(A) Checklist items: ODA shall include a
checklist in the guide that describes the services provided by, or in
affiliation with, each facility listed in the guide.
(1) Services for nursing
facility residents: A nursing facility may check any of the following boxes
that describes a specialized service the nursing facility offers:
(a) Alzheimer's disease/dementia care (secured or
unsecured): A nursing facility may check the "Alzheimer's
disease/dementia care (secured or unsecured)" box if it specializes in
providing specialized care for residents with Alzheimer's disease/dementia
such as environmental features; dining and activities designed and delivered
for those with dementia; care planning and delivery and staffing supports
appropriate for memory impairments; staff trained in symptoms, symptom
management, interventions, person-centered care, and emotional
support.
(b) Bariatric care: A nursing facility may check the
"bariatric care" box if it specializes in bariatric care that
includes dietetic and counseling services; equipment, including wheelchairs,
beds, commodes, and lifts; exercise and therapy services to treat
residents' obesity.
(c) Behavioral health care, non-dementia related: A nursing
facility may check the "behavioral health care, non-dementia related"
box if it provides for, or contracts for, mental health supports for those who
need mental health care and have a mental illness such as schizophrenia and
need nursing home level of care.
(d) Dialysis on site:
(i) A nursing facility
may check the "dialysis on site" box if it specializes in providing
dialysis to residents of the nursing facility on site with minimal travel on
the nursing facility's campus.
(ii) A nursing facility
may check an additional box if it specializes in peritoneal
dialysis.
(e) Hospice care:
(i) A facility may check
the "hospice" box if it specializes in providing hospice care,
whether the facility provides the hospice care or contracts with a hospice
provider to provide the hospice care.
(ii) A facility may check
an additional box if it offers additional end-of-life care so long as it
describes the end-of-life care if offers.
(f) Intensive rehabilitation services:
(i) A nursing facility
may check the "intensive rehabilitation services" box if it
specializes in providing services by occupational therapists, physical
therapists, and speech therapists to assist in recovery from an accident,
surgery, stroke, or other medical incident and if the service is provided by or
coordinated by occupational therapists, physical therapists, or speech
therapists.
(ii) A nursing facility
may check an additional box if its therapists who provide its intensive
rehabilitation services are available seven days per week.
(iii) A nursing facility
may check an additional box if it consistently assigns residents to the same
therapist.
(g) Respiratory care, including ventilator care:
(i) A nursing facility
may check the "respiratory care, including ventilator care" box if it
specializes in providing chronic ventilator care, tracheal suctioning, and
ventilator weaning. "Respiratory care, including ventilator care" may
also include use of respirators/ventilators, oxygen, intermittent positive
pressure breathing (IPPB), or other inhalation therapy, pulmonary care,
humidifiers, and other methods to treat conditions of the respiratory
tract.
(ii) A nursing facility
may check an additional box if it has a respiratory therapist on
staff.
(h) Respiratory care, not including ventilator care:
(i) A nursing facility
may check the "respiratory care, not including ventilator care" box
if it specializes in providing tracheal weaning and tracheal suctioning.
"Respiratory care, not including ventilator care" may also include
use of respirators, oxygen, intermittent positive pressure breathing (IPPB), or
other inhalation therapy, pulmonary care, humidifiers, and other methods to
treat conditions of the respiratory tract.
(ii) A nursing facility
may check an additional box if it has a respiratory therapist on
staff.
(i) Short-term stay for respite: A nursing facility may check the
"short-term stay for respite" box if it specializes in providing
respite services on short-term bases to individuals who are unable to care for
themselves on short-term bases because of absences, needs, or relief of those
persons who normally provide care to the individuals.
(j) Skin and wound care:
(i) A nursing facility
may check the "skin and wound care" box if it specializes in care for
clinically complex or multiple wounds. The care may include negative pressure
("wound vac"), debridement, and care by wound specialists on staff or
under contract.
(ii) A nursing facility
may check an additional box if it has wound-management staff certified by the
american board of wound management.
(k) Spinal cord injury care: A nursing facility may check the
"spinal cord injury care" box if it provides a special program for
those with spinal cord injuries, including physical, speech, occupational, and
vocational therapy; skin integrity management; pain management; and
environmental accessibility.
