Speech Pathology and Audiology Services

Section 390 Section 390.1090 Speech Pathology and Audiology Services a)         The facility shall provide speech pathology and audiology services as needed by the residents, either directly, or indirectly by arrangements with an outside resource. These services shall be provided both directly by speech pathologists, audiologists and other personnel and indirectly through consultation with other persons involved in implementing residents communication improvement programs. (B) b)         Each resident shall be evaluated within 30 days regarding the need for such services and the results of such evaluation shall be entered in the medical record. c)         The following services are to be provided each resident as indicated by screening and evaluation results: 1)         Comprehensive audiological assessment of residents, as indicated by screening results, to include tests of puretone air and bone conduction, speech audiometry, and other procedures, as necessary, and to include assessment of the use of visual cues. 2)         Assessment of the use of amplification. 3)         Provision for procurement, maintenance, and replacement of hearing aids, as specified by a qualified audiologist. 4)         Comprehensive speech and language evaluation of residents, as indicated by screening results, which include appraisal of articulation, voice, rhythm, and language. 5)         Participation when appropriate in the continuing interdisciplinary evaluation of individual residents for purposes of initiation, monitoring, and follow up of individualized habilitation programs. 6)         Treatment services including:  Direct counseling with residents, consultation with appropriate staff for speech improvement and speech education activities, and collaboration with appropriate staff to develop specialized programs for developing the communication skills of individuals in comprehension (for example, speech, reading, auditory training, and hearing aid utilization) as well as expression (for example, improvement in articulation, voice, rhythm, and language). 7)         Participation in inservice programs for direct care and other staff. 8)         Report evaluation and assessment results accurately and systematically, and in such manner as to, where appropriate, provide information useful to other staff working directly with the resident and to provide evaluative and summary reports for inclusion in the resident's unit record. 9)         Continuing observations of treatment progress shall be recorded accurately, summarized, communicated and utilized in evaluating progress. d)         There shall be provided sufficient, appropriately qualified staff, and necessary supporting personnel, to carry out the various speech pathology and audiology services, in accordance with stated goals and objectives. (B) e)         Staff who assume independent responsibilities for clinical services shall meet the requirements as defined in Section 390.330. (B) f)         Adequate direction shall be provided personnel, volunteers, or supportive personnel utilized in providing clinical services. g)         Space, facilities, equipment, and supplies shall be adequate for providing efficient and effective speech pathology and audiology services.