Current through Register No. 40, October 3, 2024
(a)
Prior to admission, family provider shall provide the resident and/or his or
her authorized representative with a written copy of the resident admissions
contract pursuant to RSA 161- J:4, which includes the following information:
(1) The basic daily, weekly and monthly rate
paid to the family provider;
(2) A
list of the services required by He-P 813 that are covered by the basic
rate;
(3) The time period covered
by the admissions contract;
(4) The
AFCR's house rules;
(5) The grounds
for immediate termination of the agreement, pursuant to
RSA 151:26,
II(b) ;6
(6) The AFCR's responsibility for resident
discharge planning;
(7) Information
regarding services not provided by the AFCR, to include:
a. Contact and other information regarding
nursing and other health care services;
b. The AFCR's responsibility for arranging
services;
c. The rate and payment
for services;
(8) The
AFCR's policies and procedures regarding:
a.
Providing transportation;
b.
Arranging for the provision of third party services, such as cable
television;
c. Third party services
contracted directly by the resident and provided on the AFCR
premises;
d. Storage and loss of
the resident's personal property;
e. Filing complaints; and
f. When a residents temporarily leaves the
AFCR, the policy for holding a bed open, in compliance with
RSA
151:25;
(9) The AFCR's medication management
services;
(10) A copy of the
current version of the patients' bill of rights under RSA 151: 21 and the
AFCR's policies and procedures for implementation of the patient's bill of
rights pursuant to
RSA 151:20,
II;
(11) A copy of the resident's right to appeal
an involuntary transfer or discharge under
RSA 151:26,
II(5) , and the AFCR 's policy and procedure
for assisting with the appeals process; and
(12) The AFCR's policy and procedure for
handling reports of abuse, neglect or exploitation.
(b) The family provider shall develop a
person-centered plan, reviewed every 6 months, and revised based on the
resident's needs.
(c) The
person-centered plan shall include the following:
(1) A description of the resident's
needs;
(2) The date the need was
identified;
(3) The goals or
objectives of the plan;
(4) The
actions or approaches to be taken;
(5) A statement about whether or not the
resident may safely be left alone in the home and if so, the time frame and
duration that he or she may be left alone;
(6) The name of the individual responsible
for carrying out the plan; and
(7)
The date(s) of re-evaluation, review, or resolution for any identified
issues.
(d) The
person-centered plan shall be a written guide:
(1) Developed by the case manager, the
resident and/or his or her representative, the family provider and the
oversight agency that outlines the resident's needs and process for the
provision of services which shall address the resident's:
a. Ability to manage his or her
ADL's;
b. Physical health,
including impairments of mobility, sight, hearing and speech;
c. Intellectual functioning and mental
health;
d. Need for
supervision;
e. Need for medication
assistance;
f. Need for family and
community involvement; and
g. Need
for community and social health services; and
(2) Reviewed and updated whenever there is a
change in the resident's condition and at the time of annual eligibility
redetermination.
(e)
Monthly progress notes for every resident shall be recorded by the family
provider including, at a minimum:
(1) A brief
description of the care, including assistance with ADLs, that has been
provided;
(2) Observations
regarding changes in the resident's physical, functional and cognitive
abilities; and
(3) Observations
regarding changes in behavior, such as eating habits, sleeping patterns, and
relationships.
(f) The
family provider, case manager and oversight agency shall meet or confer
quarterly to review the progress notes required in (e) above.
(g) At the time of admission the family
provider, with the assistance of the oversight agency, if necessary, shall
obtain orders from a licensed practitioner for medications if
applicable.
(h) Each resident shall
have a health examination not more than 6 months prior to admission and at
least one health examination every 12 months.
(i) If a resident refuses care or services,
the family provider shall notify the case manager and oversight
agency.
(j) The family provider
shall maintain an emergency data sheet in the resident's record and promptly
give a copy to emergency medical personnel in the event of an emergency
transfer to another medical facility, which includes:
(1) The resident's full name and the name the
resident prefers to be called by, if different;
(2) The name, address and telephone number of
the resident's next of kin or representative;
(3) The resident's diagnoses;
(4) The resident's allergies, if
any;
(5) The resident's functional
limitations, if any;
(6) The
resident's date of birth;
(7) The
resident's advanced directives; and
(8) Any other pertinent information not
specified in (1) -(7) above.
#8595, eff 4-1-06; ss by #9899-A, eff
3-29-11
