DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

BUREAU OF COMMUNITY AND HEALTH SYSTEMS

HOMES FOR THE AGED

(By authority conferred on the department of licensing and regulatory affairs by

section 427 of the Executive organization act of 1965, 1965 PA 380, MCL 16.527,

section 2233 of the public health code, 1978 PA 368, MCL 333.2233, and

Executive Reorganization Order Nos. 1996-1, 1996-2, 2003-1, and 2015-1, MCL

330.3101, 445.2001, 445.2011, and 400.227)

PART 1. GENERAL PROVISIONS

R 325.1901 Definitions.

Rule 1. As used in these rules:

(a) "Act" means the public health code, 1978 PA 368, MCL 333.1101 to

333.25211.

(b) "Activities of daily living" means activities associated with eating, toileting,

bathing, grooming, dressing, transferring, mobility, and medication management.

(c) "Admission policy" means a home's program statement of its purpose,

eligibility requirements, and application procedures for admission.

(d) “Apartment-style resident room” means a resident unit with a living space

and 1 or more multiple distinct bedrooms.

(e) "Assistance" means help provided by a home or an agent or employee of

a home to a resident who requires help with activities of daily living.

(f) "Authorized representative" means that person or agency that has been

granted written legal authority by a resident to act on behalf of the resident or is

the legal guardian of a resident.

(g) “Bedroom” means a single room containing a bed and is intended for a

resident or residents sleeping with a wall that separates the sleeping space from

the living space.

(h) “Co-sleeping” means 2 residents sharing a bed intended for 2 individuals

located in a bedroom utilizing 2 licensed beds.

(i) "Department" means the department of licensing and regulatory affairs.

(j) "Director" means the director of the department.

(k) "Discharge policy" means a home's written statement of the criteria and

procedures by which a resident is discharged from the home.

(l) "Elopement" means a resident who has a service plan that requires notice

or arranged supervision to leave the facility and is absent without notice or

supervision.

(m) "Home" means a home for the aged as that term is defined in section

20106 of the act, MCL 333.20106.

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(n) "Incident" means an intentional or unintentional event including, but not

limited to, elopements and medication errors, if a resident suffers physical or

emotional harm.

(o) "Licensed healthcare professional" means an individual who is licensed

under article 15 of the act, MCL 333.16101 to 333.18838, and who is operating

within the scope of the individual’s license.

(p) "Major building modification" means an alteration of walls that creates a

new architectural configuration or revision to the mechanical or electrical systems

that significantly revise the design of the system or systems. Normal building

maintenance, repair, or replacement with equivalent components are not

considered major building modifications. A change in room function does not cause

a conflict with these rules.

(q) "Medication management" means assistance with the acquisition and

administration of a resident’s prescribed medication.

(r) "Program statement" means a written description of the home's overall

philosophy and mission reflecting the needs of residents and services provided to

residents. A home that represents to the public that it provides residential care or

services, or both, to individuals with Alzheimer's disease or a related condition shall

include in its program statement the information required by section 20178 of the

act, MCL 333.20178.

(s) "Protection" means the continual responsibility of the home to take

reasonable action to ensure the health, safety, and well-being of a resident as

indicated in the resident's service plan, including protection from physical harm,

humiliation, intimidation, and social, moral, financial, and personal exploitation

while on the premises, while under the supervision of the home or an agent or

employee of the home, or when the resident's service plan states that the resident

needs continuous supervision.

(t) "Resident" means an individual who is 55 years of age or older, or an

individual under the age of 55 who has been admitted through a waiver of the

director pursuant to section 21311(3) of the act, MCL 333.21311.

(u) "Resident admission contract" means a written agreement between the

home and the resident or the resident's authorized representative that specifies

the services to be provided, the fees to be charged, including all fees related to

admission such as deposits, admission fees, advance care payments, application

fees and all other additional fees, and the home's policies related to the admission

and retention of a resident.

(v) "Room and board" means the provision of housing and meals to meet the

needs of the resident.

(w) "Service plan" means a written statement prepared by the home in

cooperation with a resident, the resident's authorized representative, or the agency

responsible for a resident's placement, if any, that identifies the specific care and

maintenance, services, and resident activities appropriate for the individual

resident's physical, social, and behavioral needs and well-being, and the methods

of providing the care and services while taking into account the preferences and

competency of the resident.

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(x) “Studio-style resident room” means a resident room that does not have a

distinct resident bedroom and the living and sleeping spaces are combined.

(y) "Supervision" means guidance of a resident in the activities of daily living,

and includes all of the following:

(i) Reminding a resident to maintain the resident's medication schedule in

accordance with the instructions of the resident's licensed healthcare professional

as authorized by section 17708(2) of the act, MCL 333.17708.

(ii) Reminding a resident of important activities to be carried out.

(iii) Assisting a resident in keeping appointments.

(iv) Being aware of a resident's general whereabouts as indicated in the

resident's service plan, even though the resident may travel independently about

the community.

(v) Supporting a resident's personal and social skills.

History: 2004 AACS; 2018 AACS; 2023 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1911a Survey and evaluation process.

Rule 11a. (1) A prelicensure survey must be scheduled and announced. All

other licensure surveys and complaint investigations must be unannounced.

(2) A licensure survey or complaint investigation may be conducted by the

department during any hours of operation of the home.

(3) An applicant or licensee shall provide access to the home and relevant

documents that are required to be maintained for the department to evaluate

compliance with the act and these rules.

(4) If a violation is identified by the department, either through a licensure

survey or a complaint investigation, the home has 15 days to submit a corrective

action plan, when requested by the department. The submitted corrective action

plan must contain all of the following components:

(a) The actions that will be taken to correct the violation and achieve

compliance.

(b) The staff responsible for implementing the actions.

(c) The timeline for the implementation and completion of the actions.

(d) The actions that will be taken to ensure continued compliance with the

law or rules.

(5) The submitted corrective action plan must be approved by the

department. Based on the submitted corrective action plan, the department shall

determine if a revisit is necessary to determine compliance.

(6) Failure to submit a corrective action plan may result in additional action by

the department under sections 20165, 20166, and 20168 of the act, MCL

333.20165, 333.20166, and 333.20168.

(7) A department employee shall obtain the verbal consent of the patient or

the patient’s representative before observing direct care and treatment of a patient.

History: 2026 MR 6, Eff. March 19, 2026.

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PART 2. STATE ADMINISTRATION

R 325.1911 License applications; authorized representatives; notices.

Rule 11. (1) An application for a license for a home shall be made on forms

authorized and provided by the director and shall be completed in full.

