{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-1-890.8","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-1-890.8","heading":"Provision of home care, nursing, hospice and private","body":"services - Plan of accommodation for certain disabled residents.\n\nA. Residents of an assisted living center may receive home care\n\nservices and intermittent, periodic, or recurrent nursing care\n\nthrough a home care agency under the provisions of the Home Care\n\nAct.\n\nB. Residents of an assisted living center may receive hospice\n\nhome services under the provisions of the Oklahoma Hospice Licensing\n\nAct.\n\nC. Nothing in the foregoing provisions shall be construed to\n\nprohibit any resident of an assisted living center from receiving\n\nsuch services from any person who is exempt from the provisions of\n\nthe Home Care Act.\n\nD. The assisted living center shall monitor and assure the\n\ndelivery of those services. All nursing services shall be in\n\naccordance with the written orders of the personal or attending\n\nphysician of the resident.\n\nE. A resident of an assisted living center or the family or\n\nlegal representative of the resident shall be required to disclose\n\nany third-party provider of medical services or supplies prior to\n\nservice delivery.\n\nF. Any third-party provider of medical services or supplies\n\nshall comply with the provisions of subsection D of this section.\n\nG. Notwithstanding the foregoing provisions, a resident of an\n\nassisted living center, or the family or legal representative of the\n\nresident, may privately contract or arrange for private nursing\n\nservices under the orders and supervision of the personal or\n\nattending physician of the resident, private monitoring, private\n\nsitters or companions, personal domestic servants, or personal\n\nstaff.\n\nH. If a resident of an assisted living center develops a\n\ndisability or a condition that is consistent with the facility's\n\ndischarge criteria:\n\n1. The personal or attending physician of a resident, a\n\nrepresentative of the assisted living center, and the resident or\n\nthe designated representative of the resident shall determine by and\n\nthrough a consensus of the foregoing persons any reasonable and\n\nnecessary accommodations, in accordance with the current building\n\ncodes, the rules of the State Fire Marshal, and the requirements of\n\nthe local fire jurisdiction, and additional services required to\n\npermit the resident to remain in place in the assisted living center\n\nas the least restrictive environment and with privacy and dignity;\n\n2. All accommodations or additional services shall be described\n\nin a written plan of accommodation, signed by the personal or\n\nattending physician of the resident, a representative of the\n\nassisted living center and the resident or the designated\n\nrepresentative of the resident;\n\n3. The person or persons responsible for performing, monitoring\n\nand assuring compliance with the plan of accommodation shall be\n\nexpressly specified in the plan of accommodation and shall include\n\nthe assisted living center and any of the following:\n\na. the personal or attending physician of the resident,\n\nb. a home care agency,\n\nc. a hospice, or\n\nd. other designated persons.\n\nThe plan of accommodation shall be reviewed at least quarterly\n\nby a licensed health care professional;\n\n4. If the parties identified in paragraph 1 of this subsection\n\nfail to reach a consensus on a plan of accommodation, the assisted\n\nliving center shall give written notice to the resident, the legal\n\nrepresentative of the resident or such persons as are designated in\n\nthe resident's contract with the assisted living center, of the\n\ntermination of the residency of the resident in the assisted living\n\ncenter in accordance with the provisions of the resident's contract\n\nwith the assisted living center. Such notice shall not be less than\n\nthirty (30) calendar days prior to the date of termination, unless\n\nthe assisted living center or the personal or attending physician of\n\nthe resident determines the resident is in imminent peril or the\non of the residency of the resident in the assisted living\n\ncenter in accordance with the provisions of the resident's contract\n\nwith the assisted living center. Such notice shall not be less than\n\nthirty (30) calendar days prior to the date of termination, unless\n\nthe assisted living center or the personal or attending physician of\n\nthe resident determines the resident is in imminent peril or the\n\ncontinued residency of the resident places other persons at risk of\n\nimminent harm;\n\n5. If any party identified in paragraph 1 of this subsection\n\ndetermines that the plan of accommodation is not being met, such\n\nparty shall notify the other parties and a meeting shall be held\n\nbetween the parties within ten (10) business days to re-evaluate the\n\nplan of accommodation; and\n\n6. Any resident aggrieved by a decision to terminate residency\n\nmay seek injunctive relief in the district court of the county in\n\nwhich the assisted living center is located. Such action shall be\n\nfiled no later than ten (10) days after the receipt of the written\n\nnotice of termination.\n\nI. When an antipsychotic drug is prescribed for a resident, the\n\nassisted living center shall do all of the following:\n\n1. Ensure the resident is reassessed by a physician, physician\n\nassistant, Advanced Practice Registered Nurse or registered nurse,\n\nas needed, but at least quarterly, for the effectiveness and\n\npossible side effects of the medication. The results of the\n\nassessments shall be documented in the resident's record and\n\nprovided to the resident or the representative of the resident;\n\n2. Ensure all resident care staff administering medications\n\nunderstand the potential benefits and side effects of the\n\nmedications; and\n\n3. When an antipsychotic drug is prescribed on an as-needed\n\nbasis (PRN) for a resident, the assisted living center shall:\n\na. document in the resident's record the rationale for\n\nuse and a detailed description of the condition which\n\nindicates the need for administration of a PRN\n\nantipsychotic drug,\n\nb. monitor the use of PRN antipsychotic drugs for\n\npotential harm to the resident, including, but not\n\nlimited to, the presence of significant adverse side\n\neffects, use of the drugs for inappropriate purposes\n\nsuch as discipline or staff convenience, or use\n\ncontrary to the prescription. The monitoring required\n\nby this subparagraph shall be conducted by a licensed\n\nhealth care professional and shall occur at least\n\nmonthly, and\n\nc. document in the resident's record the results of the\n\nmonitoring required in subparagraph b of this\n\nparagraph, including, but not limited to, the\n\neffectiveness of the medication, the presence of any\n\nside effects, and any inappropriate use for each PRN\n\nantipsychotic drug given.\n\nJ. Nothing in this section shall be construed to abrogate an\n\nassisted living center's responsibility to provide care for and\n\noversight of a resident.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"f72f5f375313cb71921ab2a21a846a311a53094c1b5432ad28c9c08452bdb94e","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-1-890.6","next":"us-ok/okla.-stat.-tit.-63-63-1-890.9"},"notice":"GroundRules: Original legal text. Not legal advice."}