Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter H - QUALITY OF LIFE
Section 554.701 - Quality of Life
Universal Citation: 26 TX Admin Code ยง 554.701
Current through Reg. 49, No. 38; September 20, 2024
(a) Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable, physical, mental, and psychosocial well-being consistent with the resident's comprehensive assessment and care plan.
(1) Based on the comprehensive
assessment of a resident and consistent with the resident's needs and choices,
the facility must provide the necessary care and services to ensure that a
resident's abilities in activities of daily living do not diminish unless
circumstances of the resident's clinical condition demonstrate that such
diminution was unavoidable.
(2)
This includes the facility ensuring that:
(A)
a resident is given the appropriate treatment and services to maintain or
improve the ability to carry out the activities of daily living, including
those specified in subsection (b) of this section;
(B) a resident who is unable to carry out
activities of daily living receives the necessary services to maintain good
nutrition, grooming, and personal and oral hygiene; and
(C) personnel provide basic life support,
including CPR, to a resident requiring such emergency care prior to the arrival
of emergency medical personnel and subject to related physician orders and the
resident's advance directives.
(b) The facility must provide care and services in accordance with subsection (a) of this section for the following activities of daily living:
(1) hygiene -
bathing, dressing, grooming, and oral care;
(2) mobility - transfer and ambulation,
including walking;
(3) elimination
- toileting;
(4) dining - eating
including meals and snacks; and
(5)
communication - speech, language, and other functional communication
systems.
(c) If a child is admitted to a facility, care must be provided to meet the child's unique medical and developmental needs.
(d) Pediatric residents should be matched with roommates of similar age and developmental levels.
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