(2) An application for a license for a home shall be made and signed by the

individual desiring to establish, conduct, or maintain a licensed home, or by the

authorized representative of any individual, copartnership, corporation, or

association including any receiver, trustee, assignee, or similar representative

desiring to establish, conduct, or maintain a licensed home.

(3) An authorized representative shall be authorized by the applicant to do

all of the following:

(a) Make application and amendments to the application

(b) Provide the director with all information necessary to make a

determination in connection with the issuance of a license.

(c) Enter into agreements with the director in connection with the issuance

of a license.

(4) A certificate of appointment or other written evidence of the authority

vested in the authorized representative shall be attached to the application.

(5) In matters relating to the licensing of the home, the director may continue

to deal with the authorized representative until the director is notified in writing

that a new authorized representative has been appointed with equal power and

the former authorized representative is no longer authorized to act.

(6) The director may use any appropriate means of notice and may direct

notices of any administrative action pursuant to licensing of the home to the

applicant or the authorized representative, either personally or by certified mail at

the address of the establishment or institution.

History: 2004 AACS.

R 325.1912 Licenses and permits; issuance.

Rule 12. (1) Upon determination that the home complies with the act and

these rules, the department shall issue a license.

(2) The department may issue a nonrenewable temporary permit for not more

than 6 months in accordance with MCL 333.20162(2).

(3) The department may issue a provisional license for not more than 3

consecutive years in accordance with MCL 333.20162(3).

(4) The maximum number of resident beds authorized for occupancy shall

be endorsed on the license, provisional license, or nonrenewable temporary

permit.

History: 2004 AACS.

R 325.1913 Licenses and permits; general provisions.

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Rule 13. (1) A license, provisional license, or temporary nonrenewable

permit is not transferable between owners, or from one location to another, or

from one part of an institution to another.

(2) The applicant or the authorized representative shall give written notice

to the department within 5 business days of any changes in information as

submitted in the application pursuant to which a license, provisional license, or

temporary nonrenewable permit has been issued.

(3) The number of residents cared for in a home and the complement of

resident beds shall not exceed the number authorized by the license,

provisional license, or temporary nonrenewable permit.

(4) The current license, provisional license, or temporary nonrenewable

permit shall be posted in a conspicuous public area of the home.

History: 2004 AACS.

R 325.1914 Administrative actions.

Rule 14. (1) Orders and notices of intended action regarding licensure that

are issued by the department against a home or applicant shall be in writing,

and shall include all of the following:

(a) The nature of the action or intended action by the department.

(b) A brief statement of the facts on which the department action or

intended action is based.

(c) The legal authority and jurisdiction for the action or intended action.

(d) A reference to the applicable sections of the act and rules.

(e) A statement regarding any rights to a hearing that are provided by the

act or R 325.1915.

(f) Any written requirement and deadline for response from the home or

applicant to the administrative action.

(2) Orders and notices of intended action shall be served on the home or

applicant personally or by certified mail.

(3) Failure of the home or applicant to respond to an order or a notice within

30 days shall constitute a default.

History: 2004 AACS.

R 325.1915 Hearing procedures.

Rule 15. (1) This rule applies to hearings that are required by MCL

333.20162, 333.20165, 333.20166, and 333.20168.

(2) Unless otherwise provided by the act, the procedures for hearing shall

comply with sections 71 to 92 of 1969 PA 306, MCL 24.271 to 24.292.

(3) If a hearing is required, then the home or applicant shall be notified

in writing of the date, hour, place, and nature of the hearing. Unless otherwise

specified in the notice, the hearing shall be held at the offices of the department

in Lansing, Michigan.

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(4) A hearing date shall be scheduled in accordance with the timeframes

set out in MCL 333.20162, 333.20165, 333.20166, and 333.20168 as follows:

(a) Under MCL 333.20162 and 333.20168, an opportunity for a hearing on a

compliance order or on an emergency order limiting, suspending, or revoking the

license of the home shall be provided to the home within 5 working days of

issuance of the department's order.

(b) Under MCL 333.20165 and 333.20166, the date set for an opportunity

for a hearing on a notice of intent to deny, limit, suspend, or revoke a license

shall be at least 30 days from the date of service of the action on the home or

applicant.

(c) The date set for an opportunity for a hearing on a department order

imposing an administrative fine on a home under MCL 333.20165(1) shall be at

least 30 days from the date of service of the order on the home.

(5) The presiding officer may grant a request for an adjournment of a

hearing for good cause. Unless provided otherwise by the act or these rules,

an adjournment does not suspend the effective date of the department's order,

including the effective date of a compliance order issued under MCL 333.20162

or an emergency order issued under MCL 333.20168 to limit, suspend, or revoke

a home's license.

(6) Absent an adjournment, a home or applicant that fails to appear at a

contested case hearing after proper service of notice waives the right to an

administrative hearing on the department's order and any other review to which

the home or applicant may be entitled. In such case, a default shall be entered,

and the department's order or notice of intended action shall become final.

History: 2004 AACS.

Editor's Note: An obvious error in R 325.1915 was corrected at the

request of the

promulgating agency, pursuant to Section 56 of 1969 PA 306, as amended by 2000 PA 262, MCL

24.256. The rule containing the error was published in Michigan Register, 2004 MR 12. The

memorandum requesting the correction was published in Michigan Register, 2006 MR 14.

R 325.1916 Prohibited use of "state approved" and "hospital."

Rule 16. (1) The home shall not use "state approved" or words having a

similar meaning unless the home is operating under a current license.

(2) The home shall not use "hospital" or words having a similar meaning.

(3) The home shall not use "nursing home" or words having a similar

meaning.

History: 2004 AACS.

R 325.1917 Compliance with other laws, codes, and ordinances.

Rule 17. (1) A home shall comply with all applicable laws and shall furnish

such evidence as the director shall require to show compliance with all local laws,

codes, and ordinances.

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(2) A home shall comply with the department's health care facility fire safety

rules being R 29.1801 to R 29.1861 of the Michigan Administrative Code.

History: 2004 AACS.

R 325.1918 Complaint filed with department; procedure.

Rule 18. (1) When a complainant files a complaint with the department

pursuant to section 20176 of the act, MCL 333.20176, it must be filed within 12

months after the alleged violation. If the complaint is not filed within 12 months

after the alleged violation, the department may investigate the complaint if the

complainant shows good cause for the delay in filing the complaint.

(2) A complaint must be submitted using the department’s hotline or in writing

using the United States Postal Service, email, online form, fax, or other method

provided for on the department’s website, www.michigan.gov/lara .

(3) The complaint must be limited to matters involving an alleged violation of

an applicable law or rule affecting the complainant or, in the case of a public

interest group, affecting the public or a portion of the public.

