California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 3 - Skilled Nursing Facilities
Article 3 - Required Services
Section 72303 - Physician Services-General Requirements

Universal Citation: 22 CA Code of Regs 72303

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) All persons admitted or accepted for care by the skilled nursing facility shall be under the care of a physician selected by the patient or patient's authorized representative.

(b) Physician services shall mean those services provided by physicians responsible for the care of individual patients in the facility. Physician services shall include but are not limited to:

(1) Patient evaluation including a written report of a physical examination within 5 days prior to admission or within 72 hours following admission.

(2) An evaluation of the patient and review of orders for care and treatment on change of attending physicians.

(3) Patient diagnoses.

(4) Advice, treatment and determination of appropriate level of care needed for each patient.

(5) Written and signed orders for diet, care, diagnostic tests and treatment of patients by others. Orders for restraints shall meet the requirements of Section 72319(b).

(6) Health record progress notes and other appropriate entries in the patient's health records.

(7) Provision for alternate physician coverage in the event the attending physician is not available.

(c) Subsection (b) shall not prevent or limit other licensed healthcare practitioners acting within the scope of their professional licensure from providing services to and being responsible for the care of individual patients in the facility, including providing those services listed in subsection (b) above that are within the scope of their licensure.

1. Amendment of subsection (b)(5) and NOTE filed 5-25-95; operative 6-26-95 (Register 95, No. 21).
2. Amendment of subsections (a)-(b), repealer and new subsection (c), repealer of subsections (c)(1)-(2) and amendment of NOTE filed 3-3-2010; operative 4-2-2010 (Register 2010, No. 10).

Note: Authority cited: Sections 1275, 100275 and 131200, Health and Safety Code. Reference: Sections 1262.7, 1276, 1316.5, 131050, 131051 and 131052, Health and Safety Code; and Valdivia, et al. v. Coye, U.S. District Court for the Eastern District of California, Case No. CIV S-90-1226.

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