The discussion of “bedridden” residents often leaves out the most important fact: the definition of “bedridden.” In RCFEs, the definition is broad—a large portion of residents who are defined by DSS as “bedridden” walk with the use of a cane or walker, or they have dementia and need prompting to get out of bed in the morning. A much smaller portion need repositioning in bed, and those that do are typically recovering from a temporary illness or receiving hospice care.
Bedridden Fire Clearance
With the passage of CALA-sponsored AB 762, the law regarding bedridden clients in RCFEs and other community care-licensed facilities has changed. Effective January 1, 2010:
- RCFE residents who need assistance transferring to and from bed, but not assistance turning or repositioning, are considered nonambulatory for purposes of fire clearance. A nonambulatory fire clearance is required for these residents.
- RCFE residents who need assistance turning or repositioning in bed continue to be considered bedridden for purposes of fire clearance.
To care for a “bedridden” resident (both those who need assistance transferring and those who need assistance turning), the regulations require a plan of operation that specifies how care will be provided and managed. This plan covers staff training, nutrition and fluid intake, assistive devices, and equipment; a requirement for night staff to reposition the resident when necessary; and access to medical professionals for consultation on bedridden care issues when necessary.
Access the revised Bedridden Regulations
Resources & Best Practices
OSFM Information Bulletin regarding AB 762, December 2009
AB 762 Implementation Plan, January 2010
Self-Assessment Guide: Bedridden Residents. CCLD, 2007