Indiana § 12-10-5.5-3 Disclosure form; contents

Indiana Statutes

§ 12-10-5.5-3 — Disclosure form; contents

Indiana § 12-10-5.5-3

Art. 10AGING SERVICES

Ch. 5.5Alzheimer's and Dementia Special Care Disclosure

This text of Indiana § 12-10-5.5-3 (Disclosure form; contents) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 12-10-5.5-3 (2026).

Text

A health facility and a housing with services establishment that provides or offers Alzheimer's and dementia special care or programing shall prepare a written disclosure in a form provided by the division that has been developed in conjunction with the long term care ombudsman's office and that contains the following information:

(1)The health facility's or housing with services establishment's mission or philosophy statement concerning the needs of residents with Alzheimer's disease, a related disorder, or dementia.

(2)The process and criteria the health facility or housing with services establishment uses to determine placement, transfer, or discharge from Alzheimer's and dementia special care.

(3)The process for the assessment, establishment, and implementation of a plan of Alzheime

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A health facility and a housing with services
establishment that provides or offers Alzheimer's and dementia special
care or programing shall prepare a written disclosure in a form
provided by the division that has been developed in conjunction with
the long term care ombudsman's office and that contains the following
information:
(1) The health facility's or housing with services establishment's
mission or philosophy statement concerning the needs of residents
with Alzheimer's disease, a related disorder, or dementia.
(2) The process and criteria the health facility or housing with
services establishment uses to determine placement, transfer, or
discharge from Alzheimer's and dementia special care.
(3) The process for the assessment, establishment, and
implementation of a plan of Alzheimer's and dementia special
care, including how and when changes are made to a plan of care.
(4) The following information concerning the staff of the
Alzheimer's and dementia special care unit:
(A) The staff-to-patient ratio for each shift.
(B) The positions and classifications of staff.
(C) The initial training or special education requirements of the
staff.
(D) The qualities and amount of continuing education and
in-service training required for staff.
(5) A description of the Alzheimer's and dementia special care
unit and the unit's design features.
(6) The frequency and types of activities for the residents of the
health facility or housing with services establishment who have
Alzheimer's disease, a related disorder, or dementia.
(7) The extent that the health facility's Alzheimer's and dementia
special care unit and program or housing with services
establishment's program offers family support programs and
solicits input from family members.
(8) Guidelines for using physical and chemical restraints in
providing Alzheimer's and dementia special care.
(9) An itemization of the health facility's or housing with services
establishment's charges and fees for Alzheimer's and dementia
special care and related services.
(10) Any other features, services, or characteristics that the health
facility or housing with services establishment believes
distinguishes the health facility or housing with services
establishment from Alzheimer's and dementia special care offered
by other facilities and establishments.