5 Admission
policies
6 Assessment
committee
7 Reassessment of
residents
8 Resident
property
9 Trust accounts
10 Audits
11 Resident
records
12 Nursing home
staff
13 Director of
nursing
14 Nursing
services and personal service staff
15 Food services
16 Life enrichment
services
17 In‑service
education
18 Medical adviser
19 Medical care
20 Drugs and
medicine
21 Pharmaceutical
services
22 Leave of
absence
23 Standards
24 Coming into
force
Definitions
1 In this Regulation,
(a) “Act”
means the Nursing Homes Act;
(b) “administrator”
means the person appointed by an operator as the chief executive officer for
his nursing home, and who is assigned the duty and responsibility for the
administration of the day to day operation and management of the affairs of the
nursing home;
(c) “assessment
committee” means the assessment committee established under section 6;
(d) “certified
graduate nurse” means a certified graduate nurse as defined in the Nursing
Profession Act;
(e) “charge
nurse” means the member of nursing services or personal services staff who is
in charge of the provision of nursing and personal services to residents during
a shift;
(f) “day
shift” means the work period in a resident day designated by an operator for
his nursing home as the day shift;
(g) “director
of nursing” means the person who is responsible for the provision of nursing
services and personal services to residents in the nursing home;
(h) “drug”
means a drug as defined in the Pharmaceutical Association Act;
(i) “General
Regulation” means the Nursing Homes General Regulation under the Act;
(j) “legal
representative” includes a guardian or trustee of a dependent adult under the Dependent
Adults Act and a person who holds a power of attorney granted by a
resident;
(k) “medicine”
means a medicine as defined in the Pharmaceutical Association Act;
(l) “nurse”
means a registered nurse, a certified graduate nurse, or a registered
psychiatric nurse;
(m) “nursing
home staff” means the persons referred to in section 12(1);
(n) “nursing
and personal services” means necessary nursing services referred to in section
2(c) of the General Regulation and personal services referred to in section
2(d) of the General Regulation;
(o) “nursing
and personal services staff” means persons employed in a nursing home to
provide nursing and personal services, including
(i) a nurse,
(ii) a registered member under the Nursing Assistants Regulation
(Alta. Reg. 306/86), and
(iii) any other person who is assigned duties and responsibilities as a
nursing attendant and whose training qualifies him to provide any part of
nursing and personal services;
(p) “power
of attorney” means a written power of attorney granted by a resident empowering
and authorizing the person named in the power of attorney to do all acts and
things in the name of and on behalf of the resident, and for the resident’s
benefit and account in relation to the resident’s property at the nursing home
and his nursing home care, including the power to
(i) receive property belonging to the resident and to give a receipt
for it in the resident’s name,
(ii) dispose of property of the resident for the resident’s account,
and
(iii) instruct the operator in respect of matters in connection with
the resident’s nursing home care in the nursing home,
until the power of attorney
is revoked by the resident;
(q) “private
room” means a room in a nursing home with not more than 1 bed;
(r) “property
record” means the record, referred to in section 8(4);
(s) “rated
capacity” means the bed capacity and types of accommodation for a nursing home
prescribed by the Minister and set out in Schedule A of a contract;
(t) “registered
dietitian” means a registered dietitian as defined in the Registered
Dietitians Association Act;
(u) “registered
nurse” means a registered nurse as defined in the Nursing Profession Act;
(u.1) “registered
psychiatric nurse” means a registered psychiatric nurse under the Psychiatric
Nurses Regulation (Alta. Reg. 509/87);
(v) “resident
day” means a period of stay of a resident in a nursing home between midnight
one day and midnight of the next day following, except that
(i) the period of stay on the day of admission is a resident day but
the period of stay on the day of separation is not a resident day, and
(ii) where admission and discharge occur on the same day, the period
of stay is 1 resident day;
(w) “resident
record” means the record referred to in section 11;
(x) “semi-private
room” means a room in a nursing home with 2 beds;
(y) “standard ward” means a room in a nursing
home with more than 2 beds.
