Current through Register Vol. 54, No. 44, November 2, 2024
(a) An individual shall have a physical
examination within 12 months prior to living in the home and annually
thereafter.
(b) The physical
examination shall be completed, signed and dated by a licensed physician,
certified nurse practitioner or licensed physician's assistant.
(c) The physical examination shall include:
(1) A review of previous medical
history.
(2) A general physical
examination.
(3) Immunizations for
individuals 18 years of age or older as recommended by the United States Public
Health Service, Centers for Disease Control, Atlanta, Georgia 30333.
(4) Vision and hearing screening for
individuals 18 years of age or older, as recommended by the
physician.
(5) Immunizations and
screening tests for individuals 17 years of age or younger, as recommended by
the Standards of Child Health Care of the American Academy of
Pediatrics, Post Office Box 1034, Evanston, Illinois 60204.
(6) Tuberculin skin testing by Mantoux method
with negative results every 2 years for individuals 1 year of age or older; or,
if a tuberculin skin test is positive, an initial chest x-ray with results
noted.
(7) A gynecological
examination, including a breast examination and a Pap test for women 18 years
of age or older, unless there is documentation from a licensed physician
recommending no or less frequent gynecological examinations.
(8) A mammogram for women at least every 2
years for women 40 through 49 years of age and at least every year for women 50
years of age or older.
(9) A
prostate examination for men 40 years of age or older.
(10) Specific precautions that must be taken
if the individual has a communicable disease, to prevent spread of the disease
to other individuals.
(11) An
assessment of the individual's health maintenance needs, medication regimen and
the need for blood work at recommended intervals.
(12) Physical limitations of the
individual.
(13) Allergies or
contraindicated medications.
(14)
Medical information pertinent to diagnosis and treatment in case of an
emergency.
(15) Special
instructions for the individual's diet.
(d) Immunizations, vision and hearing
screening and tuberculin skin testing may be completed, signed and dated by a
registered nurse or licensed practical nurse instead of a licensed physician,
certified nurse practitioner or licensed physician's assistant.
This section cited in 55 Pa. Code §
6500.191 (relating to exceptions);
and 55 Pa. Code §
6500.202 (relating to exceptions
for emergency respite care).
