Post date: Nov 11, 2012 6:09:22 PM

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