CONSTRUCTION RULE VIOLATIONS.
DIETARY, LAUNDRY, AND OTHER FACILITIES;
EXISTING CONSTRUCTION
4658.5200 FOOD SERVICE EQUIPMENT; EXISTING CONSTRUCTION.
4658.5205 LAUNDRY; EXISTING CONSTRUCTION.
4658.5210 SOILED LINEN COLLECTION ROOM; EXISTING CONSTRUCTION.
4658.5215 LAUNDRY EQUIPMENT; EXISTING CONSTRUCTION.
4658.5220 CLEAN LINEN STORAGE; EXISTING CONSTRUCTION.
4658.5225 LAUNDRY FOR PERSONAL CLOTHING; EXISTING CONSTRUCTION.
4658.5230 REFUSE; EXISTING CONSTRUCTION.
4658.5235 FACILITIES FOR PERSONNEL; EXISTING CONSTRUCTION.
4658.5240 REHABILITATIVE SERVICES AREAS; EXISTING CONSTRUCTION.
4658.5245 BARBER AND BEAUTY SHOP SERVICES ROOM; EXISTING CONSTRUCTION.
4658.5290 PENALTIES FOR DIETARY, LAUNDRY, AND OTHER SERVICES; EXISTING CONSTRUCTION RULE VIOLATIONS.
CONSTRUCTION DETAILS; EXISTING CONSTRUCTION
4658.5300 AREA HEAT PROTECTION; EXISTING CONSTRUCTION.
4658.5305 NONSKID SURFACES; EXISTING CONSTRUCTION.
4658.5310 GLASS PROTECTION; EXISTING CONSTRUCTION.
4658.5315 CEILINGS, WALLS, AND FLOORS; EXISTING CONSTRUCTION.
4658.5390 PENALTIES FOR CONSTRUCTION DETAILS; EXISTING CONSTRUCTION RULE VIOLATIONS.
MECHANICAL SYSTEMS; EXISTING CONSTRUCTION
4658.5400 HEATING SYSTEM; EXISTING CONSTRUCTION.
4658.5405 VENTILATION REQUIREMENTS; EXISTING CONSTRUCTION.
4658.5410 MECHANICAL ROOMS; EXISTING CONSTRUCTION.
4658.5415 FILTERS; EXISTING CONSTRUCTION.
4658.5490 PENALTIES FOR HEATING AND VENTILATION SYSTEMS; EXISTING CONSTRUCTION RULE VIOLATIONS.
ELECTRICAL SYSTEMS; EXISTING CONSTRUCTION
4658.5500 DISTRIBUTION PANEL BOARDS; EXISTING CONSTRUCTION.
4658.5505 INTERIOR LIGHTING; EXISTING CONSTRUCTION.
4658.5510 FIRE ALARM SYSTEMS; EXISTING CONSTRUCTION.
4658.5515 NURSE CALL SYSTEM; EXISTING CONSTRUCTION.
4658.5520 EMERGENCY ELECTRIC SERVICE; EXISTING CONSTRUCTION.
4658.5590 PENALTIES FOR ELECTRICAL SYSTEMS; EXISTING CONSTRUCTION RULE VIOLATIONS.

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