(A) All facilities
providing Level I, II or III care shall have current, written policies
governing the services provided in the facility. All facilities shall develop
policies for the following services:
(1)
Emergency Needs of Residents.
(a) Admission, transfer and discharge
procedures;
(b) Primary care
provider services;
(c)
Pharmaceutical services and medications;
(d) Dietary services;
(e) Rehabilitation services;
(f) Social services;
(g) Resident activities and
recreation;
(h) Emergency and
disaster plans;
(i) Personal
comfort, safety, and accommodations;
(j) Clinical Records.
(2) Facilities providing Level I, II or III
care shall also develop policies for the following services:
(a) Diagnostic services;
(b) Nursing services;
(c) Carry over services (in a certified
facility);
(d) Utilization
Review.
(3) Skilled
Nursing Care Facilities for Children shall also develop policies for the
following services:
(a) Education
Services;
(b) Therapeutic
Recreation Services;
(c) Individual
Service Planning;
(d) Behavior
Modification Services;
(e) Respite
Services;
(f) Permanency Planning
Services.
(B)
The administrator shall be responsible for the development of resident care
policies with the director or supervisor of nurses and representatives from
other disciplines as may be appropriate.
(1)
In a SNCFC, there shall be a Patient Care Advisory Committee advising the
facility in the development and review of all resident care policies. In
addition, such committee may participate in an advisory capacity on human
rights and programmatic activities relative to resident care.
(2) The Patient Care Advisory Committee shall
be comprised of the following members:
(a) The
Medical Director from the SNCFC facility;
(b) The administrator and other professional
staff person(s) from the SNCFC facility;
(c) One services for handicapped children
clinician from a DPH Regional Health Office;
(d) One representative from the Department of
Education;
(e) One parent/guardian
representative from each SNCFC unit, one of whom may represent a parent
advocacy group;
(f) One
representative from a parent advocacy group;
(g) Minimum of two community professionals
who are familiar with issues related to developmental disabilities, one of whom
may represent the DPH Regional Health Office;
(h) Other individuals as may be
required.
(3) The
Patient Care Advisory Committee shall meet a minimum of twice a year and
minutes shall be maintained.
(C) The facility shall review and revise
resident care policies at least annually.
(D) In facilities providing Level I, II or
III care, each resident shall have a care plan that shall include the medical,
nursing, social service, dietary, rehabilitation, activity and other such plans
and services as may be required to provide for the individual's total care. The
care plan shall be coordinated by the nursing staff and shall be reviewed in
consultation with the resident or resident's guardian, and all relevant
disciplines.
(1) In a SNCFC, the resident's
care plan shall include any Individual Education Plan (IEP).
(2) In Medicare or Medicaid certified
facilities providing Level I, II or III care, each resident with DD/ORC shall
have a resident care plan which shall include the medical, nursing, social
service, dietary, rehabilitation, activity and other such plans and services,
including carry-over services that integrate all relevant specialized services
contained in the resident's Department of Developmental Services (DDS), Rolland
Integrated Services Plan (RISP) and Specialized Services Provider plan, as may
be required to provide for the individual's total care.
(a) The facility shall develop the carry-over
services goals, objectives, timelines and responsible disciplines portion of
the nursing facility resident care plan in conjunction with the DDS service
coordinator or a case manager designated by DDS and Specialized Service
Provider staff.
(b) Within 90 days
of admission and at least annually thereafter, as part of the resident care
planning process, the facility staff shall meet with the Specialized Services
Providers and other members of the individual's interdisciplinary team as
coordinated by the DDS service coordinators or case managers designated by DDS
and shall participate in the development and/or review of the Rolland
Integrated Service Plan (RISP)
(E) In a facility having both a SNCFC and
units for adults, written policies shall be established regarding interactions
between children and adults.