AR 258/85 s1;231/89
Benefits
2(1) In this section,
(a) “approved
program benefit” means the amount prescribed by the Minister as the amount
payable to an operator in respect of each resident in his nursing home for care
provided to him under an approved program, payable on the basis prescribed by
the Minister for the approved program;
(b) “basic
benefit” means the amount prescribed by the Minister as the amount payable to
an operator of a nursing home in respect of eligible residents in his nursing
home for basic care and payable on the basis prescribed by the Minister;
(c) “category
1 nursing home capital supplement” means a daily amount determined by the
Minister, not to exceed $10, that is paid on the basis prescribed by the
Minister in respect of each approved bed to the operator of a voluntary nursing
home having a rated capacity of 51 beds or more that was constructed and
brought in to operation during the period of July 1, 1977 to August 5, 1980;
(d) “category
2 nursing home capital supplement” means a daily amount determined by the
Minister, not to exceed $27, that is paid on the basis prescribed by the
Minister in respect of each approved bed to the operator of a voluntary nursing
home having a rated capacity of 51 beds or more that was first brought into
operation during 1983;
(e) repealed
AR 79/89 s2;
(f) “voluntary
nursing home” means a nursing home owned or operated by a society.
(2) The
Minister shall pay to an operator
(a) the
applicable amount of basic benefit, and
(b) the
amounts of the following that are applicable:
(i) approved program benefit,
(ii) category 1 nursing home capital supplement, and
(iii) category 2 nursing home capital supplement.
(2.1) If
(a) a
bed has been designated for use by a resident, and
(b) the
resident has not commenced to use the bed or has not indicated that he does not
intend to use the bed,
the Minister may pay
to the operator in respect of that period of non-use, for up to a maximum of 5
days, an amount equivalent to the applicable basic benefit, commencing with the
date the bed was so designated.
(3) The
Minister may deduct from the aggregate amount of a payment under subsection (2)
or (2.1) any amount due from the operator to the Minister or the Government
under the Act or the regulations.
(4) Payment of a supplement referred to in
subsection (1)(c) and (d) shall cease when the operator to whom the supplement
is payable has, in the Minister’s opinion, received sufficient money by way of
the supplement to retire in full long-term debt in respect of which the
supplement is payable.
AR 258/85
s2;385/85;56/87;60/87;76/87;
470/87;95/88;222/88;79/89;112/90;258/90;201/91;299/91
Accommodation charge
3(1) An operator may charge a resident an
accommodation charge and the accommodation charge shall not exceed the
following:
(a) for
each resident day of accommodation in a standard ward, $39.62;
(b) for
each resident day of accommodation in a semi‑private room, $42.00;
(c) for
each resident day of accommodation in a private room, $48.30.
(2) Repealed
AR 533/87 s2.
(3) Notwithstanding
subsection (1), if a physician orders that it is medically necessary for a
resident to have accommodation in a private room, the operator shall not charge
the resident more than the amount set out in subsection (1)(a) as his
accommodation charge.
(4) An
operator shall not charge a resident the accommodation charge set out in
subsection (1)(c) for a private room unless the resident has requested a
private room and, if the resident is occupying a private room but has not
requested a private room, the operator may charge not more than the amount set
out in subsection (1)(b) for the private room.
(5) The
amounts prescribed under subsection (1) are the maximum amounts that an
operator may charge an eligible resident as his accommodation charge for the
applicable types of accommodation, including a time when the resident is on a
leave of absence referred to in section 22(1).
(6) Notwithstanding
anything in this section, subsections (2) and (4) as they read immediately before
February 1, 1988 shall be deemed to continue in force with respect to a person
who was a resident of a nursing home immediately before February 1, 1988.
(7) Notwithstanding subsection (1), if a resident
is admitted to a nursing home for the purpose of receiving palliative care or
sub‑acute care the operator shall not charge that resident an
accommodation charge.
