Utah Administrative Code
The Utah Administrative Code is the body of all effective administrative rules as compiled and organized by the Division of Administrative Rules (see Subsection 63G-3-102(5); see also Sections 63G-3-701 and 702).
NOTE: For a list of rules that have been made effective since December 1, 2018, please see the codification segue page.
NOTE TO RULEFILING AGENCIES: Use the RTF version for submitting rule changes.
R432. Health, Family Health and Preparedness, Licensing.
Rule R432-103. Specialty Hospital - Rehabilitation.
As in effect on December 1, 2018
Table of Contents
- R432-103-1. Legal Authority.
- R432-103-2. Purpose.
- R432-103-3. Compliance.
- R432-103-4. Definitions.
- R432-103-5. Licensure.
- R432-103-6. General Construction Rules.
- R432-103-7. Organization and Staff.
- R432-103-8. Professional Staff.
- R432-103-9. Medical Staff.
- R432-103-10. Other Policies and Procedures.
- R432-103-11. Rehabilitation Services.
- R432-103-12. Occupational Therapy.
- R432-103-13. Physical Therapy.
- R432-103-14. Clinical Services.
- R432-103-15. Ancillary Services.
- R432-103-16. Emergency Services.
- R432-103-17. Penalties.
- Date of Enactment or Last Substantive Amendment
- Notice of Continuation
- Authorizing, Implemented, or Interpreted Law
This rule is adopted pursuant to Title 26, Chapter 21.
The purpose of this rule is to promote the public health and welfare through the establishment and enforcement of program standards for the operation of rehabilitation hospitals.
All facilities governed by this rule shall be in full compliance at the time of licensure.
(1) Refer to Common Definitions in R432-1-3.
(2) Refer to definition of "specialty hospital", R432-101-4(2).
License required. Refer to R432-2.
Refer to R432-9, Rehabilitation Construction Rule.
(1) The hospital shall be staffed, organized and operated to coordinate all offered services of the hospital.
(a) The responsibility for administrative direction shall be vested in a trained rehabilitation counselor or other licensed health care professional with experience or training acceptable to the governing board.
(b) A trained rehabilitation counselor or other professionally licensed staff member, as permitted by law and hospital policy, shall serve as the primary therapist.
(c) There shall be a multi-disciplinary team that includes a physician, registered nurse, and rehabilitation counselor that is responsible for program and treatment services.
(2) There shall be written policies and procedures approved by the board and reviewed annually that address at least the following:
(a) staff and their responsibilities;
(b) program services;
(c) patient assessment;
(d) treatment and discharge.
(1) The rehabilitation services of the hospital shall be organized, staffed and supported according to the nature, scope and extent of the services provided.
(2) All staff must be licensed, registered or certified by the Utah Department of Commerce for their respective disciplines.
The medical direction of the rehabilitation care and services of the hospital shall be the responsibility of a licensed physician who is a member of the medical staff and appointed by the governing body.
For the following policies and procedures, R432-100 shall apply:
(1) The Governing Body, R432-100-5.
(2) Administrator, R432-100-6.
(3) Nursing Care Services, R432-100-12.
(4) For the following policies and procedures, R432-101 shall apply:
(a) Volunteers, R432-101-10(5).
(b) Quality Assurance, R432-101-11.
(c) Patient Rights, R432-101-15.
(d) Emergency and Disaster, R432-101-16.
(e) Admission and Discharge, R432-101-17.
(f) Transfer Agreements, R432-101-18.
(g) Pets In Hospitals, R432-101-19.
(1) Medical staff participation in the delivery of physical rehabilitation services shall be provided by a qualified physician member of the medical staff who is knowledgeable about rehabilitation medicine by reason of training and experience. Qualified, competent professional and support personnel shall be available to meet the objectives of the service and the needs of the patients.
(2) A qualified professional for physical rehabilitation services shall complete a functional assessment and evaluation.
(a) A treatment plan shall be developed based on an evaluation that includes an assessment of functional ability appropriate to the patient.
(b) Measurable goals, which are described in functional or behavioral terms, shall be established for the patient and include time frames for achievement.
(c) The patient's progress and the results of treatment shall be assessed at least monthly for outpatients and at least every two weeks for inpatients.
(d) The patient's progress and response to treatment shall be documented in the medical record.
Occupational therapy services shall include the following:
(1) the assessment and treatment of occupational performance, including:
(a) independent living skills,
(b) prevocational or work skills,
(c) educational skills,
(d) leisure abilities, and
(e) social skills;
(2) the assessment and treatment of performance components, including:
(c) cognitive, and
(d) psychosocial skills;
(3) therapeutic interventions, adaptations, and prevention; and
(4) individualized evaluations of past and current performance, based on observations of individual or group tasks, standardized tests, record review, interviews, and/or activity histories.
(5) Occupational therapy services staff shall document and monitor the extent to which goals are met relative to assessing and increasing the patient's functional abilities in daily living and relative to preventing further disability.
Refer to R432-100-20.
Where the following services are used, R432-100 shall apply:
(1) Critical Care Unit, R432-100-13.
(2) Surgery Services, R432-100-14.
(3) Outpatient Services, R432-100-28.
(4) Pediatric Services, R432-100-18.
(5) Inpatient Hospice, R432-750.
The following services, if provided, shall comply with R432-100 as follows:
(1) Central supply, R432-100-34.
(2) Dietary, R432-100-31.
(3) Laundry, R432-100-35.
(4) Maintenance Services, R432-100-37.
(5) Housekeeping Services, R432-100-36.
(1) Each specialty hospital shall have the ability to provide emergency first aid treatment to patients, staff, visitors, and to persons who may be unaware of or unable to immediately reach services in other facilities (an equivalent of the Joint Commission's Level IV emergency service).
(2) Provisions shall include a treatment room, storage for supplies and equipment, provisions for reception and control of patients, convenient patient toilet room, and communication hookup and access to a poison control center.
(3) Any additional or expanded emergency services offered must comply with the provisions of the appropriate sections of R432-100-16.
(4) Provision for protocols for contacting local emergency medical services.
Any person who violates any provision of this rule may be subject to the penalties enumerated in 26-21-11 and R432-3-6 and be punished for violation of a class A misdemeanor as provided in 26-21-16.
health care facilities
March 3, 1995
November 9, 2015
26-21-5; 26-21-2.1; 26-21-20
For questions regarding the content or application of rules under Title R432, please contact the promulgating agency (Health, Family Health and Preparedness, Licensing). A list of agencies with links to their homepages is available at http://www.utah.gov/government/agencylist.html or from http://www.rules.utah.gov/contact/agencycontacts.htm.