(4) A complaint may be filed anonymously.

(5) The department shall review and, if warranted, investigate a filed

complaint.

(6) An investigation of an allegation or allegations is not required if any of the

following are true:

(a) The allegation or allegations do not violate a law or rule regulated by the

department.

(b) The allegation or allegations do not provide specific information to allow

the department to investigate the allegation or allegations. Specific information

may include, but is not limited to, identification of the home, the resident or

residents involved, the staff involved, and the dates, times, or location within the

home.

(c) The allegation or allegations have been previously reviewed or

investigated within the last 6 months.

(d) The allegation or allegations of abuse, neglect, or exploitation have been

investigated by adult protective services of the department of health and human

services with no substantiated findings and the allegation or allegations do not

have other alleged law or rule violation.

(7) Utilization of subrule (6) of this rule is at the sole discretion of the

department and not subject to appeal.

(8) The department shall notify each complainant on review if the complaint is

being closed without investigation or if additional information is needed to

investigate the complaint, except when a complaint is submitted anonymously.

Notification may be made by letter, phone, or email.

(9) The department shall notify the home of the nature of the complaint no

earlier than the initiation of an investigation through a desk review or a visit to the

home.

(10) The department shall provide the complainant with the findings of the

investigation, or instructions for how to obtain the written findings, no later than 30

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days after the conclusion of the complaint process. This subrule does not apply

when a complaint is filed anonymously.

History: 2026 MR 6, Eff. March 19, 2026.

PART 3. ADMINISTRATIVE MANAGEMENT OF HOMES

R 325.1921 Governing bodies, administrators, and supervisors.

Rule 21. (1) The owner, operator, and governing body of a home shall do all

of the following:

(a) Assume full legal responsibility for the overall conduct and oporation

of the home.

(b) Assure that the home maintains an organized program to provide room

and board, protection, supervision, assistance, and supervised personal care for

its residents.

(c) Assure the availability of emergency medical care required by

resident.

a

(d) Appoint a competent administrator who is responsible for operating the

home in accordance with the established policies of the home.

(2) An administrator shall meet all of the following requirements:

(a) Be at least 18 years old.

(b) Have education, training, and/or experience related to the population

served by the home.

(c) Be capable of assuring program planning, development, and

implementation of services to residents consistent with the home's program

statement and in accordance with the residents' service plan and agreements.

(3) A licensee who meets the qualifications of an administrator may serve as

an administrator.

History: 2004 AACS.

R 325.1922 Admission and retention of residents.

Rule 22. (1) A home shall have a written resident admission contract, program

statement, admission and discharge policy, and a resident's service plan for each

resident.

(2) The admission policy must specify all of the following:

(a) That at the time of admission, the home shall document the needs of each

individual seeking admission. The documented needs must be used to develop the

resident's service plan.

(b) That a home shall not accept an individual seeking admission unless the

individual's needs can be adequately and appropriately met within the scope of the

home's program statement.

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(c) That the individual seeking admission and the individual’s authorized

representative, if any, shall participate in the development of the individual's

service plan.

(d) That the home has developed and implemented a communicable disease

policy governing the assessment and baseline screening of residents.

(3) At the time of an individual's admission, a home or the home's designee

shall complete a written resident admission contract between the resident, the

resident's authorized representative, or both, and the home. The resident

admission contract must, at a minimum, specify all of the following:

(a) That the home shall provide room, board, protection, supervision,

assistance, and supervised personal care consistent with the resident's service

plan.

(b) The services to be provided and the fees for the services.

(c) The notice to be provided by the home to the resident, the resident's

authorized representative, or both, on any change in fees.

(d) The transportation services that are provided, if any, and the fees for those

services.

(e) The home's admission and discharge policy.

(f) The home's refund policy.

(g) The resident's rights and responsibilities, which must include those rights

and responsibilities specified in section 20201(2) and (3) of the act, MCL

333.20201, and section 20202 of the act, MCL 333.20202.

(4) If there is a change in a term or condition in the written resident admission

contract, the home or home's designee shall review the change with the resident

and the resident's authorized representative, if any.

(5) A home shall update each resident's service plan not less than annually or

if there is a significant change in the resident's care needs. Changes must be

communicated to the resident and the resident’s authorized representative, if any.

(6) A home shall require an individual who, at the time of admission, is under

the care of a licensed healthcare professional for ongoing treatments or

prescription medications that require the home's intervention or oversight, to

provide a written statement from that licensed healthcare professional completed

within the 90-day period before the individual's admission to the home. The

statement must list those treatments or medications for the purpose of developing

and implementing the resident's service plan. If this statement is not available at

the time of an emergency admission, the home shall require that the statement be

obtained not later than 30 days after admission.

(7) An individual admitted to residence in the home shall have evidence of

initial tuberculosis (TB) screening on record in the home that was performed within

12 months before admission. Initial screening may consist of an intradermal skin

test, a blood test, a chest x-ray, or other methods recommended by the public

health authority. The screening type and frequency of routine TB testing must be

determined by a risk assessment as described in the 2005 Morbidity and Mortality

Weekly Report (MMWR) “Guidelines for Preventing the Transmission of

Mycobacterium

tuberculosis

in

Health-Care

Settings,

2005”

(http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf ), and the 2019 update to these

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recommendations as described in the 2019 MMWR “Tuberculosis Screening,

Testing, and Treatment of U.S. Health Care Personnel: Recommendations from

the National Tuberculosis Controllers Association and CDC, 2019”

(http://dx.doi.org/10.15585/mmwr.mm6819a3 .) These guidelines are adopted by

reference and available free of charge at the links specified in this subrule. A copy

of these guidelines is available for inspection and distribution from the Bureau of

Community and Health Services, Department of Licensing and Regulatory Affairs,

at 611 West Ottawa Street, P.O. Box 30664, Lansing, Michigan 48909 at a cost of

15 cents per page as of the time of the adoption by reference of these guidelines.

A home, and each location or venue of care, if a home provides care at multiple

locations, shall complete a risk assessment annually. Homes that are low risk do

not have to conduct annual TB testing for residents.

(8) A home shall not retain a resident if the resident has harmed the resident

or others, or has demonstrated behaviors that pose a risk of serious harm to the

resident or others, unless the home has the capacity to manage the resident's

behavior.

(9) A home shall not admit a resident who requires continuous nursing care

services of the kind normally provided in a nursing home as specified in sections

21711(3) and 21715(2) of the act, MCL 333.21711 and 333.21715.