(l) Traumatic brain injury care: A nursing facility may check the
"traumatic brain injury care" box if it specializes in evaluating and
treating brain injuries by providing care that includes physical, speech,
occupational, and vocational therapy; behavioral and cognitive rehabilitation;
pain management; and substance-abuse treatment.
(2) Services for
residential care facility residents: A residential care facility may check any
of the following boxes that describes a specialized service the residential
facility offers that is beyond personal care:
(a) Twenty-four hour licensed nursing.
(b) Advanced skin care.
(c) Alzheimer's disease/dementia care (secured or
unsecured).
(d) Assistance with self-administration of
medication.
(e) Formalized wellness programs.
(f) Hospice care.
(g) Medication administration.
(h) Rehabilitative therapy (occupational, physical,
speech).
(i) Short-term stay for respite.
(j) Special diets.
(k) Total incontinence care.
(l) Transfer assistance (e.g., bed to chair).
(m) Transportation (e.g., to appointments, outings).
(3) Services for nursing
facility non-residents: A nursing facility may check any of the following boxes
that describe a specialized service the residential care facility makes
available to non-residents in affiliation with the nursing
facility:
(a) Adult day care.
(b) Assisted living on site.
(c) Home-delivered meals.
(d) Home health care.
(e) Hospice services.
(f) Independent living housing on site.
(g) Outpatient therapy.
(h) Short-term stay for respite.
(i) Transportation (e.g., from homes to
appointments).
(j) Any other community service the facility provides to
non-residents that it specifically identifies.
(4) Services for
residential care facility non-residents: A residential care facility may check
any of the following boxes that describe a specialized service the residential
care facility makes available to non-residents in affiliation with the
residential care facility:
(a) Adult day care.
(b) Home health care.
(c) Hospice care.
(d) Independent living housing on site.
(e) Outpatient therapies (occupational, physical,
speech).
(f) Short-term stay for respite.
(g) Skilled nursing facility on site.
(h) Transportation (e.g., from homes to
appointments).
(i) Any other community service the facility provides to
non-residents that it specifically identifies.
(B) Check boxes, attestations, and
disclaimer:
(1) Check boxes: For the
facility services specified in paragraphs (A)(1) and (A)(2) of this rule, ODA
shall include check boxes to indicate if a facility provides specific services,
and if the facility provides the services within a specific unit of the
facility.
(2) Attestations:
(a) A nursing facility shall attest that any box it checks to
indicate that it provides the specific service accurately represents a service
that it provides by checking the box on the electronic guide below the
following statement: "This facility asserts that it offers the service in
the manner described, as certified/attested/confirmed by [insert name, title]
on [insert date]." The facility shall make this attestation as part of the
update procedures provided by paragraph (B)(2) of rule 173-45-06 of the
Administrative Code.
(b) Upon request from consumers, ombudsmen, or surveyors, a
nursing facility shall provide documentation to demonstrate how any specialized
service that it attested that it provides meets the description of the
specialized service under paragraph (A)(1) of this rule. If the nursing
facility does not demonstrate how it provides a specialized service, ODA may
remove the specialized service from the facility's listing in the
guide.
(3) Disclaimer: ODA shall
publish this disclaimer in the guide: "This form is intended for
consumers, ombudsmen, and other interested persons to use in comparing services
offered at Ohio facilities listed on the "Ohio Long-Term Care Consumer
Guide." The state does not offer any guarantee that the described services
are available to residents because they are listed here. Residents and
interested persons may use this information to compare facilities'
services and capabilities. This information is not intended to take the place
of visiting the facility, talking with residents, family members, or meeting
one-on-one with facility staff."
(C) Updating content: ODA shall obtain
information regarding the services listed in paragraph (A) of this rule from
the facilities themselves and may also obtain information from
publicly-available sources, in accordance with paragraph (B) of rule 173-45-06
of the Administrative Code. Each facility may supplement the information
required under paragraphs (A)(1) and (A)(2) of this rule in order to ensure an
accurate description of services provided through the special care
unit.
(D) Definition: As used in this rule,
"affiliation" means a connection between a facility and a provider
that are operated by the same entity, or that have entered into a contract
whereby the provider provides services on the property of the facility or in
close proximity to the facility.
