| (53) Infection control--A program designed to prevent
the transmission of disease and infection in order to provide a safe
and sanitary environment.
(54) Inspection--Any on-site visit to or survey of
an institution by HHSC for the purpose of licensing, monitoring, complaint
investigation, architectural review, or similar purpose.
(55) Involuntary seclusion--Separation of a resident
from others or from the resident's room or confinement to the resident's
room, against the resident's will or the will of a person who is legally
authorized to act on behalf of the resident. Monitored separation
from other residents is not involuntary seclusion if the separation
is a therapeutic intervention that uses the least restrictive approach
for the minimum amount of time, not exceed to 24 hours, until professional
staff can develop a care plan to meet the resident's needs.
(56) IV--Intravenous.
(57) Legend drug or prescription drug--Any drug that
requires a written or telephonic order of a practitioner before it
may be dispensed by a pharmacist, or that may be delivered to a particular
resident by a practitioner in the course of the practitioner's practice.
(58) License holder--A person that holds a license
to operate a facility.
(59) Licensed health professional--A physician; physician
assistant; advanced practice registered nurse; physical, speech, or
occupational therapist; pharmacist; physical or occupational therapy
assistant; registered professional nurse; licensed vocational nurse;
licensed dietitian; licensed social worker; or certified respiratory
care practitioner.
(60) Licensed vocational nurse (LVN)--A nurse who is
currently licensed by the Texas Board of Nursing as a licensed vocational
nurse.
(61) Life Safety Code--NFPA 101.
(62) Life safety features--Fire safety components required
by NFPA 101, including building construction, fire alarm systems,
smoke detection systems, interior finishes, sizes and thicknesses
of doors, exits, emergency electrical systems, and sprinkler systems.
(63) Life support--Use of any technique, therapy, or
device to assist in sustaining life. (See §19.419 of this chapter
(relating to Advance Directives)).
(64) Local authorities--Persons, including, but not
limited to, local health authority, fire marshal, and building inspector,
who may be authorized by state law, county order, or municipal ordinance
to perform certain inspections or certifications.
(65) Local health authority--The physician appointed
by the governing body of a municipality or the commissioner's court
of the county to administer state and local laws relating to public
health in the municipality's or county's jurisdiction as defined in
Texas Health and Safety Code, §121.021.
(66) Long-term care-regulatory--HHSC Regulatory Services
Division, which is responsible for surveying nursing facilities to
determine compliance with regulations for licensure and certification
for Medicaid participation.
(67) Major injury--An injury that qualifies as a major
injury under NFPA 99.
(68) Management services--Services provided under
contract between the owner of a facility and a person to provide for
the operation of a facility, including administration, staffing, maintenance,
or delivery of resident services. Management services do not include
contracts solely for maintenance, laundry, or food service.
(69) Manager--A person, other than a licensed nursing
home administrator, having a contractual relationship to provide management
services to a facility.
(70) Managing local ombudsman--Has the meaning given
in 26 TAC §88.2 (relating to Definitions).
(71) MDS--Minimum data set. See RAI.
(72) MDS nurse reviewer--A registered nurse employed
by HHSC to monitor the accuracy of the MDS assessment submitted by
a Medicaid-certified nursing facility.
(73) Medicaid applicant--A person who requests the
determination of eligibility to become a Medicaid recipient.
(74) Medicaid nursing facility vendor payment system--Electronic
billing and payment system for reimbursement to nursing facilities
for services provided to eligible Medicaid recipients.
(75) Medicaid recipient--A person who meets the eligibility
requirements of the Title XIX Medicaid program, is eligible for nursing
facility services, and resides in a Medicaid-participating facility.
(76) Medical director--A physician licensed by the
Texas Medical Board, who is engaged by the nursing home to assist
in and advise regarding the provision of nursing and health care.
(77) Medical power of attorney--The legal document
that designates an agent to make treatment decisions if the individual
designator becomes incapable.
(78) Medication aide--A person who holds a current
permit issued under the Medication Aide Training Program as described
in Chapter 95 of this title (relating to Medication Aides--Program
Requirements) and acts under the authority of a person who holds a
current license under state law which authorizes the licensee to administer
medication.
(79) Misappropriation--The taking, secretion, misapplication,
deprivation, transfer, or attempted transfer to any person not entitled
to receive any property, real or personal, or anything of value belonging
to or under the legal control of a resident without the effective
consent of the resident or other appropriate legal authority, or the
taking of any action contrary to any duty imposed by federal or state
law prescribing conduct relating to the custody or disposition of
property of a resident.
(80) MN--Medical necessity. A determination, made by
physicians and registered nurses who are employed by or contract with
the state Medicaid claims administrator, that a recipient requires
the services of a licensed nurse in an institutional setting to carry
out a physician's planned regimen for total care. A recipient's need
for custodial care in a 24-hour institutional setting does not constitute
medical necessity.
(81) Neglect--The failure to provide goods or services,
including medical services that are necessary to avoid physical or
emotional harm, pain, or mental illness.
(82) NFPA--National Fire Protection Association.
(83) NFPA 99--NFPA 99, Health Care Facilities Code,
2012 Edition.
(84) NFPA 101--NFPA 101, Life Safety Code, 2012 Edition.
(85) Nurse aide--An individual who provides nursing
or nursing-related services to residents in a facility under the supervision
of a licensed nurse. This term may include an individual who provides
these services through an agency or under a contract with the facility.
This definition does not include an individual who is a licensed
health professional, a registered dietitian, or someone who volunteers
such services without pay. A nurse aide is not authorized to provide
nursing or nursing-related services for which a license or registration
is required under state law. Nurse aides do not include those individuals
who furnish services to residents only as paid feeding assistants.
(86) Nurse practitioner--An advanced practice registered
nurse licensed by the Texas Board of Nursing in the role of Nurse
Practitioner.
(87) Nurses' station--A nurses' station is an area
designated as the focal point on all shifts for the administration
and supervision of resident-care activities for a designated number
of resident bedrooms.
(88) Nursing care--Services provided by nursing personnel
which include, but are not limited to, observation; promotion and
maintenance of health; prevention of illness and disability; management
of health care during acute and chronic phases of illness; guidance
and counseling of individuals and families; and referral to physicians,
other health care providers, and community resources when appropriate.
(89) Nursing facility or nursing home--See definition
of "facility."
(90) Nursing personnel--Persons assigned to give direct
personal and nursing services to residents, including registered nurses,
licensed vocational nurses, nurse aides, and medication aides. Unlicensed
personnel function under the authority of licensed personnel.
(91) Objectives--See definition of "goals."
(92) OBRA--Omnibus Budget Reconciliation Act of 1987,
which includes provisions relating to nursing home reform.
(93) Ombudsman intern--Has the meaning given in 26
TAC §88.2 (relating to Definitions).
(94) Ombudsman Program--Has the meaning given in 26
TAC §88.2 (relating to Definitions).
(95) Paid feeding assistant--An individual who meets
the requirements of §19.1113 of this chapter (relating to Paid
Feeding Assistants) and who is paid to feed residents by a facility
or who is used under an arrangement with another agency or organization.
(96) PASARR or PASRR--Preadmission Screening and Resident
Review.
Cont'd... |
