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	[Repealed, 44 SR 371]
4658.0815	[Repealed, 44 SR 371]
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.