(10) A home shall not retain a resident who requires continuous nursing care

services of any kind normally provided in a nursing home as specified in sections

21711(3) and 21715(2) of the act, MCL 333.21711 and 333.21715, unless the

home meets the provisions of section 21325 of the act, MCL 333.21325, or the

individual is enrolled in and receiving services from a licensed hospice program or

a home health agency.

(11) In accordance with section 20201(3)(e) of the act, MCL 333.20201, a

home’s discharge policy must specify that a home for the aged resident may be

transferred or discharged for any of the following reasons:

(a) Medical reasons.

(b) The resident’s welfare or that of other residents.

(c) For nonpayment of the resident’s stay.

(d) Transfer or discharge sought by the resident or authorized representative.

(12) The reason for transfer or discharge must be documented in the resident

record.

(13) A home shall provide the resident and the resident’s authorized

representative, if any, and the agency responsible for the resident's placement, if

any, with a 30-day written notice before discharge from the home. The written

notice must consist of all of the following:

(a) The reasons for discharge.

(b) The effective date of the discharge.

(c) A statement notifying the resident of the right to file a complaint with the

department. The provisions of this subrule do not preclude a home from providing

other legal notice as required by law.

(14) If the department finds that the resident was discharged in violation of

these rules or the home's discharge policy, the resident may return to the first

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available bed in the home that can meet the resident's needs as identified in the

resident's service plan.

(15) A home may discharge a resident before the 30-day notice if the home

has determined and documented that either, or both, of the following exist:

(a) Substantial risk to the resident due to the inability of the home to meet the

resident's needs or due to the inability of the home to ensure the safety and well-

being of the resident, other residents, visitors, or staff of the home.

(b) A substantial risk or an occurrence of the destruction of property.

(16) A home that proposes to discharge a resident for any of the reasons listed

in subrule (15) of this rule shall take all of the following steps before discharging

the resident:

(a) The home shall notify the resident, the resident's authorized

representative, if any, and the agency responsible for the resident's placement, if

any, not less than 24 hours before discharge. The notice must be verbal and issued

in writing. The notice of discharge must include all of the following information:

(i) The reason for the proposed discharge, including the specific nature of

the substantial risk.

(ii) The alternatives to discharge that have been attempted by the home, if

any.

(iii) The location where the resident is to be discharged.

(iv) The right of the resident to file a complaint with the department.

(b) The department and adult protective services shall be notified not less

than 24 hours before discharge if either of the following occur:

(i) A resident does not have an authorized representative or an agency

responsible for the resident’s placement.

(ii) The resident does not have a subsequent placement.

(c) The notice to the department and adult protective services must include

all of the following information:

(i) The reason for the proposed discharge, including the specific nature of

the substantial risk.

(ii) The alternatives to discharge that have been attempted by the home, if

any.

(iii) The location where the resident is to be discharged, if known.

(d) If the department finds that the resident was improperly discharged, the

resident may return to the first available bed in the home that can meet the

resident's needs as identified in the resident's service plan.

(e) The resident shall not be discharged until a subsequent setting that meets

the resident's immediate needs is located.

History: 2004 AACS; 2017 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1923 Employee's health.

Rule 23. (1) An individual on duty in the home shall be in good health. The

home shall develop and implement a communicable disease policy governing the

assessment and baseline screening of employees. A record must be maintained

for each employee and include results of baseline screening for communicable

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diseases. Records of accidents or illnesses occurring while on duty that place

others at risk must be maintained in the employee's file.

(2) A home shall provide initial TB screening at no cost for its employees. New

employees shall be screened within 10 days after hire and before occupational

exposure. The screening type and frequency of routine TB testing must be

determined by a risk assessment as described in the 2005 MMWR “Guidelines for

Preventing the Transmission of Mycobacterium tuberculosis in Health-Care

Settings, 2005” (http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf ), Appendices B and

C, and the 2019 update to these recommendations as described in the 2019

MMWR “Tuberculosis Screening, Testing, and Treatment of U.S. Health Care

Personnel: Recommendations from the National Tuberculosis Controllers

Association and CDC, 2019” (http://dx.doi.org/10.15585/mmwr.mm6819a3 .)

These guidelines are adopted by reference and available free of charge at the links

specified in this subrule. A copy of these guidelines is available for inspection and

distribution from the Bureau of Community and Health Services, Department of

Licensing and Regulatory Affairs, at 611 West Ottawa Street, P.O. Box 30664,

Lansing, Michigan 48909 at a cost of 15 cents per page as of the time of the

adoption by reference of these guidelines. A home, and each location or venue of

care, if a home provides care at multiple locations, shall complete a risk

assessment annually. Homes that are low risk do not need to conduct annual TB

testing for employees.

(3) Employees with past documented positive TB skin test results or who have

received treatment for TB infection in the past are exempt from the TB skin test.

Employees with a past documented positive TB skin result, who have never been

treated for TB infection, shall be screened for active symptoms of TB disease and

the need for evaluation by a qualified healthcare professional to determine if

treatment for TB infection is indicated.

(4) TB skin tests and post-exposure follow-up and treatment evaluations must

be offered at no cost to the employees at times and locations convenient to the

employees. A qualified healthcare professional shall perform the reading and

interpretation of the TB testing.

History: 2004 AACS; 2017 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1924 Reporting of incidents, quality review program.

Rule 24. (1) A home for the aged must implement and maintain a quality

review program consistent with section 20175(8) of the act, MCL 333.20175, and

the professional review function. The program is responsible for all of the following:

(a) Reviewing and evaluating incidents.

(b) Identifying effective means to correct any deficient practice.

(c) Ensuring resident safety and quality of care.

(d) Improving procedures.

(2) The program must be reviewed annually by the administrator and

governing body.

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(3) The program must be staffed by a multi-disciplinary team. The multi-

disciplinary team shall consist of not less than 2 personnel that have training or

experience with the type of the incident being evaluated.

(4) The multi-disciplinary team shall meet not less than twice each calendar

year or more frequently as needed to review an incident or incidents.

(5) Records must be maintained that demonstrate incident reporting to the

team, analyses, outcomes, corrective action taken, and evaluation to ensure that

the expected outcome is achieved. These records must be maintained for 2 years.

(6) The facility must have a policy and procedure to report an incident using a

department approved form to the multi-disciplinary team responsible for the quality

review program required under subrule (1) of this rule.

(7) The facility must have a policy and procedure to ensure that an incident,

once known by facility staff, is reported as soon as possible, but not later than 48

hours after the incident, to a resident’s authorized representative or designated

health care professional, as appropriate. Verbal or written notification must be

documented in the resident’s record to reflect the date, time, name of staff who

made the notification, and name of the representative or professional who was

notified.