AR 258/85
s3;385/85;60/87;533/87;112/90;235/91;301/91;380/91;
230/92;273/92;358/92;189/93;236/93;115/94;221/2001;260/2003
Application for contract
4(1) An
application for a nursing home contract under section 2(2) of the Act shall be
accompanied by,
(a) if
the application is in respect of an existing nursing home, the following
information:
(i) the name and address of the applicant and if the applicant is a
corporation or society, the names and addresses of its members, directors and
officers and particulars of the shares, if any, held by its members;
(ii) the name of the present operator of the nursing home;
(iii) the name, location and rated capacity of the nursing home;
(iv) if applicable, the proposed method of financing the acquisition
by the applicant of the nursing home;
(b) if
the application is in respect of a proposed nursing home, the following
information:
(i) the name and address of the applicant and if the applicant is a
corporation or society, the names and addresses of its members, directors and
officers and particulars of the shares, if any, held by its members;
(ii) particulars of the plan for the proposed nursing home;
(iii) particulars of the plan for the operation of the proposed nursing
home, including particulars as to management, staffing and operations proposed
for the nursing home;
(iv) a description of the method of financing the proposed nursing
home.
(2) An
application for an amendment to a nursing home contract under section 2(2) of
the Act shall be accompanied by the following information:
(a) the
name and address of the applicant and if the applicant is a corporation or
society, the names and addresses of its members, directors and officers and
particulars of the shares, if any, held by its members,
(b) the
name, location and rated capacity of the nursing home, and
(c) particulars of the proposed amendment and
changes required to the nursing home in respect of the proposed amendments.
AR 258/85 s4;196/2006
Admission policies
5(1) Subject
to
(a) an
operator having an available bed, and
(b) the
procedure referred to in section 6(3),
an operator shall
admit to his nursing home for the provision of nursing home care a person
referred to him by the assessment committee for admission to his nursing home
as a resident.
(2) For
the purposes of subsection (1)(a), a bed shall be deemed to be available
(a) if
it is not designated for use by a resident, or
(b) if
it is designated for use by a resident and the resident has not commenced to
use it within 5 days of being designated for use,
other than a bed
designated for a resident who is absent from the nursing home on leave of
absence referred to in section 22(1).
(3) No
person shall be admitted to a nursing home within the district
(a) until
the person has been assessed and approved in accordance with the assessment
procedures referred to in section 6(3), and
(b) unless the person has had a complete medical
examination within 3 months prior to his application for admission and the
results of the medical examination have been made available for review by the
assessment committee.
AR 258/85 s5
Assessment committee
6(1) A
district board shall establish an assessment committee consisting of not fewer
than 3 persons at least one of whom shall be a physician.
(2) The
function of an assessment committee is to assess the needs of a person for
(a) nursing
home care, or
(b) continuation
of nursing home care,
in a nursing home.
(3) The
district board shall establish procedures to be followed by an assessment
committee, which shall include the following:
(a) the
procedure to be followed by a person when applying for admission to a nursing
home;
(b) the
procedure for the review of applications for admission to a nursing home;
(c) the
procedure for the review of applications or requests for discharge or transfer
of residents from nursing homes;
(d) the
procedure for appeal to the district board from any decision or recommendation
of the assessment committee.
(4) The
district board shall send or cause to be sent a copy of the procedures referred
to in subsection (3) to the Minister and the procedures are effective only
after the Minister has approved them and notified the district board
accordingly.
(5) All
applications for admission to a nursing home shall be processed according to
the assessment procedures approved by the Minister.
(6) Where an assessment committee does not approve
an application for admission to a nursing home the applicant may appeal the
assessment to the district board in accordance with the assessment procedures
approved by the Minister.
AR 258/85 s6
Reassessment of
residents
7(1) Where
(a) a
resident in a nursing home,
(b) the
attending physician of a resident,
(c) the
operator of the nursing home,
(d) the
district board, or
(e) the
Minister,
requests that the need
for continuation of nursing home care in a nursing home of a resident be
assessed, the assessment committee shall comply with the request and report
thereon to the person making the request and the district board.
(2) The
assessment committee shall not make any report under subsection (1) without
consulting the physician who has regularly attended on the resident, with
respect to the resident’s health.
(3) If
in the opinion of the assessment committee a resident no longer requires basic
care, the assessment committee shall notify the resident, his legal
representative, if any, the operator and the district board in writing of its
opinion.
(4) On receipt of a report by an assessment
committee that a resident is no longer in need of basic care, section 11 of the
General Regulation shall apply.
AR 258/85 s7
Resident property
8(1) When
a resident is admitted to a nursing home, the operator shall prepare an
inventory, in duplicate, of the resident’s personal property at the nursing
home including any money in the resident’s possession.
