Current through Register Vol. 50, No. 9, September 20, 2024
A. The facility
shall provide an ongoing activities program designed to stimulate and promote
the physical, social, emotional, and intellectual well-being of each resident
and encourage normal activity and return to self care.
B. Resident Activity Director. The facility's
activities program shall be under the direction of the resident activity
director (RAD).
1. The nursing facility shall
have at least one RAD. An additional RAD per resident census in excess of 100
shall be required. The RAD employees shall be full-time or sufficient full-time
equivalent employees shall be maintained to comply with these standards.
Regardless of the number of RAD employees required, one full-time RAD shall be
certified.
2. Responsibilities of
the RAD include the following tasks:
a.
scheduling and coordinating group activities and special events inside and
outside the facility;
b. developing
and using outside resources and actively recruiting volunteers to enhance and
broaden the scope of the activities program;
c. posting monthly activity calendars in
places where applicants/residents and staff can easily see them;
d. planning and implementing individual and
group activities designed to meet the applicants/residents' needs and
interests.
3. A resident
activity director may be one of the following individuals:
a. a qualified therapeutic recreation
specialist:
i. who is certified with the
National Council on Therapeutic Recreation Certification; and
ii. eligible for certification as therapeutic
recreation specialist by a recognized accrediting body on August 1,
1989;
b. a person having
the following experience:
i. two years of
experience in a social or recreational program within the last five
years;
ii. one year of the
experience shall have been gained as a full-time employee in a health care
setting involving resident activities programs;
c. a qualified occupational therapist or
occupational therapy assistant;
d.
An individual who has completed a training course approved by the
Department.
e. An individual who is
enrolled in a training course approved by the department.
NOTE: Prior to the effective date of this document the
Resident Activity Director (RAD) was referred to as Patient Activities
Coordinator (PAC) or Patient Activity Director (PAD).
C. Activities
Assessments
1. Within 14 days after
admission, the RAD shall complete a written assessment of each resident's
interests and hobbies and note any illnesses or physical handicaps which might
affect participation in activities.
2. The activities assessment shall:
a. become the basis for the activities
component of the plan of care;
b.
be signed, dated, and filed with other elements in the medical
record;
c. identify specific
problem/need areas along with specific approaches formulated to meet the
problems/needs; and
d. be included
in the interdisciplinary staffing.
C. Activity Services Progress Notes. Activity
services progress notes shall:
1. be written
to document the services provided and/or changes in activity needs or
approaches at least every 90 days (quarterly); and
2. document the activity level of residents,
specifically describing their day to day activities.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
46:153.