(8) If an elopement occurs, staff shall conduct a search to locate the resident.

If the resident is not located within 30 minutes after the elopement occurred, staff

shall comply with subrule (7) of this rule and contact the local police authority.

(9) The department may review a quality review program during a renewal

survey to confirm that a program is in place. During a complaint investigation, the

licensee shall confirm if an incident was reviewed and if any corrective actions

were taken, but the department shall not request any other case-specific

information that was part of the quality review program. The department shall rely

on other documents outside this professional review function as part of its

investigation. The department shall maintain and protect these documents in

accordance with state and federal laws, including privacy laws.

History: 2004 AACS; 2023 AACS.

PART 4. RESIDENT CARE

R 325.1931 Employees; general provisions.

Rule 31. (1) Personal care and services that are provided to a resident by

the home shall be designed to encourage residents to function physically and

intellectually with independence at the highest practical level.

(2) A home shall treat a resident with dignity and his or her personal needs,

including protection and safety, shall be attended to consistent with the resident's

service plan.

(3) The home shall designate 1 person on each shift to be supervisor of

resident care during that shift. The supervisor of resident care shall be fully

dressed, awake, and on the premises when on duty.

(4) The supervisor of resident care on each shift shall do all of the following:

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(a) Assure that residents are treated with kindness and respect.

(b) Protect residents from accidents and injuries.

(c) Be responsible for safety of residents in case of emergency.

(5) The home shall have adequate and sufficient staff on duty at all times

who are awake, fully dressed, and capable of providing for resident needs

consistent with the resident service plans.

(6) The home shall establish and implement a staff training program based

on the home's program statement, the residents service plans, and the needs of

employees, such as any of the following:

(a) Reporting requirements and documentation.

(b) First aid and/or medication, if any.

(c) Personal care.

(d) Resident rights and responsibilities.

(e) Safety and fire prevention.

(f) Containment of infectious disease and standard precautions.

(g) Medication administration, if applicable.

(7) The home's administrator or its designees are responsible for

evaluating employee competencies.

History: 2004 AACS.

R 325.1932 Resident’s medications.

Rule 32. (1) A service plan must identify prescribed medication to be self-

administered or managed by the home.

(2) Prescribed medication managed by the home must be given, taken, or

applied pursuant to labeling instructions, orders and by the prescribing licensed

healthcare professional.

(3) Staff who supervise the administration of medication for residents who do

not self-administer shall comply with all of the following:

(a) Be trained in the proper handling and administration of the prescribed

medication.

(b) Complete an individual medication log that contains all of the following

information:

(i) The name of the prescribed medication.

(ii) The prescribed required dosage and the dosage that was administered.

(iii) Label instructions for use of the prescribed medication or any intervening

order.

(iv) The time when the prescribed medication is to be administered and when

the medication was administered.

(v) The initials of the individual who administered the prescribed medication.

(vi) A record if the resident refuses to accept prescribed medication and

notification as required in subdivision (c) of this subrule.

(vii) A record of the reason for administration of a prescribed medication that

is on an as-needed basis.

(c) Contact the appropriate licensed healthcare professional when the

prescribed medication has not been administered in accordance with the label

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instruction, an order from a healthcare professional, medication log, or a service

plan. The frequency of contact with the appropriate licensed healthcare

professional, as required by this subdivision, can be modified for resident refusal

based on written instructions from the licensed healthcare professional.

(4) If a resident requires prescription or over-the-counter medication or

medications while out of the home, and the medication or medications are not

identified as self-administered, the staff responsible for the medication

management shall ensure that the resident, or the person that assumes

responsibility for the resident, has all appropriate information, medication, and

instructions.

(5) Prescribed medication that is no longer required by a resident must be

properly disposed of consistent with the policy established by the home and

manufacturer guidelines.

(6) For a resident who is identified as self-administered in the resident’s

service plan, the home shall have a policy to offer a secured method of storage for

medications if desired by the resident and to notify the applicable healthcare

professional or legal representative if there is a change in the resident’s capacity

to self-medicate.

History: 2004 AACS; 2013 AACS; 2023 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1933 Personal care of residents.

Rule 33. (1) A home shall provide a resident with necessary assistance with

personal care such as, but not limited to, care of the skin, mouth and teeth, hands

and feet, and the shampooing and grooming of the hair as specified in the

resident's service plan.

(2) A home shall afford a resident the opportunity and instructions when

necessary for daily bathing, oral and personal hygiene, daily shaving, and hand

washing before meals. A home shall ensure that a resident bathes at least weekly

and more often if necessary.

History: 2004 AACS.

R 325.1934 Furniture.

Rule 34. (1) A home shall provide an individual bed at least 36 inches wide,

with comfortable springs in good condition and a clean protected mattress not

less than 5 inches thick, or 4 inches thick if of synthetic construction.

(2) A cot or rollaway cot shall not be used as a resident bed.

(3) A bedside stand or its equivalent shall be available for a resident for the

storage of small personal articles.

(4) A resident may use his or her own personal bed, mattress, and bedside

stand or its equivalent, and may bring in personal furniture and possessions as

space permits. Furniture and other possessions shall fit comfortably within the

resident's own or shared living quarters, be safe and in reasonable condition,

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and be in compliance with R 29.1801 to R 29.1861 of the health facility fire safety

rules.

History: 2004 AACS.

R 325.1935 Bedding, linens, and clothing.

Rule 35. (1) Bedding shall be washable, in good condition, and clean, and

shall be changed at least weekly or more often as required.

(2) The home shall assure the availability of clean linens, towels, and

washcloths. The supply shall be sufficient to meet the needs of the residents

in the home. Individually designated space for individual towels and washcloths

shall be provided.

(3) The home shall make adequate provision for the laundering of a

resident's personal laundry.

(4) Rooms and all items in them shall be completely cleaned following the

discharge of each resident.

History: 2004 AACS.

PART 5. RECORDS

R 325.1941 Records; general.

Rule 41. A resident register, resident records, accident records and

incident reports, and employee records and work schedules shall be kept in the

home and shall be available to the director or the director's authorized

representative.

History: 2004 AACS.

R 325.1942 Resident records.

Rule 42. (1) A home shall provide a resident record for each resident.

(2) A home shall assure that a current resident record is maintained and that

all entries are dated and signed.

(3) The resident record shall include at least all of the following:

(a) Identifying information, including name, marital status, date of birth,

and gender.

(b) Name, address, and telephone number of next of kin or authorized

representative, if any.

(c) Name, address, and telephone number of person or agency responsible

for the resident's maintenance and care in the home.