(2) Both
copies of the inventory prepared under subsection (1) shall be signed by a
representative of the operator and by the resident or his legal representative
and 1 copy of the inventory shall be retained by the operator as part of the
resident record and the other shall be furnished to the resident or his legal
representative.
(3) The
operator shall establish and maintain a record for each resident showing all
transactions or occurrences that take place relating to the resident’s property
in respect of which an operator is liable to a resident under subsection (6).
(4) The
inventory referred to in subsection (1) and record referred to in subsection
(3) constitute the property record for a resident.
(5) The
operator shall not withhold, withdraw or otherwise take from a resident any
money unless authorized to do so in writing by the resident or his legal
representative.
(6) An
operator is liable to a resident in respect of his personal property at or
coming to the nursing home only if
(a) the
property has been deposited with the operator for safe keeping and the operator
has issued a receipt to the resident for it,
(b) the
property is a pension cheque from the Government of Canada or the Government of
Alberta that comes to the nursing home for the resident, until possession of
the cheque is taken by the resident or his legal representative,
(c) the
property comes into the possession of the operator and he retains possession of
it for the resident, or
(d) the operator or an employee of the operator
is made aware that property of a resident is in jeopardy of loss or damage and
the operator or employee has a reasonable opportunity to safeguard the
property.
AR 258/85 s8
Trust accounts
9(1) In
this section, “trust account” means the trust account established under
subsection (2).
(2) An
operator shall, with respect to each nursing home operated by him, open and
maintain a trust account at a
(a) bank,
(b) treasury
branch,
(c) trust
company, or
(d) credit
union
in the district in
which the nursing home is located.
(3) Subject
to subsection (4), the operator shall deposit in the trust account, to the
credit of and for the benefit of a resident, all money up to $500 held by the
operator for a resident for more than 31 days.
(4) If
an operator holds in excess of $500 for a resident in the trust account or
otherwise for more than 31 days, the operator shall forthwith pay the excess to
the resident or his legal representative by way of a cheque.
(5) The
trust account shall only contain money held for residents of the nursing home.
(6) In
respect of interest earned on money deposited in the trust account,
(a) subject
to an agreement between an operator and a resident, the interest shall accrue
to the resident in respect of whom the deposit was made but, if money deposited
in the trust account is co-mingled for 2 or more residents of the nursing home,
the interest shall be pro rated on an equitable basis so that each resident
receives as fair a distribution as is practicable of the aggregate interest,
and
(b) no
part of the interest may accrue to the benefit of or be used by the operator.
(7) On the written request of a resident or his
legal representative any money held by an operator for a resident in the trust
account shall be paid to the resident or his legal representative forthwith.
AR 258/85 s9
Audits
10(1) In
this section, “fiscal year” means a period from the 1st day of April to the
31st day of March next following.
(2) An operator shall prepare and submit an annual
return for the nursing home each fiscal year in the form prescribed by the
Minister.
AR 258/85 s10
Resident records
11(1) Pursuant
to section 20 of the Act, an operator shall maintain a record in respect of
each resident and his property which shall include the following:
(a) the
form accepted by the assessment committee in respect of the admission of the resident
and any subsequent reassessment form in respect of the resident;
(b) an
admission record to be completed prior to or at the time of admission which
shall contain the following:
(i) the resident’s name;
(ii) the resident’s marital status;
(iii) the resident’s date of birth;
(iv) the resident’s sex;
(v) the resident’s religious affiliation if he provides it;
(vi) the resident’s Alberta Health Care Insurance Plan registration
number and Social Insurance Number;
(vii) the name and address of the resident’s attending physician and
alternate physician;
(viii) the name and address of the resident’s next of kin and legal
representative;
(ix) the date of admission of the resident;
(x) information concerning the resident’s source of referral;
(xi) any other information prescribed by the Minister;
(xii) the signature of the operator or the operator’s authorized
representative;
(xiii) the signature of the resident or his legal representative;
(c) the
form referred to in subsection (2);
(d) the
property record for the resident;
(e) the
resident’s physician’s notes and orders signed and dated by the physician;
(f) the
resident’s dentist’s notes and orders signed and dated by the dentist;
(g) any
reports by any other physician or dentist that relates to the resident;
(h) a
record of all visits made by a physician to a resident and all telephone calls
made to or from a physician regarding a resident;
(i) notes
signed and dated by the person making them of
(i) significant observations made by any person providing nursing
home care to a resident,
(ii) the condition of a resident noted at least once during each
calendar month, including notations of the resident’s mobility and mental and
physical ability to cope with activities of daily living,
(iii) any incident of unusual occurrence in respect of a resident,
(iv) changes made to the nursing home’s plan of care for a resident,
(v) drugs and medicine administered to a resident and the name of the
person administering them, and
(vi) dressings provided to a resident and the changing of them;
(j) a
record of any leave of absence taken by the resident;
(k) a
record of drugs and medicine ordered or prescribed for a resident and of their
disposition;
(l) a
record in respect of the transfer of the resident from the nursing home to
another facility and from any other facility to the nursing home;
(m) a
record in respect of the discharge of the resident from the nursing home
including information as to the reason for discharge, the circumstances of discharge,
the immediate known destination of the resident on discharge, the resident’s
condition on discharge and, if the resident is deceased, the cause of death if
known.
