Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 58 - Nursing Facilities
Rule 481-58.22 - Rehabilitative Services
Universal Citation: IA Admin Code 481-58.22
Current through Register Vol. 47, No. 6, September 18, 2024
Rehabilitative services shall be provided to maintain function or improve the resident's ability to carry out the activities of daily living.
(1) Physical therapy services.
a. Each facility shall
have a written agreement with a licensed physical therapist to provide physical
therapy services. (III)
b. Physical
therapy shall be rendered only by a physical therapist licensed to practice in
the state of Iowa. All personnel assisting with the physical therapy of
residents must be under the direction of a licensed physical therapist. (II,
III)
c. The licensed physical
therapist shall:
(1) Evaluate the resident
and prepare a physical therapy treatment plan conforming to the medical orders
and goals; (III)
(2) Consult with
other personnel in the facility who are providing resident care and plan with
them for the integration of a physical therapy treatment program into the
overall health care plan; (III)
(3)
Instruct the nursing personnel responsible for administering selected
restorative procedures between treatments; (III)
(4) Present programs in the facility's
in-service education programs. (III)
d. Treatment records in the resident's
medical chart shall include:
(1) The
prescription for treatment; (III)
(2) An initial evaluation note by the
physical therapist; (III)
(3) The
physical therapy care plan defining clearly the long-term and short-term goals
and outlining the current treatment program; (III)
(4) Notes of the treatments given and changes
in the resident's condition; (III)
(5) A complete discharge summary to include
recommendations for nursing staff and family. (III)
e. There shall be adequate facilities, space,
appropriate equipment, and storage areas as are essential to the treatment or
examinations of residents. (III)
(2) Other rehabilitative services.
a. The facility shall
arrange for specialized and supportive rehabilitative services when such
services are ordered by a physician. (III) These may include audiology and
occupational therapy.
b. Audiology
services shall be under the direction of a person licensed in the state of Iowa
by the board of speech pathology and audiology. (II, III)
c. Occupational therapy services shall be
under the direction of a qualified occupational therapist who is currently
registered by the American Occupational Therapy Association. (II,
III)
d. The appropriate
professional shall:
(1) Develop the treatment
plan and administer or direct treatment in accordance with the prescription and
rehabilitation goals; (III)
(2)
Consult with other personnel within the facility who are providing resident
care and plan with them for the integration of a treatment program into the
overall health care plan. (III)
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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