(d) Date of admission.

(e) Date of discharge, reason for discharge, and place to which resident was

discharged, if known.

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(f) Health information, as required by MCL 333.20175(1), and other health

information needed to meet the resident's service plan.

(g) Name, address, and telephone number of resident's licensed health

care professional.

(h) The resident's service plan.

(4) A home shall keep a resident's record in the home for at least 2 years

after the date of a resident's discharge from the home.

History: 2004 AACS.

R 325.1943 Resident registers.

Rule 43. (1) A home shall maintain a current register of residents which shall

include all of the following information for each resident:

(a) Name, date of birth, gender, and room.

(b) Name, address, and telephone number of next of kin or authorized

representative, if any.

(c) Name, address, and telephone number of person or agency responsible

for resident's maintenance and care in the home.

(d) Date of admission, date of discharge, reason for discharge, and place to

which resident was discharged, if known.

(e) Name, address, and telephone number of resident's licensed health

care professional, if known.

(2) A register of all residents shall be maintained at all times for the previous

2 years.

History: 2004 AACS.

R 325.1944 Employee records and work schedules.

Rule 44. (1) A home shall maintain a record for each employee, which shall

include all of the following:

(a) Name, address, telephone number, and social security number.

(b) License or registration number, if applicable.

(c) Date of birth.

(d) Summary of experience, education, and training.

(e) Beginning date of employment and position for which employed.

(f) References, if provided.

(g) Results of initial TB screening as required by R 325.1923(2).

(h) Date employment ceases and reason or reasons for leaving, if known.

(i) Criminal background information, consistent with section 20173a, MCL

333.20173a, of the code.

(2) The home shall prepare a work schedule showing the number and type

of personnel scheduled to be on duty on a daily basis. The home shall make

changes to the planned work schedule to show the staff who actually worked.

(3) The home shall retain the work schedules for the preceding 3 months.

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History: 2004 AACS; 2017 AACS.

PART 6. FOOD SERVICE

R 325.1951 Nutritional need of residents.

Rule 51. A home shall meet the food and nutritional needs of a resident in

accordance with the recommended daily dietary allowances of the food and

nutrition board of the national research council of the national academy of

sciences, adjusted for age, gender, and activity, or other national authority

acceptable to the department, except as ordered by a licensed health care

professional.

History: 2004 AACS.

R 325.1952 Meals and special diets.

Rule 52. (1) A home shall offer 3 meals daily to be served to a resident at

regular meal times. A home shall make snacks and beverages available to

residents.

(2) A home shall work with residents when feasible to accommodate

individual preferences.

(3) A home shall assure that the temporary needs for meals delivered to a

resident's room are met.

(4) Medical nutrition therapy, as prescribed by a licensed health care

professional and which may include therapeutic diets or special diets,

supplemental nourishments or fluids to meet the resident's nutritional and

hydration needs, shall be provided in accordance with the resident's service plan

unless waived in writing by a resident or a resident's authorized representative.

(5) A home shall prepare and serve meals in an appetizing manner.

(6) A home shall provide a table or individual freestanding tray of table height

for a resident who does not go to a dining room.

History: 2004 AACS.

R 325.1953 Menus.

Rule 53. (1) A home shall prepare and post the menu for regular and

therapeutic or special diets for the current week. Changes shall be written on the

planned menu to show the menu as actually served.

(2) A home shall maintain a copy of all menus as actually served to

residents for the preceding 3 months.

History: 2004 AACS.

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R 325.1954 Meal and food records.

Rule 54. The home shall maintain a record of the meal census, to include

residents, personnel, and visitors, and a record of the kind and amount of food

used for the preceding 3-month period.

History: 2004 AACS.

PART 7. BUILDINGS AND GROUNDS

R 325.1961 Plans and specifications.

Rule 61. (1) A floor plan of the home, with a description of rooms showing

size, use, door locations, window area, and number of beds, shall be on file in the

home.

(2) Complete plans, specifications, and an operational narrative for new

buildings, additions, major building changes, and conversion of existing facilities

to use as a home shall be submitted to the department for review to assure

compliance with the law and these rules.

(3)

An operational narrative shall describe the

operational

characteristics and special needs of the home that dictate the design of

renovation, construction, or conversion needed to support the home's program

statement as defined by R 325.1901(15). An operational narrative may include

any of the following:

(a) Each function to be performed in the home.

(b) Functional space requirements.

(c) Number of staff or other occupants anticipated for the various

functional units.

(d) Type of equipment to be required and utilized.

(e) Interrelationship of functional spaces.

(f) Services and equipment to be brought into the home from outside the

home and not requiring duplication in the home.

(4) Plans and specifications meeting the requirements of the law and

these rules shall be approved by the department.

(5) Construction of new buildings, additions, major building changes, and

conversion of existing facilities to use as a home shall not begin until the plans

and specifications are approved by the department and written approval to begin

construction is issued.

History: 2004 AACS.

R 325.1962 Exteriors.

Rule 62. (1) The home shall be located in an area free from hazards to the

health and safety of residents, personnel, and visitors.

(2) The premises shall be maintained in a safe and sanitary condition and in

a manner consistent with the public health and welfare.

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(3) Sufficient light for an exterior ramp, step, and porch shall be provided

for the safety of persons using the facilities.

(4) Exterior steps shall have a handrail on both sides. An above grade

porch shall have a railing on open sides.

History: 2004 AACS.

R 325.1963 Accessibility.

Rule 63. (1) A new construction or a home undergoing addition, major

building modification, or conversion shall comply with all of the following:

(a) Applicable statutory accessibility requirements.

(b) Applicable accessibility requirements for common and

facilities.

shared

(c) Accessibility requirements for 10% of all resident sleeping rooms and the

connecting bathing or toilet rooms.

History: 2004 AACS.

R 325.1964 Interiors.

Rule 64. (1) A building must be of safe construction and be free from hazards

to residents, personnel, and visitors.

(2) A part of a building in use as a home must not be used for any purpose

that interferes with the care, well-being, and safety of residents, personnel, and

visitors.

(3) An occupied room must have a minimum ceiling height of 7 feet, 6 inches,

except as otherwise provided in subrules (4) and (5) of this rule.

(4) The floor area under a part of a drop or slant ceiling that is less than 6 1/2

feet from the floor must not be used in computing the usable floor space or

maximum number of beds allowed in any sleeping room.

(5) A bed and the working space around a bed must not be directly under a

part of a drop or slant ceiling that is less than 6 1/2 feet from the floor.

(6) Each area of the home must be provided with lighting commensurate with

the use made of each area and in accordance with generally recognized

standards.

