§ 87606 — Care of Bedridden Residents

(a)  Unless otherwise specified, this section applies to licensees who accept or retain residents who are bedridden.  The licensee shall be permitted to accept and retain residents who are or shall become bedridden, if all the following conditions are met.

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  Health and Safety Code Section 1569.72(b)(1) provides in part:

  "(b)(1)  …'bedridden' means either requiring assistance in turning and repositioning in bed, or being unable to independently transfer to and from bed…"

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(b)  A licensee shall notify the fire authority having jurisdiction within 48 hours of accepting or retaining any person who is bedridden, as specified in Health and Safety Code section 1569.72.

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  Health and Safety Code Section 1569.72(f) provides:

  "(f)  Notwithstanding the length of stay of a bedridden resident, every facility admitting or retaining a bedridden resident, as defined in this section, shall, within 48 hours of the resident's admission or retention in the facility, notify the local fire authority with jurisdiction in the bedridden resident's location of the estimated length of time the resident will retain his or her bedridden status in the facility."

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(c)  To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance.

(d)  For the purposes of this section, "temporary illness" is defined in Health and Safety Code Section 1569.72(d)(1).

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  Health and Safety Code Section 1569.72(d)(1) provides:

  "(d)(1)  For purposes of this section, 'temporary illness' means any illness which persists for 14 days or less."

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(e)  A licensee may retain a resident who is bedridden for more than 14 days if all of the requirements of Health and Safety Code section 1569.72 are met.

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  Health and Safety Code Section 1569.72(e) provides:

  "(e)  A bedridden resident may be retained in a residential care facility for the elderly in excess of 14 days if all of the following requirements are satisfied:

  "(1)  The facility notifies the department in writing regarding the temporary illness or recovery from surgery.

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  "(2)  The facility submits to the department, with the notification, a physician and surgeon's written statement to the effect that the resident's illness or recovery is of a temporary nature.  The statement shall contain an estimated date upon which the illness or recovery will end or upon which the resident will no longer be confined to a bed.

  "(3)  The department determines that the health and safety of the resident is adequately protected in that facility and that transfer to a higher level of care is not necessary.

  "(4)  This section does not expand the scope of care and supervision of a residential care facility for the elderly."

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  (1)  If it is determined that a resident will be bedridden for more than 14 days, the licensee shall notify the fire authority having jurisdiction of the revised estimated length of time that the resident will be bedridden, as required in subsection (b).

(f)  To accept or retain a person who is bedridden, a licensee shall ensure the following:

  (1)  The facility's Plan of Operation includes a statement of how the licensee intends to meet the overall health, safety and care needs of residents who are bedridden.

    (A)  The facility's Emergency and Disaster Plan addresses fire safety precautions specific to evacuation of residents who are bedridden in the event of an emergency or disaster.

    (B)  The needs of residents who are terminally ill and who are bedridden shall be met.

  (2)  Each record for a resident who is bedridden includes sufficient documentation to demonstrate that the licensee is meeting the needs of the individual resident as specified in Section 87506, Resident Records.

  (3)  Staff records include documentation of staff training specific to Care of Bedridden Residents.

  (4)  The facility's Register of Residents shall include:

    (A)  compliance with Section 87508, Register of Residents,

    (B)  information related to resident room locator,

    (C)  register of residents be made available, upon request, to emergency personnel, and

    (D)  facility staff have knowledge of the location of the register of residents at all times.

(g)  Nothing contained in this section or in Chapter 8 precludes the licensing agency from requiring the relocation of a bedridden resident whose needs are not being met in a facility, or whose needs are beyond the scope of care of the facility.

NOTE:  Authority Cited:  Section 1569.30, Health and Safety Code.  Reference:  Sections 1569.1, 1569.2, 1569.31, 1569.312, 1569.54, 1569.62, 1569.625, 1569.72, and 1569.80, Health and Safety Code.