5.B.1. The
written policies of each facility shall be consistent with State licensing and
Federal certification requirements and shall include:
a. Specific reference to indicate the person
or persons responsible for the execution of such policies;
b. A written outline of the objectives of the
facility;
c. Provision for these
written policies to be available at all times to residents, families, admitting
physicians, sponsoring agencies, staff, and the public;
d. Provision for implementation of policies
and training of staff;
5.B.2. Policies shall address all areas of
services provided and facility practices regarding:
a. Resident Rights, including advanced
directives for care and treatment, and grievance procedures;
b. The types and extent of services that are
available in the facility;
c. The
extent of medical and nursing practices that may be provided by the
facility;
d. The type of residents
that the facility will accept, based on sex, mental status, source of referral,
etc. Policies should also provide that residents will be accepted regardless of
race, color, national origin, sexual orientation or reimbursement
source;
e. The waiting list for
facility admissions;
f. The Quality
Assurance Committee;
g. Admissions,
transfers and discharges:
1. Provision for
prevention of resident transfer from one part of the facility to another,
except from a private room, solely because of Medicaid status;
2. Provision for prevention of discharging a
patient from a nursing facility solely because of Medicaid status;
3. A nursing facility must establish and
follow written readmission policies which are consistent with all applicable
regulations and statutes.
h. Physician services;
i. Emergencies;
j. Pharmaceutical services;
k. Dietary services;
l. Diagnostic and other services, including
the tests which may be done within the facility;
m. Written agreements with outside
resources;
n. Social
services;
o. Independent and group
activities;
p. Physical and
chemical restraints;
q. Resident
records;
r. Maintenance, laundry
and housekeeping services;
s.
Infection control and waste management;
t. Smoking restrictions;
u. Dental services;
v. Disaster preparedness;
w. Reporting of abuse, neglect and/or
misappropriation of resident property;
x. Nursing services;
y. Staff orientation and
in-service;
z. Rehabilitative
services.