(7) A stairway or ramp must have a handrail on both sides.

(8) A room used for living or sleeping purposes must have a minimum total

window glass area on outside walls equal to 10% of the required floor area of the

room. Forty-five percent of the window glass area must be openable unless the

room is artificially ventilated.

(9) Ventilation must be provided throughout the facility in the following

manner:

(a) A room must be provided with a type and amount of ventilation that

controls odors and contributes to the comfort of occupants.

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(b) Soiled linen rooms, janitor closets, and trash holding rooms must be

provided with a minimum of 10 air changes per hour of continuously operated

exhaust ventilation that provide discernable air flow into each of these rooms.

(c) Resident bathrooms, public bathrooms, and beauty shops must be

provided with an exhaust fan operated by switch, timer, or other mechanism

allowing occupant control over the use of the exhaust fan. For semiprivate resident

bathrooms and public bathrooms, the exhaust fan, if it is operated by a switch,

must include a timer set for a minimum of 1 hour of operation.

(10) A resident room must open to a corridor, lobby, or day room. Traffic to

and from any room must not be through a sleeping room, kitchen, bathroom, toilet

room, or storage room, except if a toilet room, bathroom, or storage room opens

directly off the room or rooms which it serves.

(11) A doorway, passageway, corridor, hallway, or stairwell must be

maintained free from obstructions at all times.

(12) A floor, wall, or ceiling must be covered and finished in a manner that

allows maintenance of a sanitary environment.

(13) A basement must be constructed so that it can be maintained in a dry

and sanitary condition.

(14) A minimum of 15 square feet of floor space per licensed bed must be

provided for day room, dining, recreation, and activity purposes.

(15) A basement or cellar must not be used for sleeping or living quarters,

except that recreation and activity space may be provided in a basement in

addition to the 15 square feet per licensed bed required in subrule (14) of this rule.

(16) A room or compartment housing a water closet must have a minimum

width of 3 feet.

(17) Emergency electrical service must provide, at a minimum, battery-

operated lighting units sufficient to light corridors and exits.

(18) A home shall provide functionally separate living, sleeping, dining,

handwashing, toilet, and bathing facilities for employees and members of their

families who live on the premises.

History: 2004 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1965 Elevators and space requirements for certain homes.

Rule 65. (1) A new construction, addition, major building change, or

conversion after November 14, 1969 shall provide all of the following:

(a) An elevator if resident bedrooms are situated upon more than 1 floor

level. An elevator shall have a minimum cab size of 5 feet by 7 feet, 6 inches.

(b) A sleeping, day, dining, recreation, and activity room with a minimum

ceiling height of 8 feet.

(c) In a room requiring windows, a clear unobstructed horizontal view of 20

feet from the windows. One additional foot shall be added to the minimum

distance of 20 feet for each 2-foot rise above the first story up to a maximum

of 40 feet of required unobstructed view.

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(d) A minimum of 30 square feet of floor space per licensed bed for day

room, dining, recreation, and activity purposes.

History: 2004 AACS.

R 325.1966 Public and employee areas.

Rule 66. (1) A lobby or waiting area for visitors shall be separate from

resident rooms.

(2) Employees shall have adequate toilet facilities that are separate from

resident living quarters.

History: 2004 AACS.

R 325.1967 Resident rooms.

Rule 67. (1) A resident room must have all of the following:

(a) A floor surface at or above grade level along exterior walls with a window

or windows.

(b) A combined minimum total window glass area on outside walls equal to

10% of the required floor area of the room for space used for living or sleeping

purposes.

(c) Not less than 2 duplex electrical receptacles.

(d) A licensed capacity not exceeding 6 residents for an apartment-style

resident room.

(e) A licensed capacity not exceeding 4 residents for a studio-style resident

room.

(f) A minimum of 5 square feet of floor space per resident for wardrobe and

closet in addition to other requirements for usable floor space per resident.

(g) Be open to a corridor, lobby, or day room.

(h) Traffic flow to and from any room that is not through a sleeping room,

kitchen, bathroom, toilet room, or storage room, except if a toilet room, bathroom,

or storage room opens directly off the room or rooms which it serves.

(2) A bathing or toilet room or vestibule must not be included in usable floor

space.

(3) A studio-style resident room must meet either of the following:

(a) A single resident room must have a minimum of 120 square feet of usable

floor space.

(b) For multiple residents, a room must have a minimum of 80 square feet of

usable floor space per resident.

(4) An apartment-style resident room must contain not less than 120 total

square feet for a single resident or not less than 80 total square feet of space per

resident when there is more than 1 resident and must meet either of the following:

(a) An apartment-style resident room bedroom for 1 resident must have a

bedroom with not less than 75 square feet of usable space, including a 3-foot

clearance on 1 side of the bed and at the foot of the bed.

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(b) An apartment-style resident room bedroom for co-sleeping residents must

have a bedroom not less than least 110 square feet of usable space, including a

3-foot clearance on both sides of the bed and at the foot of the bed.

(5) Residents may have their own rooms arranged in a manner that is

comfortable and reflects their preferences if the arrangement does not create a fire

safety risk or unsanitary conditions.

(6) The number of licensed beds assigned to a studio-style resident room and

apartment-style resident room licensed before the effective date of these rules,

must not be held to the square footage requirements specified in this rule unless

major building modifications involve that resident room.

(7) Facilities in existence as of the effective date of this rule shall be held to

the space requirement of 100 square feet of usable floor space for an existing

single resident room and 80 square feet of usable floor space per licensed bed in

an existing multiple bed resident room.

History: 2004 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1968 Toilet and bathing facilities.

Rule 68. (1) Resident toilet facilities shall be located in separate rooms or

stalls and shall be provided in the ratio of 1 handwashing facility and water closet

for every 8 resident beds per floor.

(2) A bathing facility shall be provided for every 15 resident beds.

(3) All water closets and bathing facilities shall have substantially secured

grab bars at least 1 foot long.

(4) A resident toilet room or bathroom shall not be used for storage or

housekeeping functions.

History: 2004 AACS.

R 325.1969 Rescinded.

History: 2004 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1970 Water supply systems.

Rule 70. (1) A home located in an area served by a public water system

shall connect to and use that system.

(2) If a public water system is not available, then the location and

construction of a well and the operation of the private water system shall comply

with the Safe Drinking Water Act, 1976 PA 399, MCL 325.1001 et seq.

(3) A physical cross-connection shall not exist between water systems that

are safe for human consumption and those that are, or may at any time, become

unsafe for human consumption.

(4) Minimum water pressure available to each plumbing fixture shall

exceed 20 pounds per square inch.