(2) On
the admission of a person as a resident of a nursing home, a charge nurse for
the nursing home shall cause to be prepared and made available for use by the
nursing home staff a form containing
(a) a
description of the resident’s condition and a preliminary assessment of the
resident’s capabilities and needs, and
(b) a
preliminary plan for the participation of members of the nursing home staff for
the provision of nursing home care to the resident.
(3) On the discharge of a resident from a nursing
home, the operator shall retain the resident’s resident record in a safe place
for a period of not less than 5 years.
AR 258/85 s11;196/2006
Nursing home staff
12(1) An
operator shall obtain the services of the following persons for each nursing
home operated by him:
(a) subject
to section 13, an administrator;
(b) subject
to section 13, a director of nursing;
(c) nursing
and personal services staff in accordance with section 14;
(d) a
person whose responsibility includes the planning of menus for and preparation
and serving of meals and nourishment to residents in the nursing home;
(e) a
person whose responsibility includes the provision of the life enrichment
services referred to in section 2(h) of the General Regulation;
(f) subject
to section 17, persons whose responsibility includes the provision of
in-service education to nursing home staff;
(g) subject
to subsection (3), a registered dietitian;
(h) persons
whose responsibility includes the provision of care that is part of an approved
program;
(i) a
medical adviser in accordance with section 18;
(j) a
pharmacist in accordance with section 21;
(k) other
persons as required for the proper administration, operation, maintenance,
cleaning and up-keep of the nursing home in respect of the provision of nursing
home care to residents.
(2) All
persons referred to in subsection (1) shall be employed by an operator on a
full time equivalent basis, except where this Regulation permits their services
to be provided or obtained on a call, consulting, part time or other basis.
(3) An
operator may obtain the services of a registered dietitian, on a full or part
time employment basis or on a consulting basis, in respect of the nutritional
care of residents in each nursing home operated by him.
(3.1) An
operator may obtain the services of an administrator on a part-time employment
basis if the administrator is also employed in respect of 1 or more other
nursing homes or health care facilities owned or operated by the operator.
(4) An operator shall prepare written job
specifications outlining duties and responsibilities for each category of
employee in his nursing home and assign duties to an employee that are
consistent with the job specifications for the employee’s position.
AR 258/85 s12;385/85
Director of nursing
13(1) The
person employed as the director of nursing for a nursing home must be a
registered nurse or a certified graduate nurse.
(2) The
person employed as the director of nursing for a nursing home shall not be
assigned any other duties or responsibilities in a nursing home in addition to
those of director of nursing except that
(a) a
nursing home that has a rated capacity of 60 or fewer beds, may assign to the
person employed as the director of nursing the duties and responsibilities of
the administrator for the nursing home, and
(b) the Minister may authorize the operator of a
nursing home that has a rated capacity of 60 or fewer beds to assign to the
person employed as the director of nursing, duties and responsibilities of
nursing services and personal services staff.
AR 258/85 s13;231/89
Nursing services and
personal service staff
14(1) An
operator shall have at least one nurse on duty at all times in his nursing
home, and if at any time none of the nurses on duty are registered nurses or
certified graduate nurses, the operator shall ensure that a registered nurse or
certified graduate nurse is on call during that time.
