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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 551INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS
SUBCHAPTER AINTRODUCTION
RULE §551.3Definitions

      (ii) normal access by a resident to a portion of the resident's body.

    (B) Physical guidance or prompting of brief duration becomes a restraint if the resident resists the guidance or prompting.

  (84) Potential for minimal harm--A violation that has the potential for causing no more than a minor negative impact on a resident.

  (85) Potential for more than minimal harm--A violation that results in more than minimal physical, mental, or psychological discomfort to the resident or has the potential to compromise the resident's ability to reach and maintain the highest practicable physical, mental, and psychosocial well-being as defined for the resident.

  (86) Qualified intellectual disability professional (QIDP)--A person who has at least one year of experience working directly with persons with an intellectual disability or related conditions and is one of the following:

    (A) a doctor of medicine or osteopathy;

    (B) a registered nurse; or

    (C) an individual who holds at least a bachelor's degree in one of the following areas:

      (i) occupational therapy;

      (ii) physical therapy;

      (iii) social work;

      (iv) speech-language pathology or audiology;

      (v) recreation or a specialty area such as art, dance, music or physical education;

      (vi) dietetics; or

      (vii) human services, such as sociology, special education, rehabilitation counseling, or psychology (as specified in 42 CFR §483.430(b)(5)(x).

  (87) Rapid influenza diagnostic test--A test administered to a person with flu-like symptoms that can detect the influenza viral nucleoprotein antigen.

  (88) Receiving facility--A facility that has agreed to receive the residents of another facility who are evacuated due to an emergency.

  (89) Relocation--The new physical location of a facility.

  (90) Remodeling--The construction, removal, or relocation of walls and partitions, or construction of foundations, floors, or ceiling-roof assemblies, including expanding of safety systems (e.g.., sprinkler systems, fire alarm systems), that will change the existing plan and use areas of the facility.

  (91) Renovation--The restoration to a former better state by cleaning, repairing, or rebuilding (e.g., routine maintenance, repairs, equipment replacement, painting).

  (92) Resident--A person who resides in a facility.

  (93) Restraint--A manual method, or a physical or mechanical device, material, or equipment, attached or adjacent to the resident's body that the resident cannot remove easily, that restricts freedom of movement or normal access to the resident's body. This term includes a personal hold.

  (94) Registered nurse(RN)--A person licensed to practice professional nursing in accordance with Texas Occupations Code, Chapter 301.

  (95) Seclusion--The involuntary separation of a resident away from other residents and the placement of the resident alone in an area from which the resident is prevented from leaving.

  (96) Small facility--A facility with a capacity of 16 or fewer residents.

  (97) Staff--Employee of an ICF/IID or a contracted staff working with residents living in an ICF/IID.

  (98) Standards--The minimum conditions, requirements, and criteria with which a facility will have to comply to be licensed under this chapter.

  (99) TIA--Tentative Interim Amendment.

  (100) TAC--Texas Administrative Code.

  (101) Topical medication--Medication applied to the skin, not including medication administered in the eyes.

  (102) Universal precautions--The use of barrier precautions by facility staff to prevent direct contact with blood or other body fluids that are visibly contaminated with blood.

  (103) Vaccine preventable diseases--The diseases included in the most current recommendations of the Advisory Committee on Immunization Practices of the CDC.

  (104) Violation--Any noncompliance with Texas Health and Safety Code, Chapter 252, or any rule under this chapter.

  (105) Well-recognized church or religious denomination--An organization which has been granted a tax-exempt status as a religious association from the state or federal government.

  (106) Widespread in scope--A violation that:

    (A) is pervasive throughout the services provided by the facility; or

    (B) that affects or has the potential to affect a large portion of or all the residents of the facility.


Source Note: The provisions of this §551.3 adopted to be effective August 31, 1993, 18 TexReg 2557; transferred effective September 1, 1993, as published in the Texas Register September 3, 1993, 18 TexReg 5885; amended to be effective May 1, 1995, 20 TexReg 1659; amended to be effective May 1, 1998, 23 TexReg 4060; amended to be effective July 1, 2002, 27 TexReg 5525; amended to be effective June 1, 2006, 31 TexReg 4463; amended to be effective September 1, 2010, 35 TexReg 7876; amended to be effective June 1, 2012, 37 TexReg 3871; amended to be effective June 17, 2013, 38 TexReg 3806; amended tobeeffective April 27, 2016, 41 TexReg 2971; amended to be effective October 11, 2017, 42 TexReg 5505; amended to be effective October 28, 2018, 43 TexReg 7191; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1883; amended to be effective February 24, 2022, 47 TexReg 787

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