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(5) The plumbing system shall be designed and maintained so that the

possibility of back flow or back siphonage is eliminated.

(6) The plumbing system shall supply an adequate amount of hot water at

all times to meet the needs of each resident and the functioning of the various

service areas.

(7) The temperature of hot water at plumbing fixtures used by residents

shall be regulated to provide tempered water at a range of 105 to 120 degrees

Fahrenheit.

History: 2004 AACS.

R 325.1971 Liquid wastes.

Rule 71. (1) Liquid wastes shall be discharged into a public sanitary

sewage system if such a system is available.

(2) Homes that use a private wastewater disposal system shall be approved

by the department.

(3) A private wastewater disposal system shall consist of a stabilization

lagoon or approved "package" treatment plant. Subsurface disposal systems

such as septic tanks with tile fields are not allowed.

(4) The licensee shall obtain a discharge permit issued by the Michigan

department of environmental quality pursuant to MCL 324.3101 et seq.

History: 2004 AACS.

R 325.1972 Solid wastes.

Rule 72. All garbage and rubbish shall be kept in leakproof, nonabsorbent

containers. The containers shall be kept covered with tight-fitting lids and shall be

removed from the home daily and from the premises at least weekly.

History: 2004 AACS.

R 325.1973 Heating.

Rule 73. (1) A home shall provide a safe heating system that is designed

and maintained to provide a temperature of at least 72 degrees Fahrenheit

measured at a level of 3 feet above the floor in rooms used by residents.

(2) A resident's own room or rooms in the home shall be maintained at a

comfortable temperature.

History: 2004 AACS.

R 325.1974 Laundry and linen.

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Rule 74. (1) A home that processes its own linen shall provide a well

ventilated laundry of sufficient size which shall be equipped to meet the needs

of the home.

(2) A home that uses a commercial or other outside laundry facility shall have

a soiled linen storage room and a separate clean linen storage room.

History: 2004 AACS.

R 325.1975 Laundry and linen requirements.

Rule 75. (1) A new construction, addition, major building change, or

conversion after November 14, 1969 shall provide all of the following:

(a) A separate soiled linen storage room.

(b) A separate clean linen storage room.

(c) A separate laundry processing room with handwashing facilities in a

home that processes its own linen.

(d) Commercial laundry equipment with a capacity to meet the needs of

residents in a home that processes its own linen.

History: 2004 AACS.

R 325.1976 Kitchen and dietary.

Rule 76. (1) A home shall have a kitchen and dietary area of adequate

size to meet food service needs of residents. It shall be arranged and equipped

for the refrigeration, storage, preparation, and serving of food, as well as for dish

and utensil cleaning and refuse storage and removal.

(2) The kitchen and dietary area shall be equipped with a lavatory for

handwashing. Each lavatory shall have a goose neck inlet and wrist, knee, or foot

control. Soap and single service towels shall be available for use at each lavatory.

(3) The kitchen and dietary area shall be restricted to kitchen and dietary

activities.

(4) Separate personnel dining space shall be provided.

(5) The kitchen and dietary area, as well as all food being stored,

prepared, served, or transported, shall be protected against potential

contamination from dust, flies, insects, vermin, overhead sewer lines, and other

sources.

(6) Food and drink used in the home shall be clean and wholesome and shall

be manufactured, handled, stored, prepared, transported, and served so as to be

safe for human consumption.

(7) Perishable foods shall be stored at temperatures which will protect

against spoilage.

(8) A reliable thermometer shall be provided for each refrigerator and

freezer.

(9) An individual portion of food which is served and not eaten shall be

destroyed.

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(10) A separate storage area for poisonous material shall be provided away

from food service and food storage areas. Poisonous material shall be

identified as such and shall be used only in a manner and under such

conditions that it will not contaminate food or constitute a hazard to residents,

personnel, or visitors.

(11) Food service equipment and multi-use utensils shall be of such design

and material as to be smooth, easily cleanable, and durable.

(12) Food service equipment and work surfaces shall be installed in such a

manner as to facilitate cleaning and be maintained in a clean and sanitary

condition, and in good repair.

(13) A multi-use utensil used in food storage, preparation, transport, or

serving shall be thoroughly cleaned and sanitized after each use and shall be

handled and stored in a manner which will protect it from contamination.

(14) A single service eating or drinking article shall be stored, handled, and

dispensed in a sanitary manner and shall be used only once.

(15) Ice used in the home for any purpose shall be manufactured, stored,

transported, and handled in a sanitary manner.

(16) A storage area for housekeeping items and a janitor's closet shall be

provided convenient to the kitchen and dietary area.

(17) If food service is provided from an outside service, then that service

shall be licensed under the requirements of the citation.

History: 2004 AACS.

R 325.1977 New construction, addition, major building modification, or

conversion after

effective date of these rules.

Rule 77. (1) Exhaust ventilation must be designed as central systems with the

fan at the building exterior and not less than 10 feet from all doors, operable

windows, and domestic outside air intakes. Central exhaust is not required for the

resident bathrooms, public bathrooms, and beauty shops.

(2) Facilities for dispensing of medications must be designed to be under the

control of responsible residents or designated staff. Central dispensing locations

must keep medications locked and be equipped with a handwashing sink, work

counter, and storage facilities.

(3) Bathing facilities must have access to a handwashing sink, toilet, and

bathing supply storage facilities without entering a common corridor.

History: 2004 AACS; 2026 MR 6, Eff. March 19, 2026.

R 325.1978 Insect and vermin control.

Rule 78. (1) A home shall be kept free from insects and vermin.

(2) Pest control procedures shall comply with MCL 324.8301 et seq.

History: 2004 AACS.

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R 325.1979 General maintenance and storage.

Rule 79. (1) The building, equipment, and furniture shall be kept clean and

in good repair.

(2) A room shall be provided in the home or on the premises for equipment

and furniture maintenance and repair and storage of maintenance equipment and

supplies.

(3) Hazardous and toxic materials shall be stored in a safe manner.

History: 2004 AACS.

R 325.1980 Soap and towels.

Rule 80. Soap and single use towels shall be available for the use of

employees and visitors. Use of the common towel is prohibited.

History: 2004 AACS.

PART 8. EMERGENCY PROCEDURES

R 325.1981 Disaster plans.

Rule 81. (1) A home shall have a written plan and procedure to be

followed in case of fire, explosion, loss of heat, loss of power, loss of water, or

other emergency.

(2) A disaster plan shall be available to all employees working in the home.

(3) Personnel shall be trained to perform assigned tasks in accordance

with the disaster plan.

History: 2004 AACS.

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Courtesy of Michigan Administrative Rules