Prohibited Health Conditions

• Persons who have the following health conditions or require the following health services will not be admitted or retained in an RCFE. § 87615

• Stage 3 and 4 pressure sores (dermal ulcers)
• Gastrostomy care
• Naso-gastric tubes
• Staph infection or other serious infections
• The need to depend on others to perform all activities of daily living for them as set forth in  Section § 87459
• Tracheostomies

Restricted Health Conditions

• Prior approval from licensing, for accepting or retaining a resident with a Restricted Health Condition (RHC), is required if the licensee has had any of the following within the last two years. § 87611(a)(1)-(4)

• A probationary license.
• An administrative action filed against them.
• A Non-Compliance Conference that resulted in a corrective plan of action.
• A notice of deficiency concerning direct care and supervision of a resident with a restricted health condition.

• Prior to admission of a resident with an RHC,  the licensee shall:
  • Communicate to all care-givers for that resident to ensure consistency of care for the condition.
  • Ensure that the staff who will participate in meeting the resident’s specialized needs complete training provided by a licensed professional sufficient to meet those needs.
    • Training must include hands-on instruction.
    • Training must be completed prior to services being provided. §87613(a)(1)(2)

• Restricted Conditions include:  § 87612(a)(1)-(11)

• Administration of oxygen
• Catheter care
• Colostomy / ileostomy
• Contractures
• Diabetes
• Enemas, suppositories, fecal impaction removal
• Incontinence of bowel and/or bladder
• Injections
• Intermittent Positive Pressure Breathing Machine
• Stage 1 and 2 pressure sores (dermal ulcers)
• Wound Care