77 Ill. Adm. Code 295.4000
Physician's Assessment
Section 295
Section 295.4000Â Physician's
Assessment
a)Â Â Â Â Â Â Â Â No more than 120 days
prior to admission
of a resident
to
any establishment, a comprehensive assessment
that includes
an
evaluation of the prospective resident's physical, cognitive, and psychosocial
condition shall be completed by a physician.
The physician's assessment
shall include documentation of the presence or the absence of tuberculosis
infection in accordance with the Control of Tuberculosis Code. At the time of
admission, the physician's assessment must reflect the resident's current
condition.
b)
At least annually,
once a resident has moved into the
establishment,
a comprehensive assessment shall be completed
by a
physician.
c)Â Â Â Â Â Â Â Â A physician's assessment shall be completed by a physician
upon
identification of a significant change in the resident's condition.
d)Â Â Â Â Â Â Â Â When a physician's assessment is conducted pursuant to this
Part, all current negotiated risk agreements shall be renegotiated as
necessary.
e)
More frequent assessments of skin integrity and nutritional
status
shall be required
(Section 15 of the Act) as ordered by the
resident's physician and as arranged for by the resident.
f)Â Â Â Â Â Â Â Â It is the responsibility of the resident or his/her
representative to have physician's assessments and reassessments completed.
g)Â Â Â Â Â Â Â Â Establishments may develop their own tools for evaluating
their residents; however, the establishment evaluation does not replace the
requirement for a physician's assessment. Documentation of evaluations and re-evaluations
may be in any form that is accurate, that addresses the resident's condition,
and that incorporates the physician's assessment.
h)
The establishment shall monitor and have a reporting procedure in place
for notifying a relative or other individual in an emergency situation,
significant change in resident's condition, or termination of residency.
i)Â Â Â Â Â Â Â Â Â The establishment shall have policies in place to respond to
the gradual deterioration of a resident's ability to carry out the activities
of daily living that may accompany the aging process.