(2) In
addition to nurses, an operator shall employ other persons as his nursing and
personal services staff in a number and having qualifications that enable the
operator to provide the minimum level of nursing and personal services referred
to in subsection (5) to each resident of his nursing home.
(3) An
operator shall designate a person as the charge nurse for his nursing home for
each shift.
(4) Subject
to this section, an operator shall have at least 2 members of his nursing and
personal services staff on duty at all times in his nursing home.
(5) An
operator shall cause his nursing and personal services staff to provide an
average of at least 1.90 paid hours of combined nursing and personal services
per resident per resident day in his nursing home.
(6) An
operator shall ensure that at least 22% of the total number of paid hours of
combined nursing and personal services required to be provided by this
Regulation is provided by nurses.
(7) For the purposes of subsections (5) and (6),
“paid hours” means time for which the person providing the services is being
paid.
AR 258/85
s14;79/89;231/89
Food services
15(1) In
respect of meals for residents, an operator shall prepare all meals to meet basic
diet requirements in accordance with Canada’s Food Guide as approved by the
Canadian Council on Nutrition.
(2) At
least 3 meals per day shall be served to each resident with not more than a
15-hour period between the last substantial meal of a day and breakfast on the
following day.
(3) Nourishment
in addition to meals shall be made available to residents at all times.
(4) An
operator shall prepare a cyclic menu which shall be
(a) established
for meals for each resident day during at least a 3-week period, and
(b) approved
by a registered dietitian.
(5) Menus
for meals for each day shall be posted in 1 or more public places in the
nursing home before the first meal of a resident day.
(6) Records
of menus and changes to menus shall be retained by the operator for at least 3
months after the day of use and shall be available for inspection by the
Minister.
(7) A
resident shall be provided meals in accordance with special dietary
requirements.
(8) Therapeutic diets for a resident shall be ordered
in writing by a physician and be recorded in the resident’s resident record.
AR 258/85 s15
Life enrichment
services
16(1) In
this section “life enrichment services” means the life enrichment services
referred to in section 2(h) of the General Regulation.
(2) An
operator shall establish and maintain on a regular basis organized activities
suitable for the requirements of residents as life enrichment services.
(3) As
part of life enrichment services,
(a) an
operator of a nursing home shall, in accordance with a resident’s wishes, grant
access to a person representing a religion to meet with the resident in the
nursing home and to hold a religious service in an appropriate place in the
nursing home, and
(b) where
practicable, an operator shall encourage and assist residents to leave his
nursing home to visit, shop and attend religious services and community
activities.
(4) Notwithstanding section 12(2), an operator
shall designate at least 1 member of the nursing home staff to provide life
enrichment services to residents of the nursing home in addition to other
duties and responsibilities assigned to the member.
AR 258/85 s16
In-service education
17(1) Subject
to subsection (2), an operator shall provide to his staff a formal in-service
education program that includes but is not limited to instruction in the
following:
(a) gerontology;
(b) fire
prevention and safety;
(c) disaster
preparedness;
(d) prevention
and control of infections.
(2) An
in-service education program shall be provided by,
(a) in
the case of a nursing home with a rated capacity of 100 beds or more, 1 full
time equivalent staff time, or
(b) in
the case of a nursing home with a rated capacity of less than 100 beds, a full
time equivalent staff time that bears the same proportion to 1 as the rated
capacity of the nursing home bears to 100.
(3) An operator shall, not later than April 30 of
every year, forward to the Minister a report in a form satisfactory to the
Minister showing the type and length of courses provided under subsection (1),
the number and type of participants in the program and the instructor’s time.
AR 258/85 s17
Medical adviser
18 An operator shall obtain the
services of a physician as the medical adviser for the nursing home to consult
with the operator and his staff in respect of any aspect the nursing home’s
plan for the provision of nursing home care to its residents.
AR 258/85 s18
Medical care
19(1) Each
resident must be under the care of a physician at the time of admission to a
nursing home and during his stay in the nursing home.
(2) Except
in the case of an emergency, no treatment, drug, medicine or therapeutic diet
shall be administered to a resident unless ordered or prescribed by a
physician.
(3) Any
order given by a physician in respect of a resident by telephone shall be taken
by the director of nursing or a nurse who shall write, sign and date the order
which shall be countersigned and dated by the physician on his next attendance
on the resident.
(4) During each 12 month period of stay of a resident
in a nursing home, the operator shall arrange for an examination of the
resident by a physician, including a review of the physical and mental
condition of the resident and the nursing home’s plan of care for the resident.
AR 258/85 s19
Drugs and medicine
20(1) Subject
to section 19(1), no drug or medicine shall be administered to a resident
unless it is prescribed or ordered by a physician.
(2) An
operator shall request that a physician who prescribes a drug or medication for
a resident limit the prescription to a specific number of days or dosage
schedule where appropriate.
(3) An
operator shall maintain in each nursing home operated by him a reasonable
quantity of drugs and medicine of the kind specified by the Minister under
section 2(f) of the General Regulation.
(4) If a drug or medicine ordered or prescribed for
a resident is of the kind specified by the Minister under section 2(f) of the
General Regulation, the drug or medicine shall be made available for the
resident by the operator at no cost to the resident.
AR 258/85 s20
Pharmaceutical
services
21(1) In
this section “pharmacist” means a person registered as a member of the Alberta
Pharmaceutical Association.
(2) An
operator shall make arrangements with a pharmacist for each nursing home
operated by him to
(a) provide
emergency pharmacy services,
(b) supply,
check and replenish drugs and medicine of the kind referred to in section 2(f)
of the General Regulation, and to replace any that become outdated or should
otherwise be replaced, and
(c) provide
pharmacy consulting services to staff in the nursing home.
(3) A prescription or order for a drug or medicine
for a resident shall be submitted by a nursing home’s staff member to the
pharmacist unless the drug or medicine is of the kind directed by the Minister
under section 2(f) of the General Regulation and is available in the nursing
home.
AR 258/85 s21
Leave of absence
22(1) Each
resident is entitled to
(a) unlimited
social leaves of absence as requested by the resident, and
(b) in
addition to the leaves of absence authorized under clause (a), one or more
leaves of absence totalling not more than 50 days per fiscal year while the
resident is an in-patient in a hospital, other than an auxiliary hospital.
(2) For
the purposes of computing leaves of absence under this section,
(a) a
resident is on a leave of absence when the resident is absent from the nursing
home overnight, and
(b) the
day on which the leave of absence commences shall be counted but the day on
which the leave of absence ends shall not be counted.
(c) repealed
AR 200/91 s2.
(3) Repealed
AR 200/91 s2.
(4) An
operator shall not assign a resident who is on leave of absence referred to in
subsection (1) to another bed or room within the nursing home without the
resident’s written consent.
(5) Benefits
shall continue to be paid to an operator in respect of a resident who is on a
leave of absence referred to in subsection (1).
(6) On admission of a resident to a nursing home,
the operator shall determine the number of days remaining in the resident’s
leave entitlement under subsection (1)(b) for the fiscal year.
AR 258/85
s22;385/85;79/89;62/90;200/91
Standards
23 Standards in respect of the operation of
a nursing home and the provision of nursing home care to residents include the
following:
(a) all
fixed equipment and movable electrical equipment in a nursing home shall be
approved as required by the Electrical Protection Act and the regulations under that Act;
(b) an
operator shall
(i) prepare and comply with a preventative maintenance policy
approved by the Minister in respect of the maintenance of the building and
equipment used for a nursing home,
(ii) maintain his nursing home in a hygienic and safe condition,
(iii) develop and maintain a program of health examinations for his
nursing home staff based on the minimum deemed necessary by his medical adviser
for the protection of both his staff and residents,
(iv) prepare and comply with policies and procedures for the operation
of his nursing home and the provision of a service in basic care and care under
an approved program,
(v) maintain a committee consisting of members representing each
profession or group of persons who provide services to his nursing home in
respect of nursing home care, for the purpose of reviewing and recommending
improvements to his nursing home’s plan for the provision of nursing home care
to residents, and
(vi) prepare and comply with a program to monitor
and evaluate the provision of each service that is part of basic care on at
least an annual basis.
AR 258/85 s23
Coming into force
24 This Regulation comes into
force on the date on which the Nursing Homes Act (1985 cN‑14.1)
comes into force.
AR 258/85 s24