Current through Register Vol. 49, No. 13, September 23, 2024
Subpart
1.
Intake screening.
Before admitting a participant, the center shall conduct an
intake screening to determine how or whether the center can serve the
individual, based on the center's licensure, the center's policies and
services, and the individual's needs and condition. If possible, the screening
shall include an interview with the participant and with the participant's
caregiver. The center shall notify the individual of the outcome no more than
five working days after the screening process begins.
Subp. 2.
Initial service
planning.
Immediately after admission, the center shall conduct a needs
assessment and develop a preliminary service plan for the participant, in
accordance with items A and B. The needs assessment and preliminary service
plan must be completed within 30 days and placed in the participant's
record.
A. The center shall assess the
participant's needs for center services based on observation of the participant
and information obtained from other sources, including any assessment performed
within the prescribed time by a preadmission screening team under Minnesota
Statutes, section
256B.0911.
The needs assessment shall address:
(1) the
participant's psychosocial status (for example, awareness level, personal care
needs, need for privacy or socialization);
(2) the participant's functional status (for
example, endurance and capability for ambulation, transfer, and managing
activities of daily living); and
(3) the participant's physical status, to be
determined by observation, from the intake screening interview, and from the
medical report received from the participant's physician.
B. The center shall develop a preliminary
service plan based on the assessment in item A and coordinated with other plans
of services for the participant. The preliminary service plan must include the
following information and specifications:
(1)
scheduled days of participant's attendance at the center;
(2) transportation arrangements for getting
the participant to and from the center;
(3) participant's nutritional needs and,
where applicable, dietary restrictions;
(4) role of the participant's caregiver or
caregivers in carrying out the service plan; and
(5) services and activities in which the
participant will take part immediately upon admission.
Subp. 3.
Individual plan of
care.
Within 90 days of the participant's admission to the center,
a written plan of care must be developed by the center staff together with the
participant, the participant's caregiver, and other agencies and individual
service providers. The plan of care must be dated and must include:
A. an update of the preliminary service plan
required in subpart
2 and additional services
required by the participant;
B.
short and long-term objectives for the participant stated in concrete,
measurable, and time specific outcomes;
C. the staff members responsible for
implementing the individual plan of care;
D. the anticipated duration of the individual
plan of care as written; and
E.
provisions for quarterly review and quarterly revision of the individual plan
of care.
