Current through Register Vol. 50, No. 9, September 20, 2024
A. A NF with
more than 120 beds must employ a full-time qualified social service director
with the following qualifications:
1. a
bachelor's degree in social work or a bachelor's degree in a human services
field including but not limited to sociology, special education, rehabilitation
counseling, and psychology; and
2.
one year of supervised social work experience in a health care setting working
directly with individuals; or
3. a
similar professional degree in a field such as counseling, special education,
sociology, or psychology.
B. A NF with 120 beds or less shall designate
at least one staff member as social service designee (SSD). The SSD need not
have any special educational background.
1.
The individual responsible for provision of social services shall:
a. arrange for social services from outside
sources or by furnishing the services directly;
b. integrate social services with other
elements of the plan or care; and
c. complete a social history.
C. Social History. The
SSD shall complete, date, and sign a social history on applicants/residents
within seven days after their admission. The history shall include but shall
not be limited to the following information:
1. background:
a. age, sex, and marital status;
b. birthplace;
c. religion;
d. cultural and ethnic background;
e. occupation;
f. education;
g. special training or skills; and
h. primary language;
2. social functioning:
a. living situation and address before
admission;
b. names and
relationships with family and friends;
c. involvements with organizations and
individuals within the community;
d. feelings about placement in the nursing
facility.
C.
Social Needs Assessment
1. The SSD shall also
identify and document the needs and medically related social/emotional problems
within 14 days after admission.
2.
The social services assessment shall become a component of the plan of care
written in conjunction with other disciplines and shall be filed in the active
medical record.
3. If the initial
social assessment concludes that there are no problems or unmet social needs,
the social assessment shall state that no social services are
required.
D.
Participation in Interdisciplinary Staffing. The SSD shall participate in the
interdisciplinary staffing.
E.
Social Services Progress Notes. Social services progress notes shall:
1. be recorded as often as necessary to
document services provided, but at least every 90 days (quarterly) in NF's and
as often as necessary to describe changes in social conditions;
2. document the degree of involvement of
family and friends, interaction with staff and other residents, and adjustment
to the facility and roommate(s);
3.
reflect the social needs and functioning;
4. document services in the plan of care are
actually being provided; and
5.
remain in the active medical chart for three to six months.
NOTE: The facility shall establish policies and
procedures for ensuring the confidentiality of all social information. Records
shall reflect each referral to an outside agency and shall include the
applicant/resident's written consent to release the information.
NOTE: The Same Qualifications Apply to Medicare Skilled
Nursing Facilities.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
46:153
