Division of Medical Services
Office of Long Term Care Mail Slot S409
P.O. Box 8059
Little Rock, Arkansas 72203-8059
Telephone (501) 682-8487 TDD (501) 682-6789 Fax (501) 682-1197
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MEMORANDUM
LTC-R-2008-11
TO: Nursing Facilities; ICFs/MR 16 Bed & Over; HDCs;
ICFs/MR Under 16 Beds; ALF Level I; ALF Level II;
RCFs; Adult Day Cares; Adult Day Health Cares;
Post-Acute Head Injury Facilities; Interested Parties;
DHSCounty Offices
FROM:Carol Shockley, Director, Office of Long Term Care
DATE:August 8, 2008
RE:Regulation Memo - Green House™ Regulations
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The Office of Long Term Care has promulgated an amendment to the nursing facility regulations that permits the construction and operation of facilities designated by the Office of Long Term Care as Green House™ facilities. A copy of the regulation is attached.
The attached regulation is effective September 1, 2008. You may download the entire nursing facility regulations from the Office of Long Term Care web site at:
If you have any questions about this regulation, please contact Frank GoBell at 501-682-6298.
If you need this material in alternative format such as large print, please contact our Americans with Disabilities Act Coordinator at 501-682-8307 (voice) or 501-682-6789 (TDD).
CS/bcs
700GREEN HOUSE™ FACILITIES
701INTENT
Green House™ facilities are an attempt to enhance residents’ quality of life through the use of a non-institutional facility model resulting in a residential-style physical plant and specific principles of staff interaction. The Greenhouse model utilizes small, free-standing, self-contained homes surrounding or adjacent to a central administration unit, each housing between ten (10) and twelve (12) private rooms, each with full bathrooms. The residents’ rooms are constructed around a central, communal, family-style open space that includes a hearth, dining area, and residential-style kitchen. All residents’ room entrances are visible from the central communal area. Each home is built to blend architecturally with neighboring homes. The intent of these regulations is to create a framework that encourages the construction and operation of Green House™ facilities.
702DESIGNATION
To be designated by the Office of Long Term Care as a Green House™ facility, the facility meet the minimum standards, and have approval to use the Green House™ service mark, issued by the Green House™ Project and NCB Capital Impact at the time of designation and at all times thereafter.
703STAFFING
Facilities designated by the Office of Long Term Care as Green House™ facilities shall employ the same staffing ratios and otherwise comply with Section 520 of these regulations; provided, however, that CNAs utilized in Green House™ facilities may act as universal workers. For purposes of this regulation, universal worker means a Certified Nurse Assistant (CNA) who, in addition to performing CNA duties, performs dietary, laundry, housekeeping and other services to meet the needs